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Funny Video Explains Medicaid Paid Care

January 12, 2011 by Honey Leave a Comment

Here’s a brief youtube video posted by the Pacific Research Institute that makes me chuckle.

With humor, it concisely points out the glaring Medicaid loopholes that are being abused by the American middle class.

Medicaid, a program established for the indigent and handicapped, pays for approximately half the long-term care in the US.

This video explains how middle class people can “game the system” and get Medicaid to pay for long-term care. With proper legal guidance, it’s just not that difficult.

This is a big reason why sales of long-term care insurance (LTCi) languish. Even though Medicaid-paid care usually takes place in under funded nursing homes, many Americans are seduced into getting the government to pick up the tab via Medicaid.  Why spend money on LTCi premiums, they reason, even though LTCi gives a full spectrum of choices and options far more appealing than a Medicaid facility? 

I have two questions for these people.  First, how much longer do they think government funded Medicaid will pay for the care of people who are not really indigent?  Second, why would anyone choose to wait until they need care to discover the difference between a Medicaid funded facility and the luxury of a facility funded via LTCi?

Filed Under: Helpful Information About LTC, Information About LTC Tagged With: long-term care, LTC Insurance, Medicaid, Pacific Research Institute

Innovations in Alzheimer’s Care

January 5, 2011 by Honey Leave a Comment

A December 31, 2010 New York Times story by Pam Belluck titled “Giving Alzheimer’s Patients Their Own Way, Even Chocolate,” describes recent innovations in long-term care. In particular, the article describes at length what is being done for Alzheimer’s patients at the Beatitudes campus in Phoenix, AZ.

It seems Beatitudes is going out of its way not to be a conventional nursing facility. Strict institutional schedules deliberately yield to individual needs. For example, meals are served at all hours. Patients can eat whatever they want and follow whatever schedule makes them happiest.

From the article:

“Dementia patients at Beatitudes are allowed practically anything that brings comfort, even an alcoholic ‘nip at night’,” said Tena Alonzo, director of research. “Whatever your vice is, we’re your folks,” she continued.

All this makes great sense to me.

Being cared for at Beatitudes costs money. Lots of it. Yet this article doesn’t mention anywhere how much Alzheimer’s care at Beatitudes costs. This is the first thing I wanted to know when I read the article, and I’m sure I’m not the only reader wanting this information. The media often seems to sweep such useful information under the carpet, which continues to amaze me.

It’s a continuing mystery to me how and why the public, often aided and abetted by the media, suffers a “disconnect” when it comes to dealing with the need for responsible long-term care planning that can fund wonderful options like Beatitudes.

Filed Under: Denial, Helpful Information About LTC, Information About LTC Tagged With: Beautitudes, New York Times, Pam Belluck

A Sad, and All Too Common Story

December 18, 2010 by Honey Leave a Comment

I recently made a long-term care (LTC) insurance presentation to a 62 year old woman, still working full-time.  She was very eager to meet with me and learn about how LTC works and how much it costs.  Before my visit, she explained that she smokes and is so small she’s almost below desirable height and weight guidelines, because she is a caregiver. She went on at length, emptying her heart to me before we even met. I think she knew I understood what she was going through. I think she is in a state where she is continuously overwhelmed by her circumstances, to the point where they pre-occupy her subconsciously. I’m sure she is effective at work, but I feel her load is so heavy and overwhelming that it must cast a gray cloud over everything she does.

She described her constant state of concern about her husband, because he suffers from Alzheimer’s Disease.  Evidently, he is still able to stay at home, unsupervised, during the day, while she works. I believe she realizes this may not be the optimal alternative for him, and that he may fall into harm’s way. When she returns home at night, and during weekends, her life is consumed by her caregiving responsibilities. To hear her tell it, she has no social life whatsoever. She is extremely aware of the fact that although her husband is presently able to remain home during the day unsupervised, she knows its only a matter of time before this will no longer be possible. She also expressed fear of when that day might come. Hers is a one day at a time existence. She cannot make any plans. Indeed, she commented that all the plans they had made, have changed. I think she’s like a bird in a cage. I have tremendous empathy for her.

Who would understand better than this woman, the urgent need for her to buy LTC insurance?

During my presentation, we talked about the fact that if LTC had been in place for her husband, their economic and social situation would be entirely different. For example, there would be a caregiver at home, to offer her respite. She would not be worrying about how to pay for care. She would not be carrying the same large burden, and nagging fear of the worst. We talked about LTC being necessary so that her son would not be caught in the same dilemma if she winds up needing any type of care. We talked about the dignity of having choices, and not having to depend entirely on loved ones, that LTC insurance can provide.

I am blogging about this because of the disturbing outcome of this story. Unfortunately, I have encountered similar circumstances and outcomes over and over, in my 19 years as a long-term care insurance specialist. Perhaps no one understands the importance of LTC insurance better than this lady.  Often, people in these situations get paralyzed, like a deer caught in headlights. They are unable to see the forest for the trees. They are panicked. They are frozen. They are unable to come to decisions. They feel they cannot afford to spend any money. I showed this lady some very low LTC premiums, but she was unable to go forward with an application.

This makes me so sad.

Filed Under: Denial, Helpful Information About LTC, Information About LTC, Long-Term Care Awareness Month Tagged With: Alzheimers Disease, dementia, Long Term Care insurance, LTC, LTC costs

Terry Savage is a Rock Star

December 16, 2010 by Honey Leave a Comment

A recent column by my friend Chicago Sun-Times columnist Terry Savage – Cost of long term coverage rising, but it’s still good deal (Chicago Sun Times, December 6, 2010) does tremendous good by telling the truth about long-term care insurance.  Terry, you are a rock star in my book!  Thanks so much.

Filed Under: Helpful Information About LTC, Information About LTC Tagged With: Chicago Sun-Times, Long Term Care insurance, LTC Insurance, Terry Savage

Long-Term Care Insurance (LTCi) Claims Get Paid!

November 26, 2010 by Honey Leave a Comment

LTC ClaimsAn article by Trevor Thomas in the October 11, 2010 National Underwriter entitled “Life Plans: LTC Carriers Botch Few Claim Denials” reports on the  LTC insurance claim determination review that was delivered in April and commissioned by the U.S. Department of Health and Human Services (HHS).

This report shows that long-term care (LTC) insurance claims are getting paid fairly.

An audit team of registered nurses from LifePlans examined about 1,200 claims submitted in 2007 and 2008 to seven LTCi insurers.

The auditors concluded that they would have denied roughly the same proportion of claims as the carriers did, LifePlans researchers say. In fact the auditors concluded that they would have approved 5% fewer cases than the insurance carriers approved.

Filed Under: Helpful Information About LTC, Information About LTC Tagged With: LifePlans, LTC Insurance, National Underwriter, Trevor Thomas, US Deptartment of Health and Human Services

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Open Quotation Mark"Honey - Whenever I need a clarification regarding our “LTC” you are “Johnny on the spot” responding in a very prompt manner, reassuring me, informing me in a concise way, patient with me as I massage the understanding in my own words. Your knowledge is current and expressed with confidence, offered in your conscientious and upbeat personality. Quotation Mark ClosedIt is a pleasure to work with you. Thank you for your expertise." ~ Nancy Damon, Houston, TX
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Honey Leveen, LUTCF, CLTC, LTCP
“The Queen, by Self-Proclamation, of Long-Term Care Insurance (LTCi)”
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Phone: 713-988-4671
Fax: 281-829-7177

Email: honey@honeyleveen.com

Email: honey@honeyleveen.com

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