Wednesday, July 22, 2009

Choose a Home Care Agency in Northbrook, Illinois

Know the Difference Between Hiring Private Caregivers and Using a Home Care Agency

I found this article in the Wall Street Journal and decided to pass it on to all of you. If you are considering hiring home care services, it's important to know what the family's legal and financial responsibilities are when it comes to private caregivers. Ultimately, in may be a better option to hire a home care agency. See link to the Wall Street Journal article below, and as always if you have questions or need help, please visit our website www.openarmssolutions.com.

http://online.wsj.com/article/SB123742280124379005.html

Thursday, July 16, 2009

What is Long-Term Care Insurance? Find out more about your options in Northbrook, Illinois

Traditional Long-Term Care Insurance

Traditional Long-Term Care Insurance used to be viewed as “nursing home insurance” because most policies from 15 years ago only offered that one option. Today, that is hardly the case. Long-term care insurance now covers adult day care, in-home care, assisted living, and nursing home care. These policies are considered comprehensive in nature. Now we refer to long-term care insurance as “lifestyle insurance”.

Who CAN’T Get Long-Term Care Insurance?

Underwriting Explained

When you apply for a Long-Term Care Insurance plan, you must go through underwriting. Underwriting means that the company will check your medical records to determine what medical problems you may currently have, or have had in the past. They want to know your overall health history. If you have been diagnosed with short-term memory loss, Alzheimer’s disease, Parkinson’s disease, Multiple Sclerosis, Lou Gehrig’s disease, or if you have had a stroke with permanent physical impairment, you may not qualify. People who have survived cancer and are treatment free for a certain length of time can often qualify. Each insurance company has their own underwriting guidelines. It is best to talk to your agent, or call the company directly with any specific questions about health issues. Height and weight are also a consideration when applying. Sometimes the insurance company will send a registered nurse to the home to ask a few questions, and take some more medical history, or they may just call on the phone for a brief interview.

Qualifying to USE the Benefits of a Long-Term Care Insurance Plan

Activities of Daily Living

When it’s time to use your tax qualified Long-Term Care Insurance plan (taxes to be discussed in a later chapter), the insured person must need help or substantial assistance with 2 out of 6 activities of daily living for a period of 90 days or greater. This need for care must be certified by a licensed healthcare practitioner such as a nurse or physician.

These activities of daily living include:

q Bathing

q Dressing

q Eating

q Toileting

q Continence

q Transferring (i.e.moving from the bed to a chair)

Or, the insured must have a cognitive impairment, like Alzheimer’s disease or dementia. A cognitive impairment means that although a person may be physically able to perform all of the activities listed above, they cannot remember or rationalize how to do those activities. One example would be bathing. Sometimes people with dementia are physically able to take a bath, but can’t remember to do so, or can’t remember why this is important. Or, perhaps when getting dressed, they put on 5 shirts instead of one.

Comprehensive vs. Facility Only Plans

Comprehensive Plans

A comprehensive plan covers all aspects of long-term care: in-home care, adult day care, assisted living, and nursing home care. These plans are designed to help people stay at home longer, and also assist them with transitions to other levels of care as needed. Most consumers want to stay at home for as long as possible. A comprehensive plan will satisfy that desire.

Facility Only Coverage

Facility only plans are still available on the market today. Facility only plans pay for just that, facility care only. Usually this includes assisted living and nursing home care. A facility only plan makes the most sense for folks who do not have a large network of family and friends around them, and for people who know that this may be their only option in the future. Facility only plans are less costly than comprehensive plans, but again, offer payment only for nursing home and assisted living care. The insured person cannot live at home and use the benefits of a facility only plan.

Benefit Period

The benefit period is the length of time the policy will actually pay for care. There are many different benefit periods available including 2 years, 3 years, 4 years, 5 years, 7 years, 10 years, and unlimited lifetime coverage. When purchasing long-term care insurance, keep in mind that premiums are paid for potentially the next 20 years (or until the policy holder needs care), but the plan will only last about as long as the benefit period originally selected.

People often ask, “How do I know which benefit period to choose?” “How do I know how long I might need care?”

