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Yes, the cost to care for Alzheimer’s patients is rising and the rapid cost increases show no sign of stopping.  And unfortunately, that is not the only figure rising; the percentage of seniors with Alzheimer’s is also steadily increasing.  Statistics show that between 2010 and 2050, the number of people with Alzheimer’s is expected to jump from 5.5 million to 14 million. So, how do we pay for adequate Alzheimer’s care? In reality, many people do not understand the difference between Medicare and Medicaid.  Medicare simply does not pay for long-term care.  Medicare actually only cares about your loved one if they are going to get better, i.e. if they suffer from a stroke or a heart attack, and can recover with rehab.  And as we know, Alzheimer’s disease does not fall into that category; so if your loved one has Alzheimer’s, your loved one will have to rely on Medicaid if they do not have enough money to pay privately for care. Medicaid expenses for people with Alzheimer’s are very high due to the uninsured cost of long-term care.  Approximately half of Medicare beneficiaries with Alzheimer’s disease also qualify for Medicaid, because they exhausted their own financial resources to pay for all of their long-term care.  And when someone is relying on Medicaid, often times they can only keep $2,000 in savings and $30 per month. At least that’s what the federal and state governments want you to believe. There are numerous exceptions to this general rule however. And, there are certainly ways to protect you and your loved ones’ well being  assets so that you can work around this. Stay tuned for more. -Anthony B. Ferraro
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Why is it  important to stray from traditional estate planning? Because many professionals have been trained to prepare estate plans by using the “death plan” mentality. Also, since the world today is rapidly changing, doesn’t that mean our estate plans should too? Most people today tend to create “Sweetheart” wills at the suggestion their advisors. In this case, the attorney will ask you a couple of questions like: your name, your loved one’s name, and who you want to leave things too when you die. Today this is overly simplistic. What is most important is that people create wills that follow the “death” rules of estate planning, BUT also will address what will happen if you have a long-term illness before your death. Long term care requirements dramatically change both your wills, trusts and powers of attorney and your course of action. Therefore, you must address long term care issues. -Anthony B. Ferraro
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DO NOT CREATE YOUR OWN ESTATE PLAN. With today’s technology, there are many programs that allow us to create quick and cheap estate plans. Considering how busy the majority of us currently are, that sounds like a dream come true.  WRONG. The truth is, if you do not communicate with an Elder Law & Estate Planning attorney when creating your estate plan, you are only doing yourself a disservice.  In fact, you are potentially risking losing everything. The world of Elder Law is very complicated.  There is a lot of lingo and terminology that takes years of practice to fully understand.  The word income, for example, has a completely different meaning when it comes to different areas of the law.  So, if you do not understand Elder Law, how would you even begin to approach assessing your income when it comes to your estate plan?  If you attempt to create your own estate plan, the simplest misunderstanding or forgotten detail can cost you thousands of dollars, if not more.  The bottom line is, the only way to ensure your safety is to create an estate plan with an Elder Law & Estate Planning  attorney. You wouldn’t trust somebody without a medical degree to operate on you.  Why would you trust anybody but an Elder Law &  Estate Planning attorney to handle your estate plan? -Anthony B. Ferraro
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Today, the world is quickly changing; medical care can be both impersonal and expensive.  But one area that has not changed with the times is traditional estate planning.  Traditional estate plans are designed to focus on just a couple of things and when creating them, most people tend to take the easy route.  Often times, people are in good health and think, “There’s nothing wrong with us now; we want our estate plan to be very simple.”  In those cases, their estate plans only really focus on who will get what when they die. The truth is, most of us are not going to die while we’re in good health.  As we venture into old age, many of us will, unfortunately, develop long-term illnesses and need specific care.  According to AARP, 70% of individuals aged 65 and older will spend part of their life living in a long term care facility.  The cost of long term care and Medicaid planning are probably not things that are included in the will or living trust you already have.  So shouldn’t we consider this when updating our estate plans? While the traditional estate plan details concerning who gets what when you die are important, it is equally, if not more important, to consider what could happen to you before you die.. -Anthony B. Ferraro
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Assuming the role of a caregiver for a loved one with Alzheimer’s is very hard. It can be a struggle, both physically and mentally.  As an Alzheimer’s caregiver, you are going to be approaching challenges that are both new and frightening. Alzheimer’s is a complex disease and it can affect your loved one in many different ways.  Someone with Alzheimer’s may struggle doing simple tasks such as getting dressed or eating.  The typical Alzheimer’s patient will also face confusion and, therefore, you will receive repetitive questions and see odd behavior. In a situation like this, it is normal to feel trapped.  However, I am here to assure you that there are ways to make you and your loved one’s journey through Alzheimer’s easier. First off, I suggest that you abferrarolaw.com/senior-resource-kits/alzheimers-resource-kit/.  There you will find many tools on how to cope through the Alzheimer’s journey, including the recording called, “Caring for and Communicating with the Alzheimer’s Patient.” Other helpful information covered on the above website includes paying for the cost of Alzheimer’s care, discovering hidden VA benefits, and how to approach crucial legal documents. -Anthony B. Ferraro
