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Call us for more information: 818-279-6580
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» How We Help » Care Coordination » Financial Assistance
Request Help Over 65
Request Help Under 65


FINANCIAL ASSISTANCE

Please call us at 818-279-6580 for information about how to sign up for these
programs, we can help.

Assisted Living Programs

VA Benefit:

War era veterans, and surviving spouses, are eligible for monthly benefits to
assist with the cost of long term care in a senior facility. These benefits are
paid in addition to monthly pension, and they are not paid without eligibility
to Pension. Your loved one may qualify for this benefit if they meet one of the
following conditions:

 * You require the aid of another person in order to perform personal functions
   required in everyday living, such as bathing, feeding, dressing, attending to
   the wants of nature, adjusting prosthetic devices, or protecting yourself
   from the hazards of your daily environment.
 * You are bedridden and your disability or disabilities require that you remain
   in bed apart from any prescribed course of convalescence or treatment.
 * You are a patient in a nursing home due to mental or physical incapacity.
 * Your eyesight is limited to a corrected 5/200 visual acuity or less in both
   eyes; and concentric contraction of the visual field to 5 degrees or less.

If qualified, benefits can provide up to $1,788 per month to a veteran, $1,149
per month to a surviving spouse, or $2,120 per month to a couple.

Assisted Living Waiver/ Medi-Cal Waiver:

Medi-Cal waiver contributes $52-82 per day toward the cost of assisted living
costs, covering the gap between the senior’s social security and the full cost
of assisted living.

The goal of the Medi-Cal waiver is to: 1) facilitate a safe and timely
transition of Medi-Cal eligible seniors and persons with disabilities from a
nursing facility to a community home-like setting in a Residential Care Facility
for the Elderly (RCFE) or public subsidized housing, utilizing waiver services;
and 2) offer eligible seniors and persons with disabilities, who reside in the
community, but are at risk of being institutionalized, the option of utilizing
ALW services to develop a program that will safely meet his/her care needs while
continuing to reside in an RCFE or public subsidized housing.

The Medi-Cal waiver is a Home and Community-Based Services (HCBS) waiver that
was created by legislation that directed the California Department of Health
Care Services (DHCS) to develop and implement the project to test the efficacy
of assisted living as a Medi-Cal benefit.

SSI/ SSDI increase:
Seniors whose social security or disability income is less than $1,145 per month
can apply for an increase of their benefits once they have moved into a licensed
assisted living community. See information HERE.

Skilled Nursing Facility Programs
Medicare:

Medicare does not pay for all medical expenses, and usually, must be
supplemented with Medi-Cal or private insurance if Medi-Cal is unavailable.
After three days of prior hospitalization, Medicare will pay up to 100% for the
first 20 days of skilled nursing care. For the 21- 100 days, the patient will
pay a co-payment. The premiums and copayments are increased every year. There
will be no Medicare coverage for nursing home care beyond 100 days in any single
benefit period.

It should be noted that Medicare only pays for “skilled nursing care,” does not
pay for “custodial care” and the average stay in a nursing home under Medicare
is usually less than 24 days. Thus, few can look to Medicare to pay for any
substantial, long-term, nursing home costs.

Medi-Cal:

Nursing home care is covered if there is prior authorization from the
physician/health care provider. Residents are admitted on a doctor’s order and
their stay must be “medically necessary”. Residents are allowed to keep $35 of
their income as a personal needs allowance. Residents with no income may apply
for the Supplemental Security Income/State Supplemental Program (SSI/ SSP), and,
if eligible, they will receive a payment of $50 as a personal needs allowance.

HMO/PPO:

Payment from these sources is limited and varies per insurance plan. Average
length of stay under private insurances is significantly less than when working
directly with Medicare or Medi-Cal.

Please call 818-279-6580 to learn more about AMAZING resources!

OUR MISSION STATEMENT

“Helping disabled seniors learn about resources to promote independence and
quality of life.” [ Click Here ]

JOIN OUR CAUSE

Whether you are someone who wants to volunteer your time, donate to support our
cause or become our vendor to provide services to our clients then click here to
learn more. [ Click Here ]



CONTACT INFORMATION

 * Phone: 818-279-6580
 * Fax: 818-579-7395
 * info@helpinghandsla.org
 * Proudly serving these counties: LA, Orange, Ventura, Riverside San Bernardino
   & San Diego.

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