The Rights andBenefits of Medicare

and Medicaid

Medicare 2012Part - A (Hospital)

`$1,156.00 Deductible

$ 0. 00 1st Through 60th Day

$289.00 per day 61st Through 90th Day

$578.00 per Day 91st Through 150th Day

Medicare 2011Part - B (Doctors)

80% of Medicare Approved Charges - Annual Deductible 162.00.

Immunosuppressive Drugs for 1st Year After Organ Transplant.

Injections for Broken Bones for Individuals Who Have a Diagnosis of Post-Menopausal Osteoporosis.

Mammography Screening for Women over 65 Every 23 Months.

Medicare 2011Skilled Nursing Home

100% of the Cost for First 20 Days.

All but $141.50 Per Day from 21st - 100th Day.

Three Day Prior Hospital Stay Required.

Must Be a Medicare Approved Facility.

Custodial Care NOT Included.

Medicare 2011Home Health Care

Medically Necessary

Part Time or Intermittent* Physical Therapy *

* Skilled Care *

* No Hospital Stay Required *

* Custodial Care NOT Included *

What is Long Term Care?

The Assistance or Supervision given to a person who has a Physical or Mental Disorder

which causes that person to no longer Function Independently.

This can be due to Injury, Illness, or the Normal Aging Process.

Is Long Term Care OnlyUsed in Nursing Facilities?

NO!

Long Term Care can be provided in the privacy of your own home, An Adult Day Care Facility, and other types of facilities.

Why Medicare Does Not Payfor Long Term Care

Care Provided in a Skilled Nursing Facility Only Must be Medicare Approved Three Day Prior Hospital Stay “Restorative” in Nature

Questions To Ask Yourself Do you know where the money will come from if You

need care in a Nursing Facility or At Home?

How long will your money last?

Does it make sense to use your interest on principal to protect your assets to pay for Long Term Care?

Can You count on family to be able to help you?

Can you count on the Government to design a plan that is right for your needs?

Who Pays ForLong Term Care Services?

Private Insurance 6.5% (and growing) Medicare 11.8% Medicaid 37.9% Self and Family 43.8%

OBRA 1993 - RECOVER FROM YOUR ESTATE

Requires States to Recover Nursing Home Medicaid Expenses From the Estates of Deceased Recipients.

States can go against any real or personal property, including the home you held in your own name.

The State may even recover from assets you gave

away or otherwise disposed of prior to death, property you held jointly with another.

No recovery is made from Long Term Care Insurance Payments.

Spend Down Quick Reference(Welfare)

Home Regardless of income. Some States protect the home for a period of up to six months, if single.

Automobile Up to $4,500 value, no limit if used to go to workor used to receive medical care.

Personal Household goods, personal items up to $2,000. Wedding Ring One wedding ring and one engagement ring. Property Up to $6,000 equity in personal and real property,

if essential for support. Life Insurance Cash Surrender value of $1,600. Assets Approximately $2,000. Burial Costs Funeral and burial plots up to $2,500. Personal Needs Allowance is $35 to $70 per month, monies spent

for personal expenses not covered by Medicaid. Home Maintenance Allowance of approximately $2,000 per month.

N Y State Partnership Plan

Protects Your Assets

Does NOT Protect Your Income

The Partnership Plan is a Covenant

between YOU and the

STATE OF NEW YORK.

N Y State Partnership PlanProtects Your Assets

Does NOT Protect Your Income

YOU promise to purchase Long Term Carewith at least the following Minimum Benefits: $208/Day Nursing Home Benefit 50% Home Health Care Benefit 3 Year Benefit Period 5% Compound Inflation Rider Plus Other Benefits

N Y State Partnership PlanProtects Your Assets

Does NOT Protect Your Income

The State of New York Promises: When Your Long Term Care Benefits are Exhausted.

You will be able to Qualify for Medicaid and

We Will Not Take Your Assets.

You will however be required to contribute

most of your Income.

N Y State Partnership PlanProtects Your Assets

Does NOT Protect Your Income

May Not Be Suitable:

If You are Planning to Leave New York If You have a lot of Income If You have Few Assets to Protect If You Can Afford Longer Term Benefits

Why the Need forLong Term Care

Six out of Seven Families

would be financially devastated by the

cost of Long Term Care

Why the Need forLong Term Care

It is estimated that one third of the

Nursing Home Population is under 65

years of age.

Why the Need forLong Term Care

Every year, roughly half a million people deplete their life savings for

Long Term Care

and then have to go onto Medicaid.

Why the Need forLong Term Care

More than 1/2 of the women

and 1/3 of the men

turning 65 this year will spend some time

in a nursing home before they die.

Long Term Care Insurance

It’s all about keeping

you OUT of a

Nursing Home

Do You really want to end up in a Nursing Home?

With good reason we frequently hear:I’ll put a bullet in my brain first!I want my privacy, my dignity!Nursing Homes are unsafe, smelly places with

lousy food, filled with over-medicated zombies

in diapers and wheelchairs receiving little or

very poor care.

Why do so many end up in Nursing Homes?

CrisisAn unexpected medical crisis such as a Fall

from a Broken Hip, Stroke, Alzheimer's, or

Over-Medication can be overwhelming.It is just too easy to listen to well intended

advice from health care professionals and

wind up in a Nursing Home.

Why do so many end up in Nursing Homes?

BurnoutCan you really expect your Spouse or Children

to give up their lives to care for you?Are they physically or financially up to It?How long can they keep it up before their own

health is jeopardized?

Why do so many end up in Nursing Homes?

Savings DepletionNo matter how much you are worth:Long Term Care can wipe you out and quickly.After your life’s savings are gone, you have to

apply for Medicaid (Welfare), and Medicaid

pays for very little outside of a Nursing Home.

If you should need Long Term Care

Where would you like to be cared for:A Nursing HomeAn Assisted Living FacilityAt Home

Do nothing and you will be guaranteed to enter a Nursing Home in case of need!

Long Term Care Insuranceis Expensive!

of course it is

but that’s only because

Long Term Care

is so very Costly.

The Most Expensive Mistakethat you can make:

To Need Long Term Care and not have

Long Term Care Insurance

You Purchased Long Term Care Insurance

Ten Years Ago.Now you Need the Benefits.

How Long Before YouCollect More in Benefits

Than All of Your Premiums?

Answer:

In Most Cases

Less Than Four Months!

January 1, 1997 KENNEDY - KASSEBAUM

Qualified Long Term Care Insurance Becomes

Tax Deductible!If You Itemize and Exceed 7.5% ofAdjusted Gross Income You May

Deduct the Premiums Paid.

Amounts you may Deduct:

Age 40 or Less $320

Ages 41 - 50 $600

Ages 51 - 60 $1,190

Ages 61 - 70 $3,180

Age 71 and older $3,980

Benefits Received from

Qualified Long Term Care Insurance

are largely

Income Tax Free.

Your Long Term Care Choices:

Take Your Chances.

Give Away Your Assets. (But Don’t Get Caught)

Consider Long Term Care Insurance.

Most Important Reasons toPurchase Long Term Care Choice and Remaining Independent Protection of Assets Avoid Emotional Burden on Family Guarantee Affordability of Services Avoid Physical Dependence on Family Quality of Care Peace of Mind

The GreatestProblem

DENIAL

LONG TERM CARE

Living Benefits to Preserve Lifestyle

Total Protection

Choice and Independence

LONG TERM CARE

The Choice is yours

POVERTY OR PROSPERITY

DIGNITY OR DESPAIR