ELDER LAW

Published on: July 6, 2009

Nursing Home Concerns of San Diego Seniors

Many seniors have serious concerns about going into a nursing home. They have questions such as whether they can be forced to go into a nursing home, how to pay for nursing home care, and how to choose a nursing home facility that will provide good care. They also wonder if they can qualify for Medi-Cal to pay for such costs.

No one can be forced into a nursing home. If you do not believe you need nursing home care, the only way you can be forced into such a situation is through a court ordered conservatorship. An interested party can file a petition to have a conservator appointed if you are unable to take care of yourself. You have the right to appear at the hearing, present evidence that you do not need a conservator, and have a lawyer represent you.

If you do need nursing home care, there are many reputable ones. Choosing the right nursing home can be an important decision for you and your family. Nursing homes are strictly regulated by the state and federal government. There are regular inspections and procedures for complaints. In San Diego, there are many nursing homes. You can get information about how to choose one from AARP and California Advocates for Nursing Home Reform. Personal referrals from friends, senior centers, or churches can help narrow your search. Make sure you personally visit the ones you are considering and if Medi-Cal may be paying for such care at some point, choose a place that accepts Medi-Cal so that the individual will not have to be moved once Med-Cal is paying for the care.

Published on: May 17, 2009

Medi-Cal for San Diego Seniors

by Scott C. Soady

With the aging baby boomers now becoming seniors and people living longer in general, one of the issues seniors face, especially in this economy, is the possibility of needing long term care. The cost of nursing home care has risen tremendously in the last decade. A survey done by Metlife in October 2008 listed the average cost of a private room in San Diego as $240 per day. Assisted living facilities can run anywhere from $2500 – $5000 per month, even more for specialized care such as for Alzheimer’s patients.

You can read more about long term care planning in an article here on our website. One option to pay for nursing home care is Medi-Cal, the California state-funded needs based program. Medi-Cal provides health and long term coverage to over 10 million Californians. To qualify for Medi-Cal for 24 hour care in a skilled nursing home,an applicant must pass the Income Test and the Asset Test. Medi-Cal has certain income limitations and also only pays for the cost of nursing home care if the “countable” or “non-exempt” assets of the person needing care and their spouse are below certain limits.

There are some assets that are “exempt” meaning they do not count in figuring your assets. Some of these “exempt assets” are a home, car, personal property, $1500 in life insurance, and prepaid funeral plans. You can also convert some of your countable assets into exempt assets before entering a nursing home.

Published on: April 20, 2009

Issues of the “Sandwch Generation”

by Scott C. Soady

Many people in San Diego and throughout the country find themselves in the “sandwich generation.” They have children at home with all their issues, problems, and needs and they also have aging parents who have their own issues, problems, and needs. By some estimates, as many as 16 – 18 million people have the dual responsibility of caring for their elderly parents and their own young children. How do you approach your parents to discuss such things as an estate plan, health care directives, and planning for possible long term care?

One website uses the acronym TEMPO for advice on the talks that you should have with your parents. Topics that need to be addressed are long term health care, advance health care directives, a will or a trust in place, and their wishes about end of life issues.

T- Timing. It important to choose a good time to talk about such issues.

Published on: April 1, 2009

New Guide for Seniors Available in May

by Scott C. Soady

Seniors in San Diego as in other cities across California have many issues that are unique to them: Elder abuse, Medi-Cal planning and eligibility, social security, health care directives and powers of attorney, rights as a grandparent, and various estate planning issues.

There is a great publication published by the California State Bar that will be coming out in May. The guide called Seniors and the Law: A Guide for Maturing Californians is a comprehensive publication which addresses laws and legal issues relating to seniors.

The publication was first printed in 2003 but has been updated for the estimated 5.5 million residents of California who are over 60.

Published on: February 20, 2009

When to Plan for Long Term Health Care

by Scott C. Soady

The simple answer to this question is “before you need it” however knowing when that is can often be difficult. Most of us know to plan for retirement but sometimes we don’t recognize the need to plan for when we or our parents can no longer take care of ourselves.

People are living longer and more people will need long term care than in past generations. Some people do not realize that often what strikes the elderly is not a physical ailment but a mental condition which Medicare will not cover. Medicare typically covers such things as skilled nursing but it usually does not cover custodial care. Paid caregivers at home or home health aides, a nursing home, or other assisted living facilities will not usually be paid for by Medicare.

The time to consider the expenses of long term care is before it is needed so that you can explore such options as long term health care insurance, a spend down of assets to qualify for Medi-Cal, or community services that may be available. Taking the time now to plan, before there is a need, will give you peace of mind to deal with the difficult decisions that arise when the time comes.

Published on: February 2, 2009

Silver Alert in California Would Help Seniors with Dementia

by Scott C. Soady

If you have a family member suffering with a form of dementia or Alzheimer’s disease, you probably worry about them wandering away. The Alzheimer’s Association estimates that 60% of dementia patients will wander at some point in their life. A new law is being proposed in California to institute an alert, similar to the Amber Alert, when seniors with dementia go missing.

The program is called a Silver Alert, modeled after the Amber Alert system to locate missing children. Last year the U.S. House of Representqtives passed the National Silver Alert Act to establish a formal public notification when a senior citizen is missing, however the Senate failed to approve a similar measure.

In spite of the lack of federal legislation, about a dozen states have adopted Silver Alert Acts. Florida, which has the largest population of senior citizens, adopted the plan in October 2008 and had success in finding all the seniors who went missing during the rest of 2008.

Published on: January 26, 2009

Financial Elder Abuse on the Rise

by Scott C. Soady

As the population of people over 65 increases, so does the incidence of elder abuse and neglect. Elder abuse can be physical, emotional, or financial. The San Diego Police Dept. reports that San Diego has over 300,000 seniors. One out of every 20 elders will be a victim of elder abuse sometime in their lifetime however many incidents go unreported.

Financial abuse is the taking or using of an elder’s money or assets contrary to the elder’s wishes or needs. It can be as simple as taking money from someone’s wallet or using an elder’s credit card to identity theft or telemarketing scams. In the area of estate planning, financial elder abuse may be misusing a power of attorney or using undue influence to cause an elder to change a will or a trust or a beneficiary designation. Financial abuse is particularly devastating to an older person as it can drain the victim of their life savings and cause them to feel helpless and worried about their future.

What are some of the warning signs that someone you know may be the victim of financial elder abuse?