April 22, 2025
As an estate planning and elder law attorney, nursing home and long-term care is a topic that comes up frequently with my clients. According to a recent article from Jo Ann Jenkins, CEO of AARP, "nearly 70 percent of Americans who reach age 65 will someday require help from others to get through their day. On average women will need help for 3.7 years, and men for 2.2 years." This need for help may be filled by a combination of caregiving solutions, ranging from family, friends, neighbors, community centers, day programs, and senior living facilities to assisted living, memory care, or nursing home facilities. While most people would rather avoid needing care in an assisted living or nursing home facility, the reality is that sometimes assisted living, memory care, or nursing home care is unavoidable. While it may be possible for family and support networks to handle care for a period of time, care needs or disease progression may necessitate some professional level of care at some point. If that becomes the case, the question becomes how does one pay for the care? Many people wrongly assume that Medicare will pick up the tab. While Medicare may pay for some short-term rehabilitation (generally up to 20 days full coverage with partial payment up to 100 days) following a qualified hospital stay, Medicare is designed to pay for medical costs and does not cover long-term care. Which means if you need long-term care, you need to have a way to pay for it outside of your Medicare coverage.