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THE GOOD LIFE
Mountain Views News Saturday, September 1, 2012
SENIOR HAPPENINGS
PAYING FOR NURSING HOME CARE WITH MEDICAID
(in California, Medi-Cal)
Dear Savvy Senior:
What are the eligibility requirements to get Medicaid
coverage for nursing home care?
Looking Ahead
Dear Looking:
The rules and requirements for Medicaid eligibility
for nursing home care are somewhat complicated
and will vary according to the state you live
in. With that said, here’s a general, simplified rundown of what it takes to qualify, along with some
resources you can turn to for help.
Medicaid Rules
Medicaid, the federal and state joint program that covers health care for the poor, is also the largest
single payer of America’s nursing home bills for seniors who don’t have the resources to pay for their
own care.
Most people who enter nursing homes don’t qualify for Medicaid at first, but pay for care either
through long-term care insurance or out-of-pocket until they deplete their savings and become eligible
for Medicaid.
To qualify for Medicaid, your income and assets will need to be under a certain level that’s determined
by your state. Most states require that a person have no more than about $2,000 in countable assets
that includes cash, savings, investments or other financial resources that can be turned into cash.
Assets that aren’t counted for eligibility include your home if it’s valued under $525,000 (this limit
is higher – up to $786,000 – in some states), your personal possessions and household goods, one
vehicle, prepaid funeral plans and a small amount of life insurance.
But be aware that while your home is not considered a countable asset to determine your eligibility,
if you can’t return to your home, Medicaid can go after the proceeds of your house to help reimburse
your nursing home costs, unless your spouse or other dependent relative lives there. (There are some
other exceptions to this rule.)
After qualifying, all sources of your income such as Social Security and pension checks must be
turned over to Medicaid to pay for your care, except for a small personal needs allowance – usually
between $30 and $90.
You also need to be aware that you can’t give away your assets to qualify for Medicaid faster. Medicaid
officials will look at your financial records going back five years to root out suspicious asset transfers.
If they find one, your Medicaid coverage will be delayed a certain length of time, according to a formula
that divides the transfer amount by the average monthly cost of nursing home care in your state.
So if, for example, you live in a state where the average monthly nursing home cost is $5,000 and you
gave away cash or other assets worth $100,000, you would be ineligible for benefits for 20 months
($100,000 divided by $5,000 = 20).
Spousal Protection
Medicaid also has special rules for married couples when one spouse enters a nursing home and the
other spouse remains at home. In these cases, the healthy spouse can keep one half of the couple’s
assets up to $113,640 (this amount varies by state), the family home, all the furniture and household
goods and one automobile. The healthy spouse is also entitled to keep a portion of the couple’s
monthly income – between $1,838 and $2,841. Any income above that goes toward the cost of the
nursing home recipient’s care.
What about Medicare?
Medicare, the federal health insurance program for seniors 65 and older and some younger people
with disabilities, does not pay for long-term care. It only helps pay up to 100 days of “rehabilitative”
nursing home care, which must occur after a hospital stay.
Get Help
Again, Medicaid rules are complicated and vary by state, so contact the local Medicaid office (call
800-633-4227 for contact information) for eligibility details.
You can also get help from your State Health Insurance Assistance Program (SHIP), which provides
free counseling on all Medicare and Medicaid issues. To find a local SHIP counselor visit shiptalk.org,
or call 800-677-1116.
Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.
org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.
September Birthdays
Judie Cimino, Donna Anderson, Linda Knowles,
Gwen Robertson, Nancy Shollenberger, Meegan
Tosh, Geri Wright, Theresa Chaure, Esther Macias,
Sheila Pierce, Denise Reistetter, Edwina Garcia,
Yvonne Osti
SEPTEMBER ACTIVITIES
Senior Programs have returned to the Hart
Park House enior Center, 222 W. Sierra
Madre Blvd. in Memorial Park - Come by and
see the changes!!
Mondays: City Hall & Lunch Café
12 noon: Intervale Lunch Café: Come enjoy
a hot meal with others. Donation for
seniors (60+) of $2.00; visitors $3.75. Call
355-0256 to make your daily reservation.
Tuesdays:
FREE blood pressure checks by Methodist
Hospital Nurse; 11 am to 12 noon.
