Choosing A Facility
Families will want to choose an environment where the patient will enjoy staff, activities and feel comfortable. Families often prefer a location close to home or work.
In addition to 24-hour nursing, Long Term Care patients at The Lakes also
have access to therapy and rehabilitiation services, physician care, pharmacy and dietary consultation. Families may use long term care insurance and private pay resources for many of the same services a skilled nursing patient may use when recovery seems limited or extended and hospitalization / insured benefits have been exhausted. Long Term Care rates for private and semi-private rooms range from $183 to $281 per day.
What if the patient or family cannot afford long term care? The daily rate is too high for the patient or family’s income. Although your loved one or patient receives social security, retirement, pensions or other funds there is a chance they may also be eligible for Medicaid supplemental funding. The business office manager at the nursing home will advise you on how to apply. The State of Oklahoma will consider income, assets and resources in the approval process. Does your family member qualify based on INCOME? *Information below is taken from the Oklahoma Department of Human Services Maximum Income, Resource and Payment Standards Appendix C-1 (08AX001E) revised 4-1-2011 *Schedule VIII – Aged, blind, or disabled individuals.
ASSETS such as house, cars, business property, life insurance, burial policies and other personal property owned or transferred in the last five years are considered. RESOURCES, which are other sources of income like stocks and bonds, from the last five years are also considered. There are other considerations for Medicaid qualifications and approval. The business office managers will discuss arrangements for payments of social security, retirement, insurance or other funds and how those are utilized for facility care payment with the family member.
Your Part
You will typically need to find the following items from the list below to prove income, asset and resource qualifications:
- Medicare Card
- Medicaid Card
- Social Security Card
- Private and/or Long Term Care Insurance Cards
- Birth Certificate
- Photo ID, Drivers License or Passport
- Guardianship Documents
- Power of Attorney
- Advanced Directive
- 12 Months of Bank Statements – All Accounts
- Copies of Burial Policies (know amount and if they are revocable or irrevocable)
- Copies of Life Insurance Policies (know amount and who the policy is owned by)
- Social Security Benefit Award Letter
- Verification of all Gross Income (check stubbs, award letters, employment statements)
- Retirement/Pension Benefit Award Letter
- Deeds/Titles to Home and/or Vehicles
- Mineral Rights
- Stocks and Bonds
- Documents on Livestock / Farm Machinery
- Stocks and Bonds
- Documents on Livestock / Farm Machinery
- Cash on Hand
- Copies of any other Assets and their value
Wit and wisdom are some of our elders most valuable traits, but their health situations can become complex in spite of their knowledge on life. Having facility care means having several professionals to notice health changes and behaviors that can indicate needs or disease changes.