Sunday, December 8, 2019

Life Plan or Continuing Care Communities - What Levels of Care do They Offer?

Have you thought about the different levels of care you or your loved ones may need when you consider the options you have for future living arrangements?  While there are many different choices, including everything from independent living to nursing homes, many people have discovered the advantages of moving to a Life Plan Community, which are also called Continuing Care Retirement Communities or CCRCs.  These communities are designed to give peace of mind to people who are concerned about who will care for them as they age.  They combine many of the advantages of independent living with the security of knowing you will also have assisted living, skilled nursing, and memory care available, if needed. Since this information is so important, I have invited one of these communities, the United Zion Retirement Community in Lancaster County, Pennsylvania, to explain how these communities operate.  The information they have provided is very helpful and applies to similar types of communities across the United States.  Their guest post is below:

Four Levels of Care in a Life Plan Community


If you are a Baby Boomer, chances are you have been planning your sunset years for some time. You will be pleased to learn that senior living has advanced considerably over the years to include many new options. As you grow older, you will naturally become more curious about senior care services. Some of the questions you may have are:

What services will I require as I gradually advance in age?
Which type of senior community will best serve my needs?

To answer these questions, you may want to learn more about Life Plan Communities.

About Life Plan Communities

Life Plan Communities, also referred to as Continuing Care Retirement Communities (CCRCs), (Ad) offer you various types of care, ranging from independent residential accommodations to nursing care which can provide assistance as your needs evolve.

It is essential you understand how supportive a Life Plan Community can be as you age. This will remove any concerns you might have about future health issues, such as memory loss and failing health. The following are the various types of care you should expect from a Life Plan Community, as well as some common differences:

1. Independent Residential Living Level

As is the case with most seniors, you will probably start considering retirement living several years before you actually need constant care. Independent residential senior living is convenient because it offers you cottages or apartments in a secure community of your peers.

In this environment, you will have the grounds care and maintenance handled for you. This will give you ample time to enjoy social and fitness activities with your fellow citizens. Such communities also provide standard on-campus amenities. These may include beauty parlors, fitness centers, medical services, transportation, and therapy services. With these essential services always close, you’ll achieve peace of mind in no time.

2. Personal Care Level

The Personal Care Level  (Ad) offers you extra services if you need help with daily living. As a resident, you will still be independent, but will have ready access to skilled staff who can assist you in performing activities of daily living (ADLs). These services may include grooming, performing household chores, medication administration, running errands, and incontinence management.

The support and pricing you receive will depend on the amount of assistance you require. Standard Personal Care packages usually include a minimum of three daily meals, linen service, housekeeping, and access to social amenities.

Personal Care units can vary from small efficiency apartments to single-room units equipped with a full bath. In some communities, you might be offered Assisted Living Services. This program resembles the Personal Care Level, but includes medical support.

3. Memory Care Level

As a senior, you might suffer from dementia, Alzheimer’s and other memory loss complications. The Memory Care Level (Ad) aims to provide you with a tranquil, self-reliant environment which is both secure and comfortable. Memory Care is designed to preserve your self-dignity even if you are battling memory difficulties. Personnel is particularly trained to handle members who are undergoing brain changes.

Starting with prepared meals, to customized support from staff members, the whole environment is meticulously designed to offer ready assistance if you suffer from memory loss. Each activity is designed to fit your individual needs. Memory Care can either be a dedicated section, or a part of Personal Care and Healthcare facilities.

4. The Healthcare Center Level

Healthcare Centers offer you high-quality nursing and suitable custodial assistance, whether you are admitted for long-term or short-term rehabilitation. The medical treatment plan also includes care delivered by licensed nurses. This is a higher quality of care provided as an answer to either one-time or recurring medical conditions.

Short-term rehabilitation refers to a limited stay you undergo in a skilled nursing facility. This commonly occurs after a stroke, surgery, or other exceptional health problems. The temporary care is meant to ensure you receive both the treatment and crucial support you need before going back to your home.

