Making arrangements for your loved ones to move into an Assisted Living community can be expensive. Fortunately, Medicaid, the nation’s health insurance, helps families with low incomes access affordable and quality healthcare. Medicaid covers care expenses that include many complex and costly care plans for one in five Americans. It can greatly reduce the financial burden that may arise from your loved one’s Assisted Living costs. Are you wondering about your loved one’s Medicaid eligibility for Assisted Living? Read on to find out more information regarding Assisted Living and whether you are eligible for Medicaid long-term care.
What Is Assisted Living?
Assisted Living is a senior housing option designed for residents who require medical or personal care, while at the same time promoting independent living. A few services offered by Assisted Living communities include:
- Preparation of meals daily
- Housekeeping
- Medication management
- 24-hour emergency care and basic medical services
Assisted Living holds many benefits compared to other retirement communities. Residents enjoy a wide range of amenities that can enrich their lives, such as restaurant-style dining, beauty salons and recreational programs. Furthermore, Assisted Living promotes the feeling of home that enables residents to live independently while belonging to a vibrant community that offers opportunities to engage with other residents and participate in social activities.
Will Medicaid Cover Assisted Living?
Assisted Living is a long-term expense. If you wish for Assisted Living to be covered by Institutional Medicaid, the 2022 income limit criteria are as follows:
| Single | Married (both spouses applying) | Married (one spouse applying) | |||
| Income Limit | Asset Limit | Income Limit | Asset Limit | Income Limit | Asset Limit |
| $2523/month | $2000 | $5046/month | $3000 | $2523/month for applicant | $2000 for applicant and $137,400 for non-applicant |
Additionally, Assisted Living is only covered by Medicaid if it is deemed to be “medically necessary” for your loved one. In order to ascertain this, your doctor must provide documentation that your loved one has a medical condition that requires a level of care available only in an institution. Additionally, your doctor must also certify that your loved one still meets the standard for medical necessity at least every six months.
If they do not meet these criteria, Medicaid will no longer continue to pay for your loved one’s Assisted Living. For example, if your loved one only requires custodial care or someone to watch over them due to their medical condition, Medicaid may determine that Assisted Living is not medically necessary for your loved one as they do not require a skilled nurse.
Senior Assisted Living in Our Retirement Community
If any of your loved ones are looking to move into an Assisted Living community, schedule a tour and visit us today! We are a vibrant retirement community that provides exceptional and professional round-the-clock care services for all our residents. We also offer several apartment floor plans to suit your loved one’s needs. Our goal is to enrich our residents’ lives while they reside in our Assisted Living community. Interested to learn more about Assisted Living in North Richland Hills, TX? Contact us today!
