Look for this book on sale in May 2012 everywhere ebook and print books are sold online. From Buckley Anne Kuhn Fricker, J.D., CGCM, CSA of Buckley's For Seniors.
Available on Kindle here! http://www.amazon.com/Elder-Care-Growing-Paved-ebook/dp/B007UC40DE/ref=sr_1_12?s=digital-text&ie=UTF8&qid=1334500391&sr=1-12
Buy it in paperback now! http://www.amazon.com/Elder-Care-Road-Growing-Paved/dp/1105383377/ref=sr_1_3?s=books&ie=UTF8&qid=1336007852&sr=1-3#reader_1105383377
Published by Bellview Publishing -
This book addresses the “double whammy” facing Baby Boomers: preparing for their own retirement while simultaneously caring for elderly loved ones. It is a reference manual for professionals, family caregivers and those contemplating their own later years, who need both general descriptions and easy-to-find important details about complex elder-related options. It is a guide to help readers and loved ones ensure that their later years turn out how they want them to turn out.
Here is the Table of Contents for a sneak peak as to what the book has to offer:
EXPANDED
TABLE OF CONTENTS
MEDICARE........... 1
Part A: Hospitalization, Rehabilitation and Skilled Nursing Care........... 1
Part A - Out-of-Pocket Costs........... 2
Skilled Nursing Care and Rehabilitation........... 3
Inpatient Psychiatric Care........... 3
Hospice........... 3
Medicare In-Home Care Coverage........... 4
Part B: Doctor’s Visits, Medical Tests and Ambulance Services........... 4
Part C: Everything in One Package - aka MEDICARE ADVANTAGE........... 6
Part D: Prescription Drug Benefits........... 6
MEDIGAP: PRIVATE INSURANCE TO FILL IN THE GAPS........... 8
Medigap Overview........... 8
Medigap Policies........... 8
LONG-TERM CARE INSURANCE (LTCI)........... 10
LTCI Overview...........
Benefit Options........... 11
Inflation Rider........... 12
LTC and Life Insurance Combinations........... 12
Premiums: Renewability…………………………………………………………………..11
Premiums: Tax Deductibility........... 13
WHO’S GOING TO GET IT AFTER YOU’RE GONE?........... 14
Estate Planning Overview........... 14
Last Will and Testament........... 15
Probate........... 16
Testamentary Capacity........... 18
Undue Influence........... 20
Lucid Interval........... 21
Estate and Inheritance Taxes........... 22
DURABLE FINANCIAL POWER OF ATTORNEY (DPOA or DPA)........... 23
DPOA Overview........... 23
Gift-Giving Power........... 24
POA Compensation........... 24
Durability........... 25
Uniform Power of Attorney Act (UPOAA)........... 25
DO-IT-YOURSELF ESTATE PLANNING?........... 27
Will Examples........... 27
Durable Power of Attorney Examples........... 29
HOW TRUSTS CAN BENEFIT YOU WHILE YOU’RE STILL AROUND........... 31
Revocable Living Trust (RLT) Overview........... 31
Advantages of a Revocable Living Trust........... 32
Using an RLT to Plan for Possible Incapacity........... 33
Example: Directing Your Own Care in Event of Incapacity........... 34
Disadvantages of a Revocable Living Trust........... 35
Irrevocable Trusts........... 35
Irrevocable Life Insurance Trusts (ILIT)........... 35
Asset Protection Trusts for Long-Term Care Medicaid Planning........... 36
SPECIAL NEEDS TRUST (SNT)........... 37
Special Needs Trust Overview........... 37
Third Party SNTs........... 38
First Party or Self-Settled SNTs........... 38
MEDICAID FOR LONG-TERM CARE (LTC)........... 40
Long-Term Care Medicaid Overview........... 40
Medicaid LTC Basic Rules........... 40
Medicaid LTC Eligibility - Income and Assets........... 41
Gift-Giving to Reduce Assets - The “Five-Year Look Back”........... 42
Verification........... 42
Adult Child Caregiver Exception........... 43
Disabled Child Exception........... 45
Community LTC Medicaid Waivers........... 46