Long-term care is a more exhaustive treatment choice. It is the best option if you have chronic ailments or progressive conditions such as dementia, multiple strokes or long-term disabilities. As a resident member of the community, you get immediate access to medical professionals anytime you need them. Such highly trained personnel can respond quickly to any health issues you raise.

Healthcare Centers also offer end-of-life care during the final chapter of their members’ lives. The care which is administered includes hospice care for those suffering from terminal illnesses. At this point, the focus shifts to making their final days as comfortable and pain-free as possible.

The United Zion Retirement Community & the Life Plan Difference 

At United Zion Retirement Community, we have all the answers to your senior living-related questions. We offer high-quality care from our scenic hilltop location in Lititz, Lancaster County, PA.

Our full-range of services are designed to maintain your health, dignity, independence, and passion for life as you age. For more on the advantages of Life Plan Communities in general and United Zion’s services in particular, contact us today. (Ad)

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This article was provided by the operators of the United Zion Retirement Community and is designed to provide general information about how Life Plan or Continuing Care Communities operate.  The owner of this blog is NOT affiliated with United Zion and has NOT received any financial compensation for publishing this post.

Disclosure: This blog may contain affiliate links. If you decide to make a purchase from an Amazon ad, I'll make a small commission at no extra cost to you.

If you are interested in learning more about common health issues as we age, Medicare, Social Security, where to retire, travel and more, use the tabs or pull-down menu at the top of the page to find links to hundreds of additional helpful articles.

You are reading from the blog:  http://www.baby-boomer-retirement.com

Photo credit:   United Zion Life Plan Community

Sunday, December 1, 2019

Medical Debt - Are Medical Bills Weighing You Down?

Under the current healthcare system in the United States, a large percentage of Americans suffer severe financial distress when they become ill or need surgery.  According to research done by the Commonwealth Fund, there are 79 million Americans who are suffering financial problems as a result of their medical bills or debt.  This includes 72 million, or 41 percent of all working age adults and another 7 million elderly adults.

If you are one of the many people who are having difficulty dealing with your medical bills, it may be reassuring to know you are not alone.  However, that still does not solve your problem.  Consequently, it may be helpful to read the guest post below by Veronica Baxter, a legal assistant to a Philadelphia bankruptcy attorney.  Whether you choose to go through bankruptcy or try one of the other strategies she suggests in her guest post, hopefully this article will help you formulate a plan for dealing with your medical debt.


Medical Debt:  A Guide for Retirees

by Veronica Baxter

It is inevitable - unless you have the most expensive, comprehensive medical insurance policy available, you are going to incur some medically-necessary expenses which are not covered by private insurance or Medicare or your health savings account.

What can you do when you cannot pay these bills? This Guide sets forth various options and strategies to manage medical debt in retirement.

Ask Your Medical Provider if All Needed Services are Covered

 

Believe it or not, if you visit a multi-doctor practice or a hospital which ostensibly takes your insurance, there will be medical providers within that location who will not accept your insurance.  Frequently, people being admitted for medically-necessary procedures receive medical bills thereafter for various services by those not participating in their plan.

Ask questions beforehand. You may be surprised how being aware and checking with your providers will get you more of the services you need performed by practitioners in your plan. Many hospitals have patient advocates who can help with this and, of course, having family by your side helps, too.

Ask Your Medical Provider if a Payment Plan is Available

 

For ongoing treatment or annual checkups, primary care physicians may have a coverage plan which one can subscribe to, or a monthly payment plan.  And, if a provider knows you are a cash payer, a discount may be available.

Do not be shy. If you do not ask, you will not receive it.

When You Should Consider Filing Bankruptcy on Medical Debt

 

There are two scenarios in which someone should consider filing a bankruptcy petition. As an introduction, here are the two types of bankruptcy available to most consumer debtors, and they are useful for different situations and goals:

Chapter 7 Bankruptcy

 

Chapter 7 bankruptcy is a four- to six-month process during which you disclose your expenses, income, assets, and debts to the Chapter 7 Trustee and the bankruptcy court. You must pass a “means test” to income-qualify to file under Chapter 7. If all goes well, the debtor has all unsecured debt, including medical bills and credit cards, discharged - meaning the debtor is no longer personally liable for it.

