both parents with dementia, cost of care very high
Both parents with ALZ, different presentations (ie agitated v. calm) and we have been getting by with paid caregiver 4 days a week and the rest done by myself, sibling occasionally helps out. Care needs are escalating and a tour of local senior livings has been cost-sobering. One place that had AL with solid cognitive program would cost $25k/month for both of them. This is too expensive and wondering what are the alternatives. An independent living with more days of private caregiving? Still about $12-15k/month. They would not have the programs and support of an AL. The waitlist is also several months. What do people do when it's a couple?
Comments
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Oh, I am sorry. Yes, this is an extremely expensive disease. I know there are some care facilities where spouses can share a room, which reduces costs, but as the disease progresses, this may become harder to manage.
One couple I know, both at about stage 6 with Alzheimer’s, are living in different facilities, since they have different needs for care. The costs are high but the separation has benefited the less aggressive spouse.
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Yes. This is a tough one. So sorry about your parents. I would speak with an Elder Care Attorney about options and protection of assets. One option is spend down of their assets so they qualify for Medicaid which does pay for nursing home care. Maybe find a smaller less expensive home like facility that could take both of them? I would ask for a hospice evaluation. They help so much.
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Welcome. I would think independent living with 24/7 caregivers is going to be considerably more than your average facility. I know costs vary a lot by state, but that is more than twice the cost of a typical facility near me. You obviously want to find a really nice place, but if they can only afford to be there for a short time, maybe you need to lower your standards to just nice. Assets may need to be sold to cover the costs. Dementia care is so expensive. When all the money is gone Medicaid is an option, but that usually means a nursing home and a nursing home is generally not as nice. I agree that you might want to talk with a lawyer. Medicaid has some rules and requirements that must be followed (no gifts is a big one). If these rules are broken they may not qualify, in my state they look back at finances for 5 years. If you think there is a chance they may need Medicaid a lawyer can give you suggestions that may help protect some of the money. For example prepaying for a funeral is allowed by Medicaid and would prevent family from covering these costs. I have attached a link for Medicaid information by state.
https://www.medicaidplanningassistance.org/medicaid-eligibility-income-chart/1
Commonly Used Abbreviations
DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
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