Obviously, there is no way to really determine how long a person might need care. However, the best advice is for each individual to take a look at their own personal health history, and their family history. If there is a history of chronic disease such as Alzheimer’s, Parkinson’s, MS, or Lou Gehrig’s disease, it might be worthwhile to consider a longer benefit period.

Visit us at www.openarmssolutions.com if you need help with Long Term Care Insurance, or with the care of an aging loved one in the Northbrook, IL area.

Friday, July 10, 2009

Does Your Loved One Need a Caregiver in Northbrook, Illinois?

I found this article, and decided to pass it on to you. It provides extremely helpful information that may help you with your decision to choose home care for an aging loved one in your family. If you have questions or need help, please visit our website www.openarmssolutions.com.

30 Reasons Your Loved One May Need a Caregiver

By Rebecca Colmer

There are approximately 37 million people over the age of 65 and 5.3 million people over the age of 85. Each year millions of older people start requiring some sort of assistance to carry out their routine daily activities. Family members (family caregivers) provide most of the help.

It is not always easy to know when to intervene. It may seem like your loved one is in a gray area somewhere between competency and incompetence.

Your loved one can have a behavior that is not life threatening but still very serious. Making an assessment is the very step.

Here are some clues that your loved one may need some extra help:

1. Disheveled clothes

2. Stained or dirty clothes The same outfit worn everyday

3. Unkempt hair

4. Poor hygiene

5. Bad breath

6. Body odor

7. Having trouble walking

8. Having trouble sleeping

9. Dangerous driving

10. Extreme clutter in the home

11. Can't do light housekeeping

12. Items not returned to drawers or cupboards

13. Clothes strewn about or left on floor

14. Medication bottles left open

15. Medications taken out of original containers and mixed up

16. Not much food in house

17. Spoiled or rotten food

18. Unpaid bills

19. Penalties for overdue bills

20. Unopened mail

21. Put on or lost a lot of weight that is unexplained

22. Signs of confusion

23. Signs of forgetfulness

24. Signs of isolation

25. Signs of depression

26. Drastic mood swings

27. Extreme sadness or loneliness

28. Loss of interest in favorite hobby

29. Stopped doing things they used to enjoy like gardening, reading, going to church, seeing friends

30. Can't cope with everyday stress

If you do not live near your aging parents, ask a neighbor or friend to keep an eye on your parents and notify you if they notice any changes in their behavior.

Even if you determine that your loved one needs some assistance, keep in mind that they may be resistant to your help. Be gentle and compassionate when asking them to accept help.

It may take several tries before they start to accept your help. There is a big difference in offering help and completely taking away all of their independence.

However, if your parent's life is in danger and you can't find a way to intervene, call Adult Protective Services, which is a part of the Department of Social Services. They will send a nurse or social worker to your parent's home to determine the risks and find ways to protect your parent.

The caregiver role is complex and differs for everyone depending on the needs of the care-receiver. Many times, in the beginning, there may only be a few needs, such as providing transportation or helping with shopping or cooking. Over time, needs increase, requiring additional services, until the care-receiver is fully dependent on the caregiver.

Rebecca Colmer is an Eldercare Advocate, Author, Speaker, Publisher, and Caregiver Expert. You can find more caregiving tools and resources at her website:Caregiving Tools

Article Source: http://EzineArticles.com/?expert=Rebecca_Sharp_Colmer

Friday, July 3, 2009

Insuring Your Retirement Funds in Northbrook, Illinois

It might sound strange to be told to insure your retirement funds, but after working hard and diligently saving all that money, wouldn't you want to make sure that the funds will be there for you when you need them?

As you move into retirement, you are also moving towards age-related health problems. Events beyond your control, such as stroke, heart disease and cognitive impairment can change one's way of life.

Many people are under the impression that government programs such as Medicare or Medicaid will cover the costs of long term care. Medicare will cover some skilled nursing for a limited period. Medicaid will only cover long term care costs for impoverished individuals. Health insurance does not cover nursing home or other long term care costs except for short-term rehabilitation.

Out of pocket costs for needed long term care resulting from age-related health problems such as home care, nursing home or assisted living will quickly deplete retirement funds and leave the remaining healthy spouse impoverished.

