Many people know that Medicare will pay for rehabilitation services in a nursing home if the patient has had a three day inpatient admission to a hospital. A physician must order the care in a nursing home and it must be related to the condition that resulted in the hospital services. Practically speaking, the care must only be available on an inpatient basis. The person must need to receive seven days a week of nursing home care, or skilled therapy five days a week or some combination seven days a week. This is the normal rehabilitation families know about.

Who gets your IRA, or 401k, or 403b or any other “qualified” money if you die? Seems like a simple question with a simple answer. The beneficiaries you name get it. What happens if your spouse is named, and unexpectedly dies when you still have young children? If your children or other intended beneficiaries are young adults going through the potential changes in life such as marriage, or divorce or are not experienced at handling money, could those assets be lost? Even adult children with good judgment cannot control a divorce, or health issues.

Three families came this past week to discuss the problems and stress of giving care to a spouse with some degree of dementia. In each case the caregiving spouse, all of whom happened to be wives, talked about and exhibited signs of the toll it was taking on them. They were not getting sleep, were anxious for their spouse and themselves, and felt overwhelmed by the unrelenting demands. They were incredibly devoted to their husband’s care, but reluctantly came to the realization that their own health was suffering, and that if they themselves became sick, that was bad for both spouses. What could they do?

After a person suffers a medical crisis, such as a fall, or a stroke or heart attack, and after hospital treatment ends, rehabilitation services are often required to get the person back to the best possible level of functioning. What services are needed, where to get them, and who pays are the critical concerns that all families have. 

Life changes occur for people of all ages, and for those in the senior population the choice of living options can become very important. Stairs could be more difficult to use, or an extra bedroom might be needed for a caretaker, or the bathroom may be impractical or downright dangerous for a person with poor balance. Here are some thoughts on the choices for living options.

Everyone wants to pass on some of their hard earned estate to their heirs. There are important things to consider when those assets are passed on. If the children are minors, or even young adults, they either cannot handle money, or may not have the experience and judgement to handle a sudden inheritance. A twenty year old may think a flashy new car is needed. Married children could be faced with divorce or health problems for themselves or their spouse. How can you protect your heirs who due to age, inexperience or family situations may not be able to hold onto their inheritance?