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Private Pay

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Private Pay Options for Homecare

We are a private pay based homecare agency. All that means, is that we do not accept Medicaid or VA benefits. Our services are commonly paid for through long-term care insurance, reverse mortgage or home equity funds, life insurance conversions or accelerated benefits, and private financial resources.

Long-term care insurance is private insurance designed to help pay for long-term services and supports when someone needs help with activities of daily living or has cognitive impairment. Depending on the policy, benefits may be used for care at home, assisted living, or nursing home care. Some Pennsylvania consumers also look at Long-Term Care Partnership policies, which may provide asset protection if the policyholder later needs to apply for Medical Assistance. Common long-term care insurance providers are national insurance companies that offer long-term care products, but coverage, underwriting, and policy terms vary. Families should review the policy to confirm whether home care is covered, when benefits begin, and what documentation is required.

Reverse mortgage is a federally insured loan that allows you to convert some of the equity in your home into tax-free cash. It is a unique loan that is easy to obtain if you are at least 62 years old and own your own home. You always remain the owner of your home.

Reverse mortgage features:

  1. No monthly mortgage payments.
  2. There is no income or credit requirements.
  3. Proceeds can be used however you want.
  4. Proceeds do not affect Social Security or Medicare benefits.
  5. Loan is not due until the last homeowner passes away, sells the home or permanently moves out.
  6. Both fixed rate and adjustable rate programs are available.

Reverse mortgages can be used to improve lifestyle, cover healthcare costs, pay off existing mortgages, fix up the home, or simply give a peace of mind. Whatever the goal, a reverse mortgage will help to maintain financial independence.

Life insurance plans may provide access to funds while the insured person is still living. This can include accelerated death benefits, life settlements, or other policy-specific options. Availability depends on the policy language, the insured’s condition, and carrier rules. These funds can sometimes be used to pay for ongoing home care.

Private financial resources means paying directly from personal funds. This may include savings, retirement income, investment accounts, pension income, proceeds from the sale of property, or support from family members. In Pennsylvania, this remains one of the most common ways families pay for non-Medicaid home care services.

At HireLivin Homecare, we offer private pay home care and can explain our payment model clearly. We do not bill Medicaid. Families using our services generally pay through insurance benefits that allow private home care reimbursement or through their own financial resources.

Frequently Asked Questions

What are the different types of care homes?

The different types of care homes are residential homes, nursing homes, and specialist care homes, such as dementia care homes. Other types of residential care include assisted living and retirement villages. 

What is the difference between a residential care home and a nursing home?

The main difference between a residential home and a nursing home is that a nursing home has a qualified nurse on-site 24-hours a day to provide necessary medical care. This means nursing homes can provide a higher level of care. 

Can I change care homes if I am not happy?

If you or a loved one have moved into a care home but feel that you struggle to settle in, it is not the right fit or the location stops family from visiting regularly, you can change care homes. Make sure that you have read the terms of your contract to avoid any issues.

Can I get help with paying for care home fees?

Depending on your financial circumstances and your care needs, you may be able to receive help with paying your care costs. If you have capital below a certain amount, which varies between countries in the UK, your local authority will contribute towards your fees. The NHS may cover your nursing care fees in some circumstances and there are a few benefits you can claim while living in a care home. 

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