Long term care insurance is the answer to insure your retirement funds and provide protection so that the money stays intact and at the same time insurance provides a way to pay for elder care services.

In his book “ The Total Money Makeover ,” Dave Ramsey says of long term care insurance, "If you are over sixty, buy long term care insurance to cover in-home care or nursing home care. The average nursing home stay costs $40,000 per year, which will crack and scramble a nest egg in a heartbeat. Dad in the nursing home can use up Mom's $250,000 savings in just a few short years.”

Long term care Insurance to insure your retirement makes sense. You insure your car against damage, your home against fire, and you purchase life insurance, so why not insure what can be the largest and most devastating risk to you and your family? And unlike the other risks you insure against, long term care is the most likely to happen. Long term care insurance will also help you keep your independence and dignity and allow you to make choices about where you want to spend your final years.

Here are some specific reasons for buying long term care insurance:

If you are married and you have a need for long term care, your spouse will be able to pay for an outside caregiver and receive needed rest and recuperation.

If your children promise to take care of you, then when the time comes that you need care, insurance will help them do that by paying for aides to help with tasks such as bathing and incontinence.

If you are single and a need for long term care arises and you have no family who can help you, insurance can pay for and coordinate that care.

If you have the desire to leave assets behind when you die, insurance will help preserve those assets from the cost of long term care.

"You should also consider buying long term care insurance at a younger age. There is an advantage for doing this. The premium is lower.

For example, a person, currently age 45, buying a typical policy with a spouse, could spend $21,146 in total premiums to age 78.

Suppose this same person chooses to wait to buy the equivalent coverage at age 65.

If that same policy were available in the future, the couple that waits could pay $52,566 in total premiums over their 13 remaining years to age 78. Because they waited, they would pay 2 ½ times more for the same policy.

In addition to the rates going up with age, the health qualifications will be stricter and development of health problems related to aging may even disqualify a person from obtaining a policy." “The 4 Steps of Long Term Care Planning,” National Care Planning Council

There are dozens of long term care insurance companies selling a multitude of different policy options. It can become very confusing. For each policy, there are literally thousands of benefit combinations for home care, assisted living, nursing home care, waiting periods, payment amounts, inflation riders, and the list goes on.

You can take the time to do your own research or find a competent long term care insurance agent.

Here is a checklist of some of the things you need to know before you purchase a policy.

LONG TERM CARE INSURANCE BUYING CHECKLIST

The more "yes" answers you get the better off you are.

1) Is the insurance company rated by A. M. Best (the rating company)

with a rating of at least A, A+ or A++?

2) Is it a large diversified company with deep pockets and selling more

than just long term care insurance?

3) Is the insurance representative an expert in long term care

insurance? (Because of its complexity, almost all LTCi experts only

sell LTCi; they seldom sell anything else.)

4) Does the representative have a degree and/or industry financial

designations?

5) Does the representative own a personal long term care insurance

policy for himself or herself?

6) Is the policy you like tax qualified, and if not, do you understand the

ramifications?

7) Are there at least 6 ADL's (Activities of Daily Living) allowed for

in the benefit certification?

8) Does it allow "standby assistance"?

9) Is it a "pool of money" as opposed to a "stated period"?

10) Is it "integrated" as opposed to "2-pool"? (2-pool is not allowed in

many states.)

11) Do you understand how the elimination period works? (This is

extremely important.)

12) Does it have prohibitive cost containment provisions?

13) Is there any "capping" or other future reduction of automatic benefit

increase riders?

14) Do you understand how the waiver of premium works?

15) Does the assisted living facility benefit pay the same as for nursing

home?

16) Are you buying adequate home care coverage?

17) Does the company have a history of premium rate stability without

periodic increases?

18) Does the policy pay for homemaker services?

19) Does the policy offer an alternative plan of care for services that

don't exist today?

The National Care Planning Council provides a list of long term care insurance specialists and on its website at www.longtermcarelink.net .

If you need help with Long Term Care Insurance, or Home Care for Seniors in the Northbrook Illinois area, visit www.openarmssolutions.com.