1:30 pm to 3:30 pm
BINGO; NEW TIME 1-3PM cards are
only 25 cents each so stop by & play
5:15 pm to 6:45 pm: Yoga; $6.00 - 50
& over. Please call 355-5278 for more
information
Wednesdays:
11 –11:45 am: Balance Class with Teryl.
FREE class designed to improve balance
& refresh the joints
12 noon: Intervale Lunch Café; daily reservations
needed 355-0256
2nd Wednesday of the month: FREE Legal
Consultations: 10-11:30 am. Appointments
call 355-7394
Wii Wednesday - 1:00 pm or call the senior
desk at 355-7394 to arrange another
time & day to learn how to play. No previous
experience or skills required and it is
great exercise.
Thursdays:
1:00 to 3:30 pm: Game Day. Join us for
Poker and more. Wii - 1:00 pm or call the
senior desk at 355-7394 to arrange another
time & day to learn how to play. No
previous experience or skills required and
it is great exercise. Please call for more
information.
Fridays: Intervale Lunch Café; daily reservations
needed 355-0256
1:00 pm to 1:45 pm: Strength Training
with Lisa Brandley. FREE class of stretching
with light hand weights while you sit.
Saturdays: 11:30 am: Senior Club brown
bag lunch and BINGO at 12:30 pm.
Meals-On-Wheels
Meals are delivered to home-
bound seniors by volunteer drivers
through the YWCA Intervale
Lunch Program M-F (with frozen meals for the
weekend.)
Call the YWCA at (626) 214-9460 for more
information.
YWCA SAN GABRIEL VALLEY
EXPANDED MEALS!
INTERVALE SENIOR CAFE
All seniors 60 years of age and up can take part in the
YWCA Intervale daily lunch program held
at the Hart Park House Senior Center. Meals are
served Monday through Friday at 12:00pm
(participants are encouraged to arrive no later than
11:45am). Meals are a suggested donation of
$2.00 for seniors 60 and over or $3.75 for non-senior
guests. Daily reservations are necessary, as
space is limited. Please reserve your lunch by calling
626-355-0256 at least 24 hours in advance.
MUSEUM DAY
Free Tickets for Two!
On Saturday, September 29,2012 you and a
friend can visit participating museums for free!
To register for your free ticket for two go to
www.smithsonianmag.org/museumday.
Participating L.A. area museums include: Autry
National Center, California Science Center,
Skirball Cultural Center, L.A. Museum of the
Holocaust and more!
You can stop by the Hart Park House for assistance
signing up for free tickets.
Call 626-355-7394 for more info.
2012 EXCURSIONS
RILEY’S FARM AND HAWKS HEAD
PUBLIC HOUSE COLONIAL LUNCH
(OAK GLEN, CA)
Thursday, September 13, 2012
Departure: Charter bus leaves at
9:30am from the Hart Park House
Lunch & Activities: 11:00am-2:00pm
Return: Bus will arrive back in Sierra
Madre at approximately 3:30pm
Cost: $34 includes transportation,
lunch and tip
For more information on Riley’s Farm
please visit their website at http://
www.rileysfarm.com/. The deadline
for registration is Wednesday,
September 5, 2012.
GRABER OLIVE HOUSE TOUR
(ONTARIO, CA)
Friday, October 26, 2012
Departure: 9:30am from the Hart Park
House
Lunch& Activities: 10:30am-2:00pm
Return: Sierra Madre approximately
3:30pm
Cost: $10 (does not include lunch)
More Info: Call the Hart Park House at
626-355-7394
Graber Olive House tour highlights
the tradition of grading, curing and
canning of Graber Olives! For more
information on the Graber Olive
House please visit www.graberolives.
com. After the tour lunch will be
eaten as a group at Molly’s Souper, a
fantastic brunch restaurant in Upland.
All participants are required to eat at
the same restaurant.
The registration deadline is Monday,
October 22, 2012.
ATTRACTIVE NUISANCE
It’s strange the things that
people can feel passionately
about. Of course politics
and religion are right up
there, but there’s a host of
largely irrelevant topics
that really concern some folks. I recall
one of my friends saying that she knew her
boyfriend was “the one” in part because he
had numerous spools of dental floss in his
bathroom. She probably doesn’t realize that
the rest of us don’t consider dental hygiene to
be as much of a “make or break” issue as she
does. Nevertheless, I don’t mean to belittle
her priorities.
