Whether it’s healthcare in your home, nursing home, or an assisted living community, long-term care in Texas is extremely costly. Additionally, medical insurance for long-term care is hugely limited. Many health insurances generally don’t cover long-term care, yet very few people choose to purchase long-term care insurance. When it comes to long-term care in Texas, Medicaid is the most prevalent way of funding. There are several ways to gain eligibility for Medicaid, while there are other specific regulations for long-term care providers. Read on to find out if you’re qualified for assisted living in Texas.
Income Limits for Long-Term Care Through Texas Medicaid
Based on 2019’s data, an individual’s monthly income should not exceed $2,313 or a couple’s monthly income should not exceed $4,326 in order to qualify for Texas’ Medicaid program to pay for long-term care.
The state forbids people from qualifying for Medicaid by acquiring qualifying medical expenses such that they are able to reach the specified income limits. However, it’s allowed for individuals to transfer their additional income into a Medicaid income trust so they can qualify for Medicaid. If you don’t meet the program’s financial eligibility, it’s advisable to meet with a lawyer to discuss the possibilities of setting up a trust account.
Resource Limits
There are resource limits to assets like accumulated savings in banks and retirement accounts, personal properties and land should one qualify for Medicaid. The limit for an individual is set at $2,000, while for a wedded couple it’s set at $3,000.
Certain properties are excluded from the limit. The current residence or one with an intention to live in is not considered in the calculation if it’s valued at less than $585,000 (2019).
Medicaid for Texans in Assisted Living Communities
Assisted living communities provide professional, personalized care services that include medication administration, food, dressing, or bathing assistance as required. Typically, Medicaid doesn’t pay for funding long-term care in assisted living communities but there is a specific program that offers payment only if you qualify for the specific criteria.
If you’re able to show medical proof that states that assisted living is necessary and also eligible for Medicaid, you would be able to qualify for the STAR+PLUS Waiver services. The program funds community-type services that include living in assisted living communities.
Texas also provides continuing care retirement communities (CCRCs) that is an integration of assisted living, nursing home care, and independent living service into one. In these communities, you can choose to use Medicaid, Medicare, long-term or private insurance to settle for your stay.
If you or a loved one require assistance in most daily living tasks, our assisted living option at Morada Waxahachie could be the ideal choice for you! Our residents here receive professional and personalized care services that include continence management, medication management, bathing assistance, and many more. Here in our wonderful community, providing excellent care is the basis of everything we do. Contact us today to enquire about your eligibility for our program or for any questions you may have.
