How To Get Long-Term Care With No Money

This article explores government programs, non-profits, and alternative options to consider for affordable long-term care.
Published on
May 3, 2023
Written by
Katie Wilkinson
Katie Wilkinson
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Presented by Givers
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Long-term care is a broad term used to describe a range of services that support individuals who cannot perform the activities of daily living independently due to age, illness, or disability. These services are often provided in nursing homes, assisted living facilities, memory care communities, and in-home care. Each type of long-term care offers different medical and non-medical assistance to seniors in need.

Unfortunately, long-term care in the United States can be expensive, and many seniors and their families struggle to afford it. According to a recent survey, the average cost of a private room in a nursing home is $105,850 per year, while the average cost of a one-bedroom unit in an assisted living facility is $48,612 per year. These costs can quickly increase, especially for those requiring care for several years.

The high cost of care can significantly impact older adults and their families. Many individuals may be forced to dip into their retirement savings, sell their homes, or rely on their children for financial support. This financial burden can cause stress and anxiety for seniors and their loved ones, making finding affordable long-term care options all the more important.

It's essential to prioritize affordable long-term care options for seniors. Access to quality care can significantly improve the health, safety, and overall quality of life for seniors in need. It's important to explore different options and understand the associated costs to make informed decisions about the best care options for your loved ones.

Government programs for seniors

Medicaid

Medicaid is a government program that provides health coverage to eligible low-income individuals and families. Eligibility requirements vary by state, but individuals generally must meet income and asset limits. Medicaid covers a range of medical services, including long-term care for those who meet eligibility requirements.

Supplemental Security Income (SSI)

Supplemental Security Income (SSI) is a government program that provides financial assistance to eligible individuals with limited income and resources. To qualify, individuals must be aged 65 or older, blind, or disabled. SSI benefits can be used to pay for long-term care services, including nursing home care if the individual meets eligibility requirements.

Other government programs

Several other government programs may assist with care costs, including state programs and veterans' benefits. Eligibility requirements and benefits vary depending on the program, but some may cover a portion of long-term care costs for eligible individuals. You'll want to research and understand the requirements and benefits of each program to determine eligibility.

Non-government programs for seniors

Non-profit organizations

Non-profit organizations may provide financial assistance or other support to individuals needing long-term care services.

Some examples of these non-profit organizations include:

  1. The National Council on Aging (NCOA): The NCOA offers various programs and resources to help older adults access affordable health care and long-term care services, including financial assistance programs.
  2. The Alzheimer's Foundation of America (AFA): The AFA offers several programs to support individuals with Alzheimer's disease and their families, including a grant program that provides financial assistance for respite care and other services.
  3. The Parkinson's Foundation: The Parkinson's Foundation offers several programs to support individuals with Parkinson's disease and their families, including financial assistance for home care, respite care, and other services.
  4. The National Multiple Sclerosis Society: The National Multiple Sclerosis Society offers financial assistance for home care and other services to individuals with multiple sclerosis and their families.
  5. The CancerCare Co-Payment Assistance Foundation: The CancerCare Co-Payment Assistance Foundation provides financial assistance for co-payments, deductibles, and other expenses related to cancer treatment, including long-term care services.

Faith-based organizations

Faith-based organizations may provide financial assistance or other support to individuals needing care services. Eligibility requirements and benefits vary depending on the organization.

Some examples of these faith-based organizations include:

  1. Catholic Charities: Catholic Charities is a nationwide organization that offers services to individuals in need, including financial assistance for long-term care services.
  2. Jewish Family Services: Jewish Family Services offers various services to individuals and families, including financial assistance for long-term care services.
  3. Lutheran Social Services: Lutheran Social Services provides various services and programs to individuals and families in need, including financial assistance for long-term care services.
  4. The United Methodist Church: The United Methodist Church provides various services and programs to individuals and families in need, including financial assistance for long-term care services.
  5. The Salvation Army: The Salvation Army provides various services and programs to individuals and families in need, including financial assistance for long-term care services.

Community resources

Local senior centers and non-profits may offer services and support to individuals needing care services. To find local resources, contact your local Area Agency on Aging, your state's Department of Aging, or search online for local senior centers and non-profit organizations.

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Alternative long-term care options

In-home care

In-home care provides assistance with daily activities such as bathing, dressing, and medication management in the comfort of one's home. Eligibility requirements vary depending on the provider, but in general, individuals must require assistance with activities of daily living. Benefits of in-home care include the ability to age in place and maintain independence.

Roommate programs

Roommate programs match individuals with roommates who also need long-term care services. Eligibility requirements vary, but typically individuals must be able to live independently and need assistance with activities of daily living. Benefits of roommate programs include companionship and cost-sharing for long-term care services.

House-sharing programs

House-sharing programs match individuals with others who are also seeking affordable housing options. Eligibility requirements vary, but typically individuals must be able to live independently and contribute to household expenses. The benefits of house-sharing programs include:

  • Companionship
  • Cost-sharing for housing expenses
  • Potentially the ability to provide informal caregiving to each other

To find in-home care providers, roommate programs, or house-sharing programs, individuals can search online or contact local non-profit organizations or senior centers. 

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How to plan for the cost of long-term care 

As a caregiver, planning for the cost of long-term care can be overwhelming. With the high costs associated with long-term care services, it's essential to start planning early to ensure financial stability for both you and your loved one. Here are some steps to consider when planning for the cost of long-term care:

  1. Research the costs: Research the prices of long-term care services in your area to help determine how much you need to save for these expenses.
  2. Look into government programs: Government programs such as those mentioned previously may provide financial assistance for long-term care services. 
  3. Consider insurance options: Long-term care insurance can help cover the costs of long-term care services. If your loved one already has an insurance policy, review it to see what services are covered.
  4. Create a budget: Create a budget that includes the costs of long-term care services to determine how much you need to save and how much you can afford to spend on other expenses.
  5. Consider alternative options: Alternative caregiving options such as in-home care, roommate programs, and house-sharing programs may provide affordable options for long-term care services. Research these options and discuss them with your loved one to determine whether they fit.
  6. Review and adjust your plan regularly: Review and adjust your plan regularly as your loved one's financial situation and healthcare needs change over time.

Planning for the cost of care as a caregiver can be challenging, but with careful research and planning, you can help ensure financial stability for you and your loved one.

What to do if money starts to run out for long-term care expenses

There are several options that you can consider as a caregiver:

  1. Apply to programs again: If your loved one hasn't applied for programs like Medicaid, it may be worth looking into again. Medicaid can help cover the costs of long-term care services for individuals who meet certain income and asset requirements.
  2. Discuss alternative options with healthcare providers: Talk to your loved one's healthcare providers to see if there are any alternative options for care services that may be more affordable. They can provide suggestions or connect you with resources in the community.
  3. Consider downsizing or selling assets: If your loved one has assets such as a home or car, consider selling them or downsizing to help cover long-term care expenses.
  4. Look into alternative payment options: Some long-term care providers may offer payment plans or sliding scale fees based on income.
  5. Consider crowdfunding: Crowdfunding platforms such as GoFundMe can be used to raise funds for long-term care expenses.
  6. Look into personal loans: Personal loans may be an option for those not qualifying for other programs or assistance. However, it's essential to carefully consider any loan's terms and interest rates before accepting.
  7. Speak with a financial advisor: If you need help managing your loved one's finances as the money starts to run out, consider speaking with a financial advisor. They can help you develop a plan to manage your loved one's finances and maximize your available resources.

Finding affordable long-term care options can be daunting, but it's not impossible. With careful research, planning, and utilizing the resources available, you can ensure your loved one receives the care they need without breaking the bank.

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