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It’s time to face the facts.  Most people wait until it’s too late to implement a great estate plan. According to PBS.com, the typical American over the age of 65 has a 75% chance of needing extra assistance with daily activities.  If your loved ones can’t be there to help you in this situation, you will, unfortunately, have to spend your savings in order to get the in-home care that you need For those who end up in nursing home care, they will have to pay as much as $7,000 to $8,000 a month!  That works out to about $100,000 per year!  With cutbacks in funding for government-run programs, you can’t afford to rely on anybody but yourself in these particular situations.  So, it is imperative that you have the proper estate planning. How do you know if you are getting the proper estate planning? For starters, everyone should have a living will and powers of attorney for health care and property – these documents state one’s wishes on what they feel would be appropriate to do in the event that they have an incapacitating terminal illness that would require life-prolonging treatment. In order to have a proper estate plan, you will need the help of a qualified Estate Planning/ Elder Law attorney.  You will be assisted in order to explain to the attorney how you would like to be protected in the event that you become incapacitated or pass away. The number one thing to remember in estate planning is that it is absolutely imperative that you consider the “what-ifs.”  This way, you and an attorney can work towards a solution that will be the most beneficial to you and your loved ones. -Anthony B. Ferraro Attorney-CPA
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Recent studies indicate that only 48% of those 65 and older have financial powers of attorney. Worse yet, less than 60% have health care powers of attorney.  Caution: Boomers and Seniors –  Estate Planning is not just for the rich! Furthermore, estate planning is not just about death and dying but rather about living in the second half  of your life. This involves consideration of the following: 1. How to cover living expenses during the elder years and  retirement years, 2. How to access Medicare in the best way possible, 3. How to make the correct Social Security “take” options, 4. How to qualify for Medicaid to pay for nursing home care that Medicare won’t cover (which by the way is most of your nursing home care) 5. Finally obtaining the right powers of attorney, wills and/or trusts after receiving the correct counseling so you can determine which approach personally fits you the best. So let the conversation begin about: – social benefit programs (Medicare, Social Security, Obamacare, Medicaid, etc.) – transferring assets to and from joint ownership, – the variety of trusts that are used based on the advice of competent counsel such as: _standalone third-party special needs trusts, _self settled special needs trusts, _special needs trusts for a disabled love one, – powers of attorney that have built into them not just what the standard form contains but other important provisions that only competent elder care counsel can insert that will help you the senior,  but not hurt your agent from a fiduciary responsibility or tax standpoint. You know that much has been discussed over the years about automated document production software that is easily available through the Internet. All these systems can create plenty of paper, but they cannot create the professional judgments that go into the formation of a document that will serve you and your needs. For example, there is no  document creation software that can make professional judgments for you, personally, about: – tax provisions, – investment and property management provisions – principal/income provisions, – the ability of fiduciaries to appoint agents, – specific gifts to persons, – whether a “pot trust” or separate trusts are better for younger beneficiaries, – disposition of tangible personal property items, – issues pertaining to expenses and tax/cost apportionment, – how to handle IRA’s,  401-k’s, and  insurance policies, annuities, etc., that are not        covered in your      will or trust, and – how to deal with special beneficiary problems for either minor or adult disabled      persons. Finally lets start discussions about basic asset protection, such as: – how much liability insurance should you carry? – when you should buy long-term care insurance? – what type of long-term care insurance you should buy (traditional or hybrid)? – what sort of asset protection entities might help you (corporation v. LLC etc.)? – in what jurisdiction should they be formed (Illinois or elsewhere)? – should your home be in a trust or in tenancy by the entirety or something else? –  what is the appropriate way to use 529 accounts? – what is the appropriate use of UTMA custodial accounts? – what sort of protection can we derive from retirement accounts? – what sort of asset transfers are appropriate to protect against litigation and/or creditors? – what sort of asset transferring can be done to protect against the devastating cost of nursing care     $6,000 to $10,000 a month) at the end of life?  Boomers and Seniors: Think you’re done? The truth is most of us have not even started.       .
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