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Jonathan Tobin: Defending the Right to a Jewish State

Heather Hale: Compliment your kids without giving them big heads

Megan Shauri: 10 ways you are ruining your own happiness

Carolyn Bigda: 8 Best Dividend Stocks for 2015

Kiplinger's Personal Finance editors: 7 Things You Didn't Know About Paying Off Student Loans

Samantha Olson: The Crucial Mistake 55% Of Parents Are Making At Their Baby's Bedtime

Densie Well, Ph.D., R.D. Open your eyes to yellow vegetables

The Kosher Gourmet by Megan Gordon With its colorful cache of purples and oranges and reds, COLLARD GREEN SLAW is a marvelous mood booster --- not to mention just downright delish
April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review Feb. 19, 2007 / 1 Adar, 5767

The high price of long-term care

By Jan L. Warner & Jan Collins


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http://www.JewishWorldReview.com | Recently, we gave the basics of the different levels of long-term care. This week, we zoom in on the basics of paying for long-term care.


Imagine sitting in a nursing home administrator's office and being told, for the first time, that someone will have to come up with $6,000 to $9,000 per month or your loved one, who needs help with all of his or her activities of daily living, will be discharged. Or sitting in a lawyer's office trying to put together the financial pieces of the puzzle as your loved one is discharged from the hospital to the nursing home. Being hit with the reality of how to pay for long-term care when the length of stay is unknown and the options are limited makes planning most challenging.


Although Medicare, Medigap insurance, and Veterans Administration benefits may provide some time-limited coverage, generally speaking, there are three ways to pay for long-term care over the long haul: (1) private pay from personal income and resources, (2) long-term care insurance, and (3) Medicaid. Each payment method carries with it serious consequences to the family of a person who has long-term care needs.


Because the issues of creating a suitable long-term care plan vary from family to family and from situation to situation, experienced professional advisors who are sensitive to the impact of various consequences on families with varying financial resources are essential. While wealthier families may be able to develop a plan that uses a combination of private pay, insurance, and tax savings, the vast majority of middle-income families find themselves developing plans that use a mixture of out-of-pocket private pay and Medicaid. Families with limited resources are forced to look solely to Medicaid.


Brief synopses of the more obvious advantages and disadvantages of the three methods of pay follow:

  • PRIVATE PAY: Private pay over the long haul is not an option for most families because they simply can't afford the current cost of between $5,000 and $10,000 per month to maintain someone in a nursing home. And, keeping a loved one at home with sitters 24/7 costs even more. It is obvious that expenditures like these will quickly exhaust the resources of most elderly persons and their families, especially if the family has financial obligations other than care. While there are some tax breaks available that will reduce or eliminate income taxes, the cost of care is significant.

  • LONG-TERM CARE INSURANCE: While long-term care insurance is a relatively new product, it works in a manner similar to life coverage. The owner of the policy pays monthly premiums (or sometimes varying forms of lump sums) to the insurance company so that, should long-term care become necessary, the insurance company will foot the bill based on the extent of the coverage purchased. Like life insurance, long-term care insurance spreads the cost of long-term care claims over a large segment of the population, thus lowering the cost to those who need long-term care at the expense of those who do not. While comparatively few Americans now maintain long-term care insurance, as the number of persons who purchase these policies increases, the premium cost of the policies should drop.

    But long-term care insurance has disadvantages: (1) Only those in reasonably good health can purchase it; (2) While it is much less expensive than the cost of a nursing home, it is not cheap. In other words, depending on age and health, the cost could easily be several hundred dollars a month; and (3) the terms of the policy should be reviewed thoroughly because the contract may restrict the types of care you receive and/or the facilities you choose.

  • MEDICARE AND MEDICARE SUPPLEMENTAL COVERAGE: Generally, your Medicare and Medicare Supplemental coverage will pay up to a total of 100 days in a nursing home following a hospital stay of three days or more, so long as the patient requires rehabilitation or some type of skilled nursing services.

Every weekday JewishWorldReview.com publishes what many in in the media and Washington consider "must-reading". Sign up for the daily JWR update. It's free. Just click here.

JAN L. WARNER received his A.B. and J.D. degrees from the University of South Carolina and earned a Master of Legal Letters (L.L.M.) in Taxation from the Emory University School of Law in Atlanta, Georgia. He is a frequent lecturer at legal education and public information programs throughout the United States. His articles have been published in national and state legal publications. Jan Collins began co-authoring Flying SoloŽ in 1989. She has more than 27 years of experience as a journalist, writer, and editor. To comment or ask a question, please click here.

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