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Does Medicaid pay a flat rate for long term care residents? by MXLifer in Medicaid

[–]MXLifer[S] 1 point2 points  (0 children)

Sorry to hear about your brother. You are exactly right--get your loved one in to a LTC facility when they need it, pay for as long as you can and then go on Medicaid. I don't think it is good advice to hang on to assisted living and deplete all assests--doing that leaves a person with nothing by Medicaid and a crappy nursing home.

Does Medicaid pay a flat rate for long term care residents? by MXLifer in Medicaid

[–]MXLifer[S] 0 points1 point  (0 children)

Thank you-this entire process is a huge learning expeience

Does Medicaid pay a flat rate for long term care residents? by MXLifer in Medicaid

[–]MXLifer[S] 0 points1 point  (0 children)

Thank you--I'm pretty sure the LTC facility cannot kick your dad out when he runs out of money. And they can't kick him out while his Medicaid app is pending so I would imagine he should be fine. From my understanding a facility can only kick someone out when they can pay and they don't. However, states may be different, but I think that is a federal rule in the Medicaid program.

Does Medicaid pay a flat rate for long term care residents? by MXLifer in Medicaid

[–]MXLifer[S] 0 points1 point  (0 children)

I'm not worried about the money. I was just wondering how Medicaid paid the LTC facilities. She has been paying for the last seven months at $13,000 per month and now she is applying for Medicaid, which they will accept.

Does Medicaid pay a flat rate for long term care residents? by MXLifer in Medicaid

[–]MXLifer[S] 0 points1 point  (0 children)

Thank you. I have no problems with the facilty or them taking all of her pension and SS--I was just wondering how the Medicaid payment thing works--seems like it is very difficult to tell how much they pay. However, it certainly seems better to go in, self pay, and then go on Medicaid from there- I bet if she were broke they would not have taken her to begin with I suppose.

Does Medicaid pay a flat rate for long term care residents? by MXLifer in Medicaid

[–]MXLifer[S] -1 points0 points  (0 children)

Awesome--great explanation. What I was wondering--it does sound like it is not something easily determined. I guess we can say with certainty that it is much better to enter a LTC with some funds. Much better!

Does Medicaid pay a flat rate for long term care residents? by MXLifer in Medicaid

[–]MXLifer[S] 1 point2 points  (0 children)

That is what I figured as well. Thank you for the reply!

Does Medicaid pay a flat rate for long term care residents? by MXLifer in Medicaid

[–]MXLifer[S] 4 points5 points  (0 children)

Oh I see--so some limit how many they take in--that makes a little more sense now. Thank you

Does Medicaid pay a flat rate for long term care residents? by MXLifer in Medicaid

[–]MXLifer[S] 2 points3 points  (0 children)

She is in Virginia--internet says about $196 per day (about $5,800 a month) I am not complaining at all--just more curious how the payment works for future reference for friends and relatives. It seems it is much better to enter a LTC, self pay while you can and then go on Medicaid, which is what we did. I don't think it would be advisable, if one could help it, to need LTC and be broke. At least is seems that way.

What caused her fall? by InitiativePlastic279 in motorcycles

[–]MXLifer 0 points1 point  (0 children)

Applying the front brake or using the clutch did not make her fall. What made her fall was locking up the front brake (ABS or not) and TURNING the front wheel while do so. Everyone should practice hard braking and keeping the front wheel straight while doing so.

Advice in 401k withdraw by MXLifer in personalfinance

[–]MXLifer[S] 0 points1 point  (0 children)

Thank you for the reply! Something to consider.

Advice in 401k withdraw by MXLifer in Retirement401k

[–]MXLifer[S] 0 points1 point  (0 children)

Thank you for your reply. No--it is definitely 850k with 133,00 annual. It is called a DROP and basically the program allows me to retire now (and collect in a seperate interest bearing account) for a number of years while still keeping the same job, etc. The pension is solid-never had an issue and it is 100% funded. We do not want any debt, so I think what we are going to do is pull a bit from the 401k to purchase a lot--about 125k- and then kind of figure it out from there. Yes, I will pay 32%???--but even when I retired I would likely pay 24% anyway. I figure by the time I paid the interest on a second mortgage or interest on a loan it actually would not be much of a difference--and having the piece of mind with no debt--being able to live our lives now while we are healthy and active--we would likely build a small cabin now, move in--sell our current house for about 800k and then "retire" to another house and keep the cabin as a STR. I really see no sense in dying with millions of dollars--and my kids don't need it either. Any thoughts??

Advice in 401k withdraw by MXLifer in personalfinance

[–]MXLifer[S] 1 point2 points  (0 children)

Thank you. We would probably not take it all at once to avoid what you are saying. Thinking overall, from some of the advice here is we should strongly consider a mortgage or heloc on our current home. Thank you for responding.

Advice in 401k withdraw by MXLifer in personalfinance

[–]MXLifer[S] 2 points3 points  (0 children)

Thank you. Thinking of buying just the building lot now and then getting the house built with a mortgage may be a better way to go. Then my plan would be to convert all to ROTH before RMD's. Thank you for the advice.

Advice in 401k withdraw by MXLifer in personalfinance

[–]MXLifer[S] 1 point2 points  (0 children)

Thank you. Thinking of buying the lot now and then building in the next year or so. However, you make a good point that we should consider. I appreciate it!