LTC MEDICAID RULES FOR MARRIED COUPLES........... 48
Assets/Resources: Snapshot Date........... 48
Assets: Countable or Exempt........... 49
Minimum Monthly Maintenance Needs Allowance: The MMMNA........... 50
Example: A Married Couple Achieves Medicaid Eligibility........... 50
HOUSING OPTIONS........... 54
Aging at Home........... 54
Safety Proofing the Home........... 54
Meals on Wheels (MOW)........... 55
Durable Medical Equipment (DME)........... 55
Taking Away the Keys........... 55
Getting There After the Car Keys Are Gone........... 56
Senior Centers........... 58
Adult Day Care Centers........... 58
The Village Model........... 58
Selling and Moving from Your Home........... 59
RESIDENTIAL ALTERNATIVES........... 60
Active Adult/Retirement Communities........... 60
Assisted Living Facilities (ALFs)........... 60
Long-Term Care Nursing Homes (NH)........... 61
Continuing Care Retirement Communities (CCRCs)........... 62
PROFESSIONAL CAREGIVERS: WHO DOES WHAT........... 64
Geriatric Care Manager (GCM)........... 64
Geriatrician........... 64
Registered Nurse (RN)........... 64
Licensed Practical Nurse (LPN)........... 65
Social Worker (MSW or LCSW)........... 65
Physical Therapist (PT)........... 65
Occupational Therapist (OT)........... 66
Speech Therapist........... 66
Psychologist........... 66
Dietitian........... 66
Home Health Aide (HHA) and Certified Nursing Assistant (CNA)........... 66
Companion........... 67
SOCIAL SECURITY........... 69
Social Security Overview........... 69
Social Security Benefits........... 69
Employee Retirement and Disability Benefits........... 70
Work Credits........... 70
Payroll Tax........... 71
Calculations........... 71
Monthly Income........... 72
Primary Worker and Early Benefits........... 72
Taxation of Social Security Income........... 73
Windfall Elimination Provision (WEP)........... 73
Dependent’s Benefits........... 74
Survivor’s Benefits........... 75
Maximum Family Benefits........... 75
Social Security Disability Insurance (SSDI)........... 76
Supplemental Security Income (SSI)........... 77
Death Benefits........... 78
OTHER FUNDING FOR OLD AGE: WHEN SOCIAL
SECURITY ISN’T ENOUGH........... 79
Retirement Funding Overview........... 79
Regular Individual Retirement Accounts (IRAs)........... 80
Roth IRA........... 80
401(k) (aka 401K)........... 81
Life Insurance........... 81
Annuities........... 82
Reverse Mortgages........... 83
VETERANS BENEFITS - OFTEN UNTAPPED SOURCES........... 85
Income for VA Purposes (IVAP)........... 85
Veterans Pension........... 86
Veterans Aid and Attendance (A&A)........... 86
Housebound Benefit (HB)........... 87
Veterans Disability Compensation........... 88
NORMAL COGNITIVE DECLINE.......89
Speed of Mental Processing.......89
Retention of New Information.......89
Reaction Time.......89
Vision and Hearing.......90
COGNITIVE DEFECTS AND DISEASES........... 90
Delirium........... 91
Mild Cognitive Impairment (MCI)........... 91
Dementia........... 91
Treatable Dementia........... 92
Irreversible Dementia........... 92
Alzheimer’s Disease (AD)........... 93
ELDER ABUSE AND NEGLECT........... 96
Physical Abuse........... 96
Financial Abuse........... 97
Neglect........... 98
Long-Term Care Ombudsman........... 99
Preventing Abuse and Enhancing Quality of Life........... 99
Adult Protective Services (APS)........... 100
HEALTHCARE DIRECTIVES: IT’S YOUR DECISION........... 101
Healthcare Power of Attorney (HPOA)........... 101
Living Will........... 102
Advance Medical Directive (AMD)........... 103
The Five Wishes........... 103
Do Not Resuscitate Order (DNR)........... 103
HOSPICE........... 105
CONCLUSION........... 107
ACRONYM APPENDIX........... 109