Many of our opinions were planted in our
psyches during formative years
in childhood. My mom always
warned me of the dangers of
“wedge” shoes. These high heels
originated during the 70’s, and
have experienced a vibrant rebirth
in today’s fashion. As you might
remember from past articles, I am
as far from fashion consciousness
as Kim Kardashian is from a pair
of size 3 pants. So, my mom’s
admonition didn’t register with
me. That is, until one of my grad
school professors broke both
ankles at once by tripping on the
two inch sidewalk incline outside
our classroom. She was wearing
wedge shoes at the time, and ended
up in a wheelchair for months. If I
had any latent interest in sporting
wedges, that incident put me off
them for good!
Some other strong opinions held by people
are borne of their own experience. These
people rarely realize how stark raving mad
they sound when popping off about their
pet interest. They might eventually notice
the people they’re talking to are eyeing them
warily. But by then, it’s usually too late in the
conversation to make repairs. I discovered
this recently when I went out to lunch with
a friend.
Although we’re friends, we haven’t really
known each other that long. In other words,
we’re not the sort of chums who finish each
others sentences. But still, we enjoy each
other’s company.
At this latest get together, we casually
chatted about our day-to-day activities, as
we usually do. Then, somehow, the topic of
stairs came up. I can’t carry on a conversation
about stairs unless I know whether or not
they’re carpeted. So, of course I asked her
if they were. Not knowing the can of worms
she was opening, she answered “yes.” She
wasn’t even promoting the idea of carpeted
stairs, but just the mention of them tipped
me over the edge into my long rant about the
inherent evil of carpeted stairs.
If you are neutral on this topic, humor
my efforts to dissuade you from ever, EVER
having carpeted stairs. Stairs, in and of
themselves, are dangerous enough. Thank
goodness for building codes regulating
the ratio of rises to treads! If you’ve ever
walked on stairs not built to code, you
know what I’m talking about. It takes
complete concentration to not trip down the
whole flight. Which prompts the question
--why aren’t there carpeted stairs in public
buildings? Ever notice that? There must be a
lawsuit or two behind it.
As if stairs weren’t hazardous enough,
carpeting just makes them all the more
slippery. And if you’re wearing socks and
walking on carpeted stairs, Watch out! My
aunt knocked herself unconscious one night
when she fell down her friends’ carpeted
stairs. There’s still a dent in the plaster where
her head smashed against the wall. Another
friend of mine often recalls an incident when
he was walking (in socks) down their flight
of carpeted stairs carrying his infant son. He
tripped, but gripped the child to his chest.
His son made it out unharmed, but my friend
bruised a vertebrae or two.
The take away message is: Don’t wear
wedges or have carpeted stairs in your home.
It’s easy for me to take my own advice, since
I couldn’t give a hoot about fashion and don’t
own a home. And, thankfully, my landlord
has no carpeted stairs in my apartment! So,
for all you wedge-wearing, carpeted stairs-
owning people --you’ve been warned!
LUNCH & LEARN
Join the Senior Community Commission
at the HART PARK HOUSE for a FREE presentation.
Lunch is available for a $2 donation.
Call (626) 355-0256 by noon the day before.
Fall Prevention Seminar • Sept. 5 @ 12:30pm
September is Fall Prevention Month, and we are
helping seniors “watch their steps” with a great fall
prevention seminar by ComForcare Senior
Services. We will look at personal risk factors for
falling and home safety issues that cause falls.
We will also discuss easy ways to correct these
problems so that our seniors can continue to live
actively and independently. This seminar will be
fun and interactive!
Kensington Q&A Session • Sept. 19 @ 12:15pm
Developer Billy Shields, a representative of the
Kensington Assisted Living Project, will be at the
Hart Park House to host a Q&A session. This is the
perfect opportunity to find out more about the
Kensington project that will be on the November
ballot which may impact Measure V. Kensington
proposes an assisted living facility at 33 N.
Hermosa Ave. and 245 W. Sierra Madre Blvd. in
Sierra Madre.
SENIOR MOVIE PROGRAM - SEPTEMBER
The Hart Park House Senior Center is
expanding the monthly movie program
to two movies in September.
One classic and one contemporary
movie will be shown on the 2nd and 4th
Wednesdays of the month. As an added
bonus, at the end of the movie the audience
will get to choose the movies for the
following month! All movies begin at
1:00pm in the Council Chambers
and are absolutely free.
CHICAGO • Sept. 12
AFRICAN QUEEN •
Sept. 26
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