Chapter 13 Bankruptcy

Chapter 13 bankruptcy is for debtors with steady income (for retirees this can be income such as Social Security, a pension, or part-time job) who can afford to partially repay their creditors through a monthly payment plan over three or five years. How much they pay depends on the type of debt they have and the amount of disposable income they have.

This form of bankruptcy is most useful for people who have fallen behind on a car loan or mortgage and want to keep that car or home. They can use their Chapter 13 plan to pay the arrears over time and get caught up.

Again, at the end of the plan, whatever debt is not repaid is discharged. This usually means all or most of the unsecured debt is discharged.

1.     Consider Bankruptcy if You Are Being Sued, or are in Collections, over Medical Debt.

 

This is first for a reason. Being in collections and subjected to relentless creditor harassment, or receiving a summons, are the most stressful events one can suffer. And we all know how bad stress is for our health. Do you want to stress over old past-due medical bills which could cause you more health problems and then more medical bills?  This has to be solved, and quickly.

The minute you file a bankruptcy petition, the automatic stay is in place - meaning, all lawsuits and collection activity stops right then, and remain “stayed” while your bankruptcy case is active.

Consult with an experienced local bankruptcy attorney about your options. Your initial consultation will be free of charge, and you can explore various solutions at no cost or obligation to you.

If you decide to file Chapter 7, it is likely because you income-qualify, are able to apply exemptions to protect your home and other property from seizure by the Chapter 7 trustee, and have medical and credit card bills you cannot pay.

If you decide to file Chapter 13, it could be because you have a steady income and can partially repay your debt, and perhaps you have fallen behind on a car loan or mortgage and want the opportunity to catch up. Chapter 13 is perfect for that.

Your attorney will discuss all options with you and help you decide which is best.

2.     Consider Bankruptcy if You Have Medical and Credit Card Debt and No Major Medical Procedures Pending.

 

If you find you are in relatively good health with no ongoing conditions needing treatment or major procedures planned, and you have outstanding medical bills and perhaps credit card debt you cannot pay, bankruptcy is for you. Whether Chapter 7 or 13 is appropriate will depend upon your income and other financial goals.

If you have an ongoing condition or major procedure planned, you need to discuss your options with your attorney. You do not want to alienate your medical providers by not paying them and getting that debt discharged.

How to Time a Medical Bill Bankruptcy

 

Deciding when to file bankruptcy is tricky if you are filing due to unpaid medical bills.

In the case of other kinds of debt, an attorney would usually recommend filing as soon as possible, before you are sued or, if you have already been sued, before the creditor gets a judgment against you and starts garnishing your wages, levying against your bank accounts, or recording a lien on your property.

Medical bills are different. They can be unpredictable and often bills come weeks or months after a procedure.

The bottom line is that a bankruptcy cannot discharge medical bills which are incurred in the future. So if you have a chronic condition, you need to weigh your current bills with the possibility of future bills and discuss it with your attorney. If you know you need a major procedure, you might want to wait to file bankruptcy until you have recovered from it so the bankruptcy captures all of those bills.

An experienced bankruptcy attorney can help you. Do not suffer. Your medical debt problem can be solved.

About the Author

Veronica Baxter is a legal assistant and blogger living and working in the great city of Philadelphia. She frequently works with David M. Offen, Esq., a Philadelphia bankruptcy attorney. (Ad)


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Disclosure: The owner of this blog does NOT have an affiliate relationship with this bankruptcy attorney and did not receive payment for the publication of this post.  

Disclosure: Some articles on this blog may contain Amazon affiliate links. If you decide to make a purchase, I'll make a small commission at no extra cost to you.

If you are interested in learning more about financial planning for retirement, Medicare, Social Security, where to retire, common medical issues as we age or more, use the tabs or pull down menu at the top of this post to find links to hundreds of additional helpful articles.
You are reading from the blog:  http://www.baby-boomer-retirement.com

Photo credit:  Veronica Baxter

Source of statistics:  https://www.commonwealthfund.org/publications/newsletter-article/survey-79-million-americans-have-problems-medical-bills-or-debt