Tag Archive for: housing

When an elderly parent wants to stay at home, it is unlikely that they will be able to do so without some amount of help. Whether they will need assistance with personal care and daily activities or require specialized nursing care, it is the rare senior who can truly go it alone.

Even when family members are nearby to help, hiring in-home health care assistance will likely be necessary. The good news is that home care is usually much less expensive than moving your loved one to an assisted living facility or nursing home.

The need for in-home assisted living care is exploding with more and more aging baby boomers looking to age in place. According to the Bureau of Labor Statistics, the number of home health care aides will expand to approximately 1.3 million by 2020, an increase of 70 percent from 2010.

Although Physicians Choice Private Duty doesn’t take Medicare or Medicaid payments, the Centers for Medicare and Medicaid Services report that they currently pay for 65 percent of home health care costs. We’ve heard of other payments coming from a combination of state and local governments, seniors themselves and private insurance.

Many adult children stress over how they will be able to afford in-home assisted living care for their elderly parent. The truth is, it ends up being more affordable than they think. Further, the IRS allows tax deductions for certain medical expenses. What follows are some of the most common ways to cover the costs of in-home health care. We’ve broken them into funding sources Physicians Choice works with, and funding sources we’re familiar with but don’t take:

Physician’s Choice Private Duty Patient Payment Sources

Long-Term Care Insurance.

This type of insurance pays for health and personal care in a variety of settings—including private homes. Financial planners will tell you that it is in your best interest to buy this type of insurance before it is needed. It also is important to choose your policy carefully as different companies have different benefit conditions. Some of our clients use Long Term Care insurance

Annuity Income.

When your parent uses savings to buy a conservative annuity designed for retirement, a lump sum is paid to a financial institution and a predictable monthly income is provided for life. A tax or financial advisor can help you decide if this is the best option for your parent. We’ve had patients that set up annuities to cover the projected costs of in-home care because of it’s flexibility to be used for other senior care options as they age.

Individual or Group Life Insurance Policies.

Some life insurance policies have cash value that can be used toward qualified in-home assisted living care expenses. An accelerated death benefit charges for long-term care up to a certain amount per day or month. Typically, these benefits are capped at 50 percent of the death benefit. Talk to your financial services provider about these financial instruments.

Payment Sources We’ve Heard of But Don’t Have Experience With
Reverse Mortgages.

This type of mortgage provides cash for in-home assisted living care care but the homeowner is still responsible for taxes and other bills. Tread carefully with this option as equity in a home can run out while care is still required. A financial, mortgage or tax advisor can help you decide if this is a good option for your parent.

Medicaid and State Programs.

Medicaid benefits vary from state to state so contact your regional Agency on Aging to learn if your parent qualifies.


When in-home assisted living care is needed for only a short period of time, Medicare may cover up to 100 percent of the costs for low-income seniors. Seniors who don’t qualify for standard Medicare may qualify for in-home personal care through All-Inclusive Care for the Elderly.


There are several nonprofit groups that help pay for in-home assisted living care, especially if the individual suffers from a specific medical condition such as Alzheimer’s or diabetes, for example. A good source in Nebraska is the UNMC Geriatrics Center: https://www.nebraskamed.com/geriatrics/resources

Veterans Benefits.

The Veterans Administration offers a variety of subsidized home care services for veterans and their families. Contact your local Veterans Administration office for information.

The majority of today’s seniors say they would prefer to stay in their own homes as long as possible. In-home assisted living care provides them the freedom to do so without breaking the bank.

Senior Living Option

There have never been more options when it comes to finding a place for your elderly parent to live. And while this is a good thing, it also makes it more difficult to decide what option best suits the needs of your loved one. One thing is for sure, however. As much as possible, keep your parent involved in the decision-making process.

It can be difficult to know what is the best option for your parent when you don’t understand those options.

That’s why doing your research is so important: https://www.consumeraffairs.com/health/senior-living-options.html

They say that, “Home is where the heart is.”

When choosing a home for your elderly parent, make sure you pick one where he or she will feel safe, loved and comfortable. https://www.aarp.org/home-garden/housing/info-08-2009/ginzler_housing_choices.html

Many people have a difficult time admitting that their older parent is no longer safe—or happy—in his or her current home.

Knowing the signs that a change is needed can help. https://www.caring.com/articles/signs-its-time-for-assisted-living

Deciding where your parent should live as he or she grows older is a difficult decision. While much will depend on his or her health, there are other considerations, as well. The good news is that there are a lot of choices. The bad news? There are a lot of choices.

Narrowing down your options can be difficult but having options to choose from helps to ensure that your loved one is living the happiest, healthiest and most fulfilling life possible. So, what are some of the options? What follows are five of the most common senior living arrangements:

  1.  Adult Communities. These neighborhoods for older adults are usually made up of houses or townhomes but also can include apartments, condos or even mobile homes. The only requirement for this type of housing is that residents are 55 years or older. Residents of these type of communities are completely independent and have no issues living on their own. The popularity of these communities stems from the fact that they allow older adults to socialize and participate in a variety of activities with other older, active adults.
  2. Independent Living Communities. Made up of apartment-style housing or condominiums, independent living communities also allow seniors to live with their peers. Many of these communities offer the option of private duty health care services. It is common for such communities to have a relationship with a single private duty care company. The company may even have an office located in the complex.

    Senior Communities Living

    Moving Your Parent To Assisted Living

  3. Assisted Living. Similar to adult or independent living communities, assisted living offers social activities along with health care services. This apartment-style housing is designed for seniors who require help with things like meals, medication management, transportation, as well as bathing or dressing. The needs of assisted living residents can vary significantly with some residents fairly independent while others may have dementia. There are typically special units for seniors who require a higher level of care.
  4. Nursing Homes. Also referred to as skilled nursing or extended care facilities, nursing homes are staffed with nurses and other health professionals 24 hours a day. In some cases, seniors stay for only a short period of time, for example, to rehab from a fall or surgery. Others live there permanently. Medicare or Medicaid may cover some costs for residents of a nursing home.
  5. Continuing Care Retirement Community. This type of community meets the needs of all types of seniors, from independent living to highly-skilled care. As their needs change, seniors can move to an area within these communities that meets their particular needs. While expensive, these communities allow seniors to age in place. When it comes to senior living, there really is something for everyone. So how do you decide what is best for your loved one? Talking to his or her physician is a good first step so you know the level of care your loved one requires. In a perfect world, money would not be an option when it comes to deciding on the best living arrangement for an elderly parent but this is seldom the case. Therefore, it is important to set a realistic budget before you begin your search. The next step is to make a list of what you and your parent are looking for in a senior living community. Does your parent want an active social life? How much assistance does he or she need in terms of everyday activities? Are there major medical issues that need to be managed? As much as possible, try to keep your parent involved in what is a major life decision.

While it is tempting to believe that you know what is best for your parent, it is important that he or she has a say. Remember, your parent will be the one who will live there, so you want to make sure it is a place where he or she can be well-cared for, happy and comfortable—for years to come.

At Physicians Choice Private Duty Omaha, your loved one will find the right health services. Start now!