What are my other long-term care choices? | Medicare

You may have early long-run care options ( besides nurse home care ) available to you. Talk to your family, your doctor or early health care supplier, a person-centered advocate, or a social proletarian for aid deciding what kind of long-run care you need .
Before you make any decisions about long term care, talk to person you trust to understand more about early long-run care services and supports like the ones listed below. You might want to talk to :

  • Your family
  • Your doctor or other health care provider
  • A person-centered counselor
  • A social worker

If you ’ re in a hospital, nurse home, or working with a home health agency ( HHA ), you can get support to help you understand your options or help you arrange caution. talk to :

  • A discharge planner
  • A social worker
  • An organization in a “No Wrong Door System,” like an Aging and Disability Resource Center (ADRC), Area Agency on Aging (AAA), or Center for Independent Living (CIL)

American Indians and Alaska Natives can contact their local indian health care providers for more information.

Some long-term care options you can consider:

Home- and community- based services
A variety of home- and community-based services may be available to help with your personal care and activities .
Medicaid may cover some services, including :

  • Home care (like cooking, cleaning, or help with other daily activities)
  • Home health services (like physical therapy or skilled nursing care)
  • Transportation to medical care
  • Personal care
  • Respite care
  • Hospice
  • Case management

Medicaid programs vary from state of matter to state. Medicaid may offer more services in your state of matter. Call your Medicaid position for more information .
These types of services may besides be available through other programs, like the Area Agency on Aging, Medicare, or hospice programs. Learn more about Medicare ’ randomness coverage of hospice and home health services .
Community sources, like volunteer groups that help with things like shopping or transportation system, which may be free or depleted monetary value ( or may ask for a voluntary contribution ) are another option. Examples of the services and programs that may be available in your community are :

  • Adult day services
  • Adult day health care (which offers nursing and therapy)
  • Care coordination and case management (including transition services to leave a nursing home)
  • Home care (like cooking, cleaning, or help with other daily activities)
  • Meal programs (like Meals on Wheels)
  • Senior centers
  • Friendly visitor programs
  • Help with shopping and transportation
  • Help with legal questions, bill pay, and other financial matters
Accessory Dwelling Unit (ADU)
An ADU ( sometimes called an “ in-law apartment, ” “ accessory apartment, ” or a “ second unit ” ) is a moment support space within a home or on a lot. It has a disjoined living and sleeping area, a place to cook, and a bathroom. If you or a love one owns a single-family home, adding an ADU to an existing dwelling may help you keep your independence .
Space like an upper floor, basement, attic, or over a garage may be turned into an ADU. Family members may be interest in life in an ADU in your dwelling, or you may want to move into an ADU at a family extremity ’ s home .
Check with your local zoning office to be indisputable ADUs are allowed in your area, and find out if there are any especial rules. The cost of an ADU can vary wide, depending on many factors, like the size of the visualize .
Subsidized senior housing
There are state and federal programs that help pay for housing for some seniors with humble to moderate incomes. Some of these housing programs besides offer help with meals and other activities, like housekeep, shop, and doing the laundry. Residents normally live in their own apartments within an apartment build. rent payments are normally based on a share of a person ’ s income.

Continuing Care Retirement Communities (CCRCs)
Some retirement communities offer different kinds of housing and levels of care. In the lapp community, there may be :

  • Individual homes or apartments (for residents who still live on their own)
  • An assisted living facility (for people who need some help with daily care)
  • A nursing home (for people who require higher levels of care

Residents can move from one level to another based on their needs, but normally stay within the CCRC. If you ‘re considering a CCRC, be sure to check the quality of its nursing home and the inspection report card ( posted in the facility ) .

Group living arrangements
Residential care communities ( sometimes called “ adult foster/family homes ” or “ personal care homes ” ) and assisted living communities are types of group living arrangements. In some states, residential care and assisted living communities mean the lapp thing. Both can help with some of the activities of day by day living, like bathe, dressing, using the bathroom and meals. Whether they offer nursing services or help with medications varies by express .
In most cases, residents of these communities pay a regular monthly rend and extra fees depending on the type of personal care services they get .
Hospice & respite care
Hospice is a program of caution and support for people who are terminally ill. Hospice helps people who are terminally ill survive well. The focus is on comfort, not on curing an illness .
Respite caution is a very short inpatient stay given to a hospice patient so that their common caregiver can rest .
Learn more about Medicare ‘s coverage of hospice & respite care .
PACE (Program of All-inclusive Care for the Elderly)
PACE ( Program of All-inclusive Care for the Elderly ) is a Medicare/Medicaid program that helps people meet health care needs in community.

Learn more about PACE .

Note 
Visit LongTermCare.gov for information and resources to help you and your syndicate plan for future long-run caution needs .

If you have limited income and resources, there may be state programs that help cover some of your costs in some long-run concern choices. Call your Medicaid position or use the Eldercare Locator for more information .

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