2022 Elder Law Numbers

As 2021 draws to a close, there are important 2022 elder law numbers that should be paid attention to by seniors and their loved ones. With these new changes in mind, now is the time to plan finances ahead of the year to come. 2022 Medicare Numbers The Centers for Medicare and Medicaid Services (CMS) has released the new Medicare premiums, deductibles, and co-payments for 2022: Basic Part B premium:........................................................$170.10/month (was $148.50 in 2021) Part B deductible:................................................................$233.00 ($203.00 in 2021) Part A deductible:................................................................$1,556.00 (was $1,484.00 in 2021) Co-payment for hospital stay days 61-90:..........................$389.00/day (was $37.00 in 2021) Co-payment for hospital stay [...]

2024-03-08T12:12:27-05:00December 10, 2021|

The VA Aid and Attendance Pension Helps Seniors Age in Place

The VA Aid and Attendance program is helping veterans across the nation receive home care and avoid the need for leaving their surroundings for a nursing facility. Below we discuss the details of this program and the eligibility for seniors who have served to receive these helpful benefits. Very few people, if any, plan to spend their last days in a nursing facility. People want to remain at home. There they are surrounded by personal comforts and have control over their daily lives. Sadly, certain conditions make it untenable for some to remain at home. While disease progressions may necessitate [...]

2024-03-08T12:12:40-05:00November 30, 2021|

What Are Guaranteed Issue Rights in Medicare?

While many people are currently assessing their health insurance options for fall’s Open Enrollment, running from October 15 through December 7, some may have questions about their options regarding Medicare, Medigap policies, and Guaranteed Issue Rights. If you are enrolled in or interested in enrolling in a Medigap policy, these policies are not subject to Medicare’s Open Enrollment period. A Medigap policy, or Medicare Supplement Insurance policy, helps to fill the “gaps” by serving as a supplement to Original Medicare, covering a portion of remaining health costs, such as copayments, coinsurance, and deductibles. These types of policies are sold by [...]

2024-03-08T12:12:50-05:00November 26, 2021|

Advocacy is Essential When Applying for Medicaid

As an attorney for Rothkoff Law Group, I help support our Public Benefits staff with complicated Medicaid issues and unexpected application outcomes when applying for Medicaid. As a result, I have found the internal processes of state Medicaid agencies processing Medicaid applications do not always comply with state and federal Medicaid laws, often to the detriment of our clients. For this reason, it is essential to have an advocate when applying for Medicaid for long-term care in both New Jersey and Pennsylvania. It is worth noting I do not believe the Medicaid agency’s occasional failure to comply with Medicaid rules [...]

2024-03-08T12:14:27-05:00October 21, 2021|

Important Medicare Provisions Seniors Should Know About

Congress is gearing up to pass a budget reconciliation package, and there are several important Medicare provisions affecting seniors, including first-time Medicare coverage for vision, hearing, and dental care.      These Medicare provisions are proposed to phase in vision, hearing, and dental benefits in 2022, 2023, and 2028, respectively. The Congressional Budget Office has estimated that vision benefits would cost $30 billion over 10 years, hearing benefits would cost $89 billion over 10 years, and dental benefits would cost $238 billion over 10 years.  The legislation would also make broader changes to prescription drug coverage under Medicare. In addition to [...]

2024-03-08T12:15:59-05:00September 24, 2021|

Be Prepared for Medicare’s Annual Enrollment Period

The Medicare Open Enrollment Period for 2022 has arrived. Throughout the year, Medicare has different enrollment periods. The Open Enrollment Period, or OEP, is the timeframe during which Medicare beneficiaries can make changes to their Medicare plans. This year’s OEP will take place October 15 through December 7, 2021. Any changes you make to your Medicare plan during this period go into effect on January 1, 2022. During OEP, you can: • Switch from Original Medicare (Medicare Parts A and B) to a Medicare Advantage (Medicare Part C) plan. • Switch from a Medicare Advantage plan back to Original Medicare. [...]

2024-07-29T12:01:31-04:00September 23, 2021|

Planning Ahead for the Medicaid Look-Back Period

What is a Medicaid Look-Back Period, and why should you be concerned about planning ahead for Medicaid benefits? We encounter the following factual scenario on a regular basis, which will shed some light on why you may want to start planning now. Mom can no longer live independently. Mom sells her house and moves in with her son and his family. Son uses mom’s money to remodel or add an addition to his home and to help pay household expenses, such as utilities, food, maintenance. Mom never puts anything in writing indicating son can use her money for such expenses. [...]

2024-03-08T12:18:43-05:00September 16, 2021|

Qualified Income Trust for Medicaid

Applying for Medicaid for yourself or a loved one can be a difficult process. Many people believe they have successfully navigated all clinical and financial criteria, only to discover that the applicant requires a Qualified Income Trust, or QIT. Prior to December 1, 2014, all Medicaid applicants in the State of New Jersey with a monthly income in excess of the annual income limit, $2,382.00/month in 2021, were ineligible for the benefit. The creation of QITs has allowed for a wider range of applicants but has further complicated the Medicaid application process. Improper use of a QIT can result in [...]

2024-03-08T12:23:30-05:00July 22, 2021|

Medicaid Crisis Planning: Paying for Long-Term Care

COVID-19 has been devastating to long-term care residents. Although the situation has improved greatly after the availability of vaccines, family members are still hesitant to make the decision to place their loved ones in a nursing home setting. Nonetheless, there was and continues to be an important need for assisted living and/or nursing home care. Should placement in a long-term care community be necessary, it is important to adequately prepare for the significant financial costs of care. Medicaid crisis planning is a crucial step in preparing for the future and taming the unexpected. Medicaid crisis planning can help turn an [...]

2024-03-08T12:25:33-05:00July 9, 2021|

Medicaid and Veterans’ Benefits: Important Documents to Save

Throughout my years of document gathering for Medicaid and Veterans' benefits applications, most of my clients exclaim at some point, “why didn’t anyone ever tell me I needed to keep this stuff?” With the never-ending pile of junk mail gathering, it can be tough to separate the “keep” and “trash” piles when considering what you may someday need down the road for Medicaid and Veterans' benefits. Below, I have listed the most common items that people wish they had held onto: Social Security card Medicare card Passport (current or expired) Photo ID (current or expired)  Birth certificate Marriage certificate Spouse’s [...]

2024-03-08T12:26:46-05:00June 9, 2021|
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