Posted by: Jennifer Johnson
There may come a time when your parent is no longer safe living at home due to physical or emotional concerns. Instead of moving Mom or Dad to an assisted living or nursing home, in-home care can provide a solution that makes everyone happy— your parent can stay at home in familiar surroundings, and you can gain peace of mind that someone is there to help.
When selecting an in-home care provider:
Determine the level of care needed. There are several options available, depending on the assistance your parent needs. In-home care is available to even those with advanced needs. Companions can provide social interaction and help with housekeeping, errands, meal preparation and medication supervision. Personal care aides provide hands-on assistance with personal hygiene, dressing and mobility. Licensed or registered nurses can provide skilled medical care.
Determine the cost and how to pay for it. According to a 2015 Genworth survey, the national median cost for a home health aide working 44 hours a week is $45,760. Actual costs will depend on the level of care and number of hours needed.
Long-term care insurance is one option to pay for in-home care, but many people have waited until the costs are prohibitive and/or they are uninsurable. (You may want to look into one of these policies for yourself now, as health care costs will only continue to increase in the future.) You can pay privately using Social Security or pension benefits, savings, or home equity. Medicare pays for skilled nursing care, but only for a short term. Medicaid programs are available for those with limited assets. Aid & Attendance benefits from the Veterans Administration are also available for wartime veterans and their spouses who qualify.
Decide if you want to use an agency or hire an individual. Agencies provide you with some protection. They typically run background checks and drug tests on their employees, and if there is a problem, they are usually quick to correct it. They also handle taxes and payroll, and carry liability and worker’s compensation insurance. If you prefer to hire an individual, make sure you have excellent referrals. Also find out if you are liable for payroll taxes and worker’s compensation.
Check them out! If you are evaluating agencies, check their online reviews. Whether interviewing an agency or individual, ask about licenses, training (especially if dementia is an issue), and past experiences (good and bad). Call references and conduct personal interviews.
Be prepared to make adjustments. The type of care your parent needs is likely to change over time. You may also need to make changes due to available benefits or conflicting personalities.
Our firm is dedicated to helping seniors and their loved ones work through issues and implement sound legal planning to address them. If we can help in any way, please don’t hesitate to contact our office at (630) 221-1755.