You have a variety of resources available to you when it comes to paying for medically necessary care. If you qualify for a Medicaid waiver, you have access to financial assistance to use for services like adult day care or in-home care in Georgia. Long term care insurance is yet another option available to those who want to make skilled nursing care more cost-effective. When you want to minimize your out-of-pocket costs for adult day care or personal care in Atlanta, one of your top concerns may be whether or not it can be combined with long term care insurance.
You will find it hard to combine your Medicaid waiver benefits with long term care insurance. This is because the Medicaid waiver programs in Georgia use an income formula. The formula used factors in every income source available to the individual. Long term care insurance is treated as an income source. The daily benefit amount would be combined with social security and any other forms of income. The income cap rule limits how much in earnings a person can have, so combining two income sources, Medicaid waiver and long-term care insurance, can be difficult to achieve. One will most likely become ineligible for the waiver if long-term care insurance is used.
There may be unique circumstances where you can combine both to minimize out-of-pockets. If the long-term care insurance plan pays the provider directly, the Medicaid waiver program may not treat it as an income source. These are questions that should be presented directly to a care representative, as questions about insurance benefits should be evaluated on a case by case basis. Personal care in Georgia can be made affordable using either the Medicaid waiver or long-term care insurance plan.
Call us at (770) 209-9998 to discuss your specific personal care needs today!
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