How to Access Aged Care LLC

Frequently Asked Questions  USA

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Eligibility and Assessment

How do I determine if I or my loved one is eligible for aged care services? 

  • Older Americans Act: Eligibility is typically for individuals aged 60 and older, prioritizing those with the greatest social or economic need. See link
  • Medicare: Eligibility generally starts at age 65, or earlier for individuals with certain disabilities. See link
  • Medicaid: Eligibility is means-tested, primarily for individuals with low income and limited assets. See Link

How do I apply for government funding to support aged care services? 

  • Older Americans Act: Contact your local Area Agency on Aging to apply for services. See Link
  • Medicare: Enroll through the Social Security Administration when eligible. See Link
  • Medicaid: Apply through your state's Medicaid office. See link
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Services

What types of aged care services are available, and how do they differ? 

  • Older Americans Act: Provides services like nutrition programs, home and community-based services, transportation, and caregiver support.
  • Medicare: Offers healthcare coverage for services like hospital care, doctor visits, and some post-acute care.
  • Medicaid: Covers a broader range of services, including long-term care, nursing home care, and in-home care.
     

What's the process for finding and choosing a suitable aged care facility?

Research facilities that accept Medicare or Medicaid, considering location, quality ratings, and available services. Medicare's Nursing Home Compare tool can help.

Can I receive aged care services at home, and what support is provided? 

Yes, all three programs (Older Americans Act, Medicare & Medicaid) provide in-home care services, including personal care, meal delivery, and home modifications.
 

Are there waiting lists for aged care services, and how long might they be? 

Waiting lists can exist, especially for Medicaid-funded long-term care services, and the length varies by state and demand.
 

Can I change or upgrade the type of aged care services I receive if needed? 

Yes, you can adjust services based on changing needs. Discuss these changes with your healthcare provider or program administrator.

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Cost

What costs are associated with aged care services, and how can I manage them? 

  • Older Americans Act: Services may be provided on a sliding fee scale based on income.
  • Medicare: Costs depend on the specific services received, with premiums for some parts of Medicare.
  • Medicaid: Costs vary by state and are based on income and assets, with Medicaid covering a significant portion of long-term care expenses.
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Quality and Safety

What qualifications and experience should I look for in caregivers or aged care facilities? 

Ensure caregivers have appropriate certifications or licenses. Facilities should meet state and federal regulations, and staff should have the necessary training and qualifications.
 

How do I ensure the safety and well-being of my loved one in an aged care setting? 

Regular communication with caregivers or facility staff is key. Be aware of your loved one's rights and advocate for their safety and well-being. Reporting concerns to the appropriate agency is important for addressing issues.

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