The Importance of Crisis Planning for Seniors

The importance of crisis planning for seniors can be summarized by something Benjamin Franklin once said, “By failing to prepare, you are preparing to fail.” Oftentimes, families contact our Elder Care Law office for crisis planning for seniors in their lives, struggling to manage the needs of their loved ones while caught up in the emotions and stress that come along with navigating a challenging situation. As a result, crisis planning for seniors makes it difficult for families to find appropriate and reliable long-term care options for their loved ones. Our elder care law team of care coordinators, including social [...]

2024-06-22T14:38:15-04:00July 1, 2024|

What is the difference between Medicare and Medicaid?

Understanding the difference between Medicare and Medicaid is essential for anyone navigating the healthcare landscape in the United States, especially for seniors and those with low incomes. While Medicare and Medicaid are government-sponsored healthcare programs, they serve different populations and have unique eligibility requirements, coverage options, and funding sources. Both programs have distinct features, and here we’ll shed light on the difference between Medicare and Medicaid.   Origins of Medicare and Medicaid Medicare and Medicaid were established in 1965 under the Social Security Act but were designed to serve different purposes. Medicare is a federal program that provides healthcare coverage [...]

2024-05-22T23:27:47-04:00May 23, 2024|

Does it Have to Be this Complicated?

Once, during a client meeting, I was attempting to explain to a client’s family why part of the client’s income must be placed into a trust to become eligible for Medicaid assisted living coverage in New Jersey. As I was explaining something that I knew did not make sense to a reasonable person, I asked myself, does it really need to be this complicated? A federal court, regarding the complexity of Medicaid law, has stated: “There can be no doubt but that the statutes and provisions in question, involving the financing of Medicare and Medicaid, are among the most completely [...]

2024-03-08T11:21:02-05:00November 4, 2022|

An Unexpected Support System in Our Public Benefits Department

Written by Kaitlin Dirkx, Director of Public Benefits.  Fall 2022 marks my seventh anniversary with Rothkoff Law Group, working as Director of Public Benefits. It also marks the longest I have ever worked for the same employer. When people ask what has kept me here for seven years, I always return to the relationships that I build with clients and the fulfillment that it brings me. As I meet more and more families struggling with enormous financial stress and anxiety while managing a loved one’s illness, it reinforces how much I enjoy helping people in this way at one of [...]

2024-03-08T11:24:20-05:00September 2, 2022|

Will Your Traditional Medicare Change?

When a new Medicare beneficiary becomes eligible for enrollment, there are two general options for coverage, Traditional Medicare or Medicare Advantage. While Medicare Advantage is gaining in popularity, the majority of seniors still elect Traditional Medicare because it gives them the freedom to choose their providers and manage their own care. However, with the creation of the pilot Medicare Direct Contracting program (DC), some seniors may unknowingly have their care managed by for-profit companies anyway. Created by the Center for Medicare and Medicaid Services late in the Trump administration, the Medicare DC program allows private insurance companies and other for-profit [...]

2024-03-08T11:31:41-05:00April 1, 2022|

Medicare Fraud and Unlawful Practices

Most Medicare enrollees have suffered phone calls, commercials, and mailings trying to entice them into switching plans, but how do you know when these offerings are legitimate? If you are feeling pressured into joining a plan, it is important to remember that many insurance agents and brokers may receive a large fee for securing your enrollment. It is important to recognize when a health insurance company or a health insurance advisor may not have your best interests in mind. The widespread privatization of Medicare benefits can lead some seniors, or disabled individuals, to experience Medicare fraud. Medicare has many regulations [...]

2024-03-08T11:33:46-05:00February 25, 2022|

Changes to Medicare in 2022

Every year there are a few tweaks and changes to Medicare, the federal health insurance program for those 65 and older. The most predictable changes: increased premiums and deductibles. 2022 brings the largest Medicare Part B increase in history–a $21.60 increase. The 2022 premium is $170.10. Medicare Part B covers physician appointments and outpatient services.  Reasons for the increase include: Rising healthcare costs due in part to COVID-19 A congressional act to lower the planned 2021 Part B premium with the difference being repaid via the 2022 increase CMS’s decision to save money to cover the expense of the potentially [...]

2024-03-08T11:34:45-05:00February 11, 2022|

Know Your Rights: Special Enrollment Period

Are you eligible for a Special Enrollment Period? While annual open enrollment has come to a close, that does not necessarily mean that you missed your opportunity to make changes to your Medicare Advantage plan or your Medicare part D prescription drug plan. If you have Medicare Part C, also known as Medicare Advantage, meaning your Medicare benefits are offered through a private company, you will have a second opportunity to make changes. During the Medicare Advantage Open Enrollment period, running from January 1, 2022, through March 31, 2022, you can switch to a different Medicare Advantage Plan or go [...]

2024-03-08T12:12:06-05:00December 17, 2021|

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|

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|
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