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What happens if you or your loved one is diagnosed with early-onset dementia? This typically means that the patient was diagnosed before the age of 65. Unfortunately, there are not very many resources for those who have early-onset dementia, but there are a few things that a caregiver can do:
  1. Look for a senior day center. The staff will be well trained in dementia care and they’ll know the right ways to interact with your loved one;
  2. Have your early-onset diagnosed loved one volunteer in a senior day center like the type I mentioned above. This will ensure that they are in a safe environment while also giving them a sense of confidence; and
  3. Talk to local nursing facilities.  Some facilities have day care or memory units that may fit your loved one’s needs.
Resources like these have become more and more common in recent years. Even if you don’t have a senior day center in your area, don’t worry. There is plenty you can do. -Anthony B. Ferraro
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Paying for nursing home care may be one of the toughest things many of us will have to do. It is no secret that today’s nursing home costs are sky high and they are only going to continue rising. Most of us automatically assume that we will have to spend our entire life savings on our nursing home care. Considering the prices of nursing homes, it certainly seems that this is the truth. However, there are ways around doing so. The first thing that you absolutely must do is contact an Elder Law attorney, like myself, before you venture into the process of selecting and paying for a nursing home. Today, many people aren’t incredibly educated in areas such as Medicare, Medicaid, and VA Benefits. Therefore, they don’t know about the ways in which those programs will be able to help them save money as they begin their long-term care journey. Luckily, we do. Always remember, talk to us first. It’s as simple as that. -Anthony B. Ferraro
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The key to figuring out how to save money by turning to Medicaid is understanding what exactly Medicaid benefits entail and how they may relate to you. These 7 secrets to surviving the Medicaid spend-down will help you be in a better position to protect your hard-earned savings. 1) Many couples end up spending too much money on the first spouse’s long-term care costs because they do not know the rules.  An Elder Law attorney can show you the rules and make the healthy spouse’s life better. 2) People give their assets to their children using the wrong method.  If you choose to go this route, you must do this right, or it could have terrible consequences. 3) Save money by transforming your assets.  Medicaid categorizes your assets as either available or exempt, and an Elder Law attorney can help you convert your available assets into exempt assets so that you keep them. 4) Medicaid application timing is crucial.  If your timing is off, you could lose thousands of dollars, and create a Medicaid penalty because you applied too early or too late. 5) Avoid going broke due to giving your assets away in the wrong way.  There is a Medicaid ineligibility penalty for seniors who give away their assets in the wrong way to children, churches, or charities within 5 years of applying to Medicaid. 6) Annuities are not always “Medicaid-proof”.  Don’t assume just because an annuity is touted as “Medicaid-proof” that it actually is.  Instead consult an elder law attorney, to ensure it actually is. Learn all about VA benefits – A wartime veteran and a spouse could potentially receive $2,000 or more for in-home or assisted living medical care. Stay tuned for further elaboration on the 7 Secrets to Surviving the Medicaid Spend-Down. -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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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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The top desire of most people — Alzheimer’s patients or not — is to keep a loved one at home for as long as possible. Each caregiver and each person has a different threshold for what he or she can deal with (and survive with) at home. For example, if incontinence is involved and a person can’t go to the bathroom on his or her own, a caregiver might think it is almost automatic that nursing home placement is necessary. Other issues involving “activities of daily living,” such as eating, dressing and wandering, or behavior or wandering issues, might worry caregivers, too. Sometimes caregivers think they have reached their limit but then realize things aren’t as bad as they first think. This is often the case if they have taken steps beforehand to pre-arrange help. Being prepared and pro-active will lower stress and worry, and likely put off facility placement, for at least a while. Whether to keep a loved one at home or in a nursing home is a very personal choice. Most caregivers want to keep their loved one at home as long as possible; most individuals agree with this philosophy. But keeping a person at home isn’t always the best choice. Nursing homes are a needs-based service and there are very real reasons people need to be there. Moreover, nursing home placement may be necessary for the caregiver’s health. If you are the primary caregiver and someone you respect voices concerns about your health, you should listen with an open mind. Many caregivers are too close to a situation and do not view things rationally or objectively. It could damage their health. There are numerous senior service agencies around to help with the decision about nursing home placement. Get a list of options soon after you receive the Alzheimer’s diagnosis. This will help you be more comfortable, by planning and being more proactive, rather than being unprepared and uncertain during what could become a crisis situation. Dealing with a loved one with Alzheimer’s is a daunting task. There’s no need to tackle it alone, however. An excellent resource is “The Indispensable Alzheimer’s Resource Kit.” It can be downloaded at no cost by clicking here.
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You should start looking as soon as you are comfortable — realizing that it will almost always be difficult. Proper advance planning will help prevent or lessen a crisis situation later. Maybe you’ll never need the services of a nursing home, but it pays to be proactive and check them out anyway. Making decisions in crisis mode is much different than being able to plan ahead more calmly and thoughtfully. Local elder law firms, the Alzheimer’s Association, hospitals and other healthcare providers, the Area Agency on Aging and stage regulatory departments can be good sources for lists of facilities. When you visit a facility, take someone with you so you get more than one perspective. It also helps to have someone removed from the situation who can be more objective and might notice things that you don’t. Ask facility operators if they offer short-term respite care. That might be what you need to start with — or it might be the only thing you ever need. This can allow you a break if you get sick or need to go out of town, for example. If you have an unexpected situation that takes you out of the picture, you will have plans, and lowered the stress levels for you and everyone around you. Dealing with a loved one with Alzheimer’s is a daunting task. There’s no need to tackle it alone, however. An excellent resource is “The Indispensable Alzheimer’s Resource Kit.” It can be downloaded at no cost by clicking here.
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