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Living Well 60+ September-October 2014

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M A G A Z I N E<br />

2 8 SEPT/OCT 2 0 1 4<br />

Senior Care:<br />

When <strong>Living</strong> Alone Is No<br />

Longer an Option<br />

Consider different programs available<br />

by Angela S. Hoover,<br />

Staff Writer<br />

Life expectancy<br />

has increased dramatically,<br />

but so<br />

have the challenges of living with<br />

an aged body and mind. For many<br />

seniors, living alone is no longer<br />

an option, be it due to a physical<br />

condition or a neurological one<br />

such as Alzheimer’s disease. When<br />

this time comes for a family member<br />

or even for yourself, there are<br />

plenty of options.<br />

The first thing to consider<br />

doing is contacting the Kentucky<br />

Department of Aging and<br />

Presenting Sponsor<br />

&<br />

Independent <strong>Living</strong> (DAIL). Staff<br />

and/or the Web site can provide<br />

information about all services or<br />

programs you and your family<br />

qualify for. DAIL can also provide<br />

listings of in-home caregivers,<br />

home-health caregivers, assisted<br />

independent living communities,<br />

senior housing and full-facility<br />

(nursing) homes. DAIL can also<br />

connect you with caregiver respite<br />

and counseling services. Call<br />

1-800-372-2973 or visit http://<br />

chfs.ky.gov/dail/default.htm for<br />

more information.<br />

About 70 million families opt<br />

for family caregiving, where a<br />

relative takes care of the elderly<br />

Thursday, <strong>October</strong> 2, <strong>2014</strong><br />

Registration: 5:30 pm<br />

Hot Seat Event: 6:00-9:00 pm<br />

Ticket Price: $100 (includes dinner)<br />

Marriott Griffin Gate Ballroom<br />

1800 Newtown Pike Lexington, KY 40511<br />

Join us for our 3rd annual Hot Seat for HOPE<br />

event! It is an honor to have Coach Joe B.<br />

Hall in the “Hot Seat” this year! Proceeds<br />

will benefit Kentucky CancerLink. The<br />

mission of Kentucky CancerLinkis to provide<br />

support to Kentuckians by removing and/<br />

or reducing barriers to screening, diagnosis<br />

and treatment of cancer. Visit our website:<br />

www.kycancerlink.org for more information<br />

and ticket purchase.<br />

Hear former UK players, colleagues and<br />

friends share their best stories and insights<br />

about Coach Hall while supporting a great<br />

cause! Roasters/Toasters will include Coach<br />

Denny Crum, Terry McBrayer, Ben Chandler<br />

and other special guests! We are pleased to<br />

have Jack “Goose” Givens as emcee for the<br />

event!<br />

person in one of their homes. Oftentimes<br />

the caregiver is unable to<br />

work full or part time at an outside<br />

job due to the time and energy demands<br />

of caregiving. There is relief<br />

for those families who are not able<br />

to shoulder this economic burden.<br />

Medicaid offers Cash and Counseling<br />

grants in Kentucky that pay<br />

a small stipend to the caregiver.<br />

Visit www.cashandcounseling.org<br />

or www.cms.hhs.gov/home/medicaid.asp<br />

for more information.<br />

In-home care and home-health<br />

care allow someone to remain in<br />

his or her own residence while<br />

receiving varying degrees of assistance.<br />

Home-health care requires<br />

a physician to deem it medically<br />

necessary; in-home care does<br />

not. Medicaid may cover some or<br />

all in-home care costs. Medicaid<br />

waivers may be received through<br />

DAIL.<br />

Numerous national franchises,<br />

private companies, volunteer and<br />

free programs and individuals offer<br />

in-home and home-health care<br />

locally. In-home care providers<br />

offer personal care services such<br />

as bathing, meal preparation, laundry,<br />

light housekeeping, errand<br />

services, grocery shopping and<br />

companionship. They also provide<br />

live-in services with 24-hour care,<br />

respite care, health monitoring<br />

technology and private-duty nursing<br />

care. Pricing varies according<br />

to the level of service needed with<br />

a median of $18-$19 an hour.<br />

Home-health care is more expensive<br />

because it requires a medical<br />

healthcare professional who can<br />

dispense medications.<br />

The assisted living community<br />

is the bridge between in-home<br />

care and a full-service facility.<br />

These campuses or apartment<br />

complexes offer studios and oneand<br />

two-bedroom private residences<br />

with kitchens or kitchenettes<br />

for independent living with<br />

the safety net of care staff. The<br />

care staff tends to housekeeping,<br />

scheduled transportation, medical<br />

and memory-loss services. Health<br />

professionals are available 24/7 to<br />

all residents. These communities<br />

offer various amenities and entertainment<br />

events. Some offer both<br />

independent assisted living and<br />

full-facility care options. Longterm<br />

care insurance, Medicare,<br />

Medicaid and sometimes Section<br />

8 are available financing options.<br />

On average, expect to pay a little<br />

more than $2,000 a month for<br />

minimal care at independent assisted<br />

living communities.<br />

Paying For Care<br />

Government Programs<br />

Medicare, eligible for those age<br />

65 years and older, can help with<br />

costs but will not cover everything.<br />

It will not pay for most<br />

long-term care; it does not pay for<br />

custodial or personal care, which<br />

accounts for most of the cost of<br />

long-term care. However, Medicare<br />

will pay for some nursing<br />

home, hospice and home-health<br />

care under certain conditions.<br />

Medicaid is available for elderly<br />

or disabled people with low incomes.<br />

It generally covers most<br />

types of long-term care, including<br />

nursing-home care, home-health<br />

care, personal care and hospice<br />

care for those who qualify.<br />

Be sure to check with DAIL<br />

for other qualifying options and<br />

resources.<br />

Insurance<br />

Check with your or your family<br />

member’s insurance provider<br />

about accelerated or living benefits<br />

(to cash out a policy at about<br />

50 percent to 75 percent of its face<br />

value). If the issuing insurance<br />

company won’t cash in the policy,<br />

it can be sold to a third-party<br />

company in return for a life settlement<br />

or senior settlement for the<br />

same payout rate. The third-party<br />

company receives any benefits<br />

after the insured’s death instead of<br />

the original beneficiaries.<br />

The assisted<br />

living community<br />

is the bridge<br />

between in-home<br />

care and a fullservice<br />

facility.

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