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Medicaid Application and planning for Senior Citizens & Family

For Families

Protect Every Last Dollar For Your Family And Still Receive Approval For Benefits - Quickly!

Medicaid Planning For Families

At Platinum we're professionals in Medicaid planning for families, asset protection plan implementation and application processing for long term care through Medicaid. This is the benefit most commonly considered for limited home health care, assisted living care and for substantial or total financial assistance for nursing home care. Platinum has helped nearly 10,000 families gain these emotionally and financially valuable benefits.

If you feel the family assets are at risk and you or a family member have worked too hard to simply lose the money on the cost of long term care and you're looking to save the family assets legally, ethically and strategically AND make sure your loved one gets the care needed then you've come to the right place. If you are anxious about securing your assets then start Medicaid planning for families with us.

Start your journey to protecting your families assets with answers to our most frequently asked questions below.

We publish information like this every week. Join over 50,000 Platinum Benefit Subscribers and get fresh content delivered directly to your email inbox. At Platinum Benefit you'll get nothing but results driven application services with a hyper focus on asset protection as directed by appropriate legal counsel.

The Florida Medicaid program provides medical coverage for Florida residents who meet the program's eligibility requirements. Once an individual is approved for Medicaid in Florida medical bills will be paid, primarily by Medicaid.

These bills include not just nursing home care, but also hospital stays, home health care, home and community based services, hospice, transportation, dental and vision care, community behavioral health, and prescription medications. (Although in some cases, Medicare coverage may overlap this coverage).

The following services are required to be offered by all states, including Florida, under Medicaid:

  • Nursing Facility Services For Individuals Age 65
  • Nursing Facility Services For Individuals 21 Or Older If Determined Disabled
  • Home Health Care For Individuals That Are Eligible For Nursing Facility Services
  • Inpatient Hospital Services
  • Outpatient Hospital Services
  • Physician Services
  • Medical And Surgical Dental Services
  • Lab And X-Ray Services
  • Family Nurse Practitioner Services

The following services are optional; however, most states will also offer them through Medicaid:

  • Ambulatory Services To Individuals Who Are Entitled To Institutional Care
  • Home Health Services To Individuals Who Are Entitled To Nursing Facility Services
  • In-Home Assistance
  • Prescription Drug Coverage
  • Dental Services
  • Prosthetic Services
  • Optometrist Services And Eyeglasses

While Medicaid covers many services, there are a number of items that are not provided by this program. Medicaid does not cover the following services:

  • Private Room, Unless It Is Medically Necessary
  • Specially Prepared Food, Beyond That Which Is Generally Prepared By The Facility
  • Telephone, Television, And Radio
  • Personal Comfort Items, Including Tobacco Products And Confections
  • Cosmetic And Grooming Items And Services That Are In Excess Of Those Included In The Basic Service
  • Personal Clothing
  • Personal Reading Materials
  • Gifts Purchased On Behalf Of A Resident
  • Flowers And Plants
  • Social Events And Activities That Are Beyond The Included Activity Program
  • Special Care Services That Are Not Already Included In The Facility's Medicaid Payment

It is important to note that some exceptions may apply. However, exceptions must typically be medically necessary and ordered by a physician before the exception can be applied.

Unlike Medicare, there are some fairly strict financial rules with which one must fall into in order to qualify for Medicaid's nursing home benefits. Yet, for those in need of this coverage, there are numerous strategies and combinations of strategies that can be used to qualify.

By using these strategies properly, with the guidance of a professional, proper care for a loved one can be obtained while preserving assets and income for a healthy spouse and / or other family member(s).

If an applicant is living in their home (i.e., not in a nursing home), the Medicaid program refers to them as living "in the community." In this case, Medicaid will still pay for certain services if the person qualifies. The basic test is whether the individual would otherwise require the level of care provided in a hospital, nursing facility, or intermediate care facility for the mentally retarded. In other words, an applicant for home care must meet the level of care for some type of institutionalized care.

Many states - including Florida - have a program called "HCBS" This stands for Home and Community Based Services. Until recently, a state wishing to provide Medicaid assistance to elderly people outside the nursing home had to apply to the federal government for a specific waiver of the usual Medicaid rules. However, as a part of the Deficit Reduction Act, and beginning in 2007, all states are eligible to offer this program now without first having to obtain a federal waiver by submitting a state plan amendment setting forth the scope of the new HSBS program they wish to implement. Therefore, both the old waiver program and the new SPA option will exist concurrently. There is no federal requirement limiting the number of HCBS programs that a state may operate at any given time, and currently there are just fewer than 300 HCBS waiver programs in operation throughout the U.S.

In general, HCBS will pay for the following in-home services:

  • Case Management
  • Personal Care Services
  • Respite Care Services (I.e., Care For The Patient In A Nursing Home For A Few Days In Order To Give The Home Care Giver A Needed Break)
  • Adult Day Care Services
  • Homemaker / Home Health Aide Services
  • Habilitation (I.e., Assistance For People In Furthering Their Skills In Areas Such As Mobility, Social Behaviors, Self-Care, Basic Safety, Housekeeping, Personal Hygiene, Health Care, And Financial Management)

It is important to note that room and board of the HCBS recipient are not covered and that home care is very limited even when full qualification is obtained.

It is true that an applicant must be poor in countable assets. There are many asset categories that are not countable. Therefore, the requirement of being destitute is a misnomer.

Spend-down means either expending countable assets on care or non-countable or exempt assets.

In Florida a home that qualifies as a primary residence that the patient has an intent to return to cannot be sold, have a lein placed against it or otherwise encumbered by a nursing home or Medicaid.

Veteran's homes in Florida generally are not 100% covered by the VA and require an additional payor source like private pay or Medicaid.

Medicaid is complicated and few people have a thorough understanding of the rules.

Yes there are many ways to protect assets without breaking laws.  A qualified attorney must make the initial determination regarding asset protection strategies in Florida.  An attorney does not have to be a "Board Certified" Elder Law Attorney.

A non-attorney can file an application for Medicaid.  A quality filing service will work in conjunction with an attorney selected by the client for asset protection strategies.


What has it been like working with Platinum Benefit Services?

“Very professional, very thorough, and timely. Kept abreast of the status of the Medicaid approval process. Platinum was able to answer questions that were not specifically in the context of the Medicaid process but were pertinent to slowly closing down my mother’s financial and personal obligation. Thank you all for your support and guidance through a difficult process!”

Roger M. Crouch

  “Our experience was one of compassion and understanding on their part. Everyone involved in our case treated my family as if they were their own. I would gladly recommend their assistance to anyone.”

Melinda S Tait

  “We were at a loss regarding the detailed process of applying for Medicaid for our family member. Because there were some assets involved, the hospital and our family member’s personal attorney recommended Platinum Benefit. We got an appointment for the very next day. From our first meeting we felt reassured they would help us through the process. At a time when our emotions were already on edge, Platinum’s services helped to bring a sense of calm back to us.”

Jay & Melodee Jones

Our Commitment

Platinum Benefit Services, Inc. is committed to helping families gain maximum government benefits for Long Term Care and providing both compassion and application expertise. Since 1996, we have helped Over 14,000 families qualify for Medicaid while strategically protecting an estimated $1,000,000,000 in assets in conjunction with appropriate legal counsel.

Please note that we are neither Attorneys nor Paralegals.

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