1. Long-term Care Options Places to Call Home

2. Long-term Care  What is long-term care? Care needed due to:  Disability  Chronic illness  Cognitive impairment Care that encompasses a wide range of medical, emotional, personal, and social services.

3. Housing Options

4. Independent Housing  Informal support Family Friends Neighbors  Formal support Community based long-term care Paid services

5. Types of Long-term Care Facilities  Assisted Living  Nursing Homes Intermediate care, less specialized Skilled care, specialized medical Special Care Alzheimer’s Units  CCRC

6. Continuing Care Retirement Communities (CCRCs)  What are CCRCs? A life-care facility that provides shelter and health care for the exchange of an entrance fee and periodic monthly payments. A community where residents become “lifelong occupants”

7. Continuing Care Retirement Communities (CCRCs)  Attractions of CCRCs Independent living Financial and psychological security Nursing facility on campus  Downsides of CCRCs High entrance fee ($2,000-$500,000) Monthly fees (can be $250-$5,000)

8. Selecting the Right Facility  Evaluate level of care needed  Identify facilities that provide level of care needed  Identify facilities in geographic area  Identify facilities in price range http://www.careplanner.org

9. Choosing the Right Home  Ask around  Call  Visit  Visit again  Review

10. Review Your Findings  Did they listen to me  Did I get to ask my questions  Did they give me answers I understood  Are the program staff respectful  Are there activities I would enjoy  Is it clean and pleasant  What are the fees Medicare.govMedicare.gov

11. Paying for Long-Term Care  Private pay  Medicare  Medicaid  Long-term care insurance

12. Planning for Difficult Decisions

13. Credits This presentation adapted for XXXXX county and presented by: Xxxxxxxx Xxxxxxxx County Cooperative Extension Office Xxxxxxxx phone number/address/email This presentation prepared by: Carolyn S. Wilken, Ph.D., M.P.H. Associate Professor, FYCS Extension Specialist, Gerontology University of Florida cswilken@ifas.ufl.edu