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We are almost 68 and my husband is very disabled. We have Medicare. If a nursing home is needed, I think our finances would require us to apply for Medicaid eventually. Now we own a condo but soon we will move to a retirement community where we will be renting, after a large entrance fee. And secondly, could we continue to live in that retirement community--and have the health aides come to our home.christine

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It varies from state to state, but in general it is often less expensive to provide in-home care than to place someone in a care center and many states have Medicaid programs that will cover such care. This is never 24 hour care, since at that level it becomes more cost-effective to use a care center. But if the couple can get along with some in-home help and the well spouse doing a lot of the caring, many states will cover that through Medicaid.

I suggest that you consult with an attorney specializing in Elder Law regarding qualifying for Medicaid and how your move will impact that. The lawyer will also be able to tell you exactly how your state handles in-home help. This is a big event in your life and it will effect you for many years. Get a professional to help you with it!
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Thank you for the quick answer. I like keeping my husband at home rather than me visiting him. It is taxing on me but I know he would get into a depression if he were living elsewhere. He thanks me daily and says lots of things to make me laugh and boost my spirits. We are young and this hit him at age 59. I prefer in home help, which is what I have now. I keep the help as minimal as possible since I am paying for all of this now.
But gradually (over 9 years) I have had to add extra help such as recently when I had a total shoulder replacement. And doing this house move "alone" has been very taxing for me. I am asking for (and getting) help with the move from some people that know us and keeping the expenses down. I moved from a large house to this condo when my husband got sick. But it is very difficult. We also have a grown daughter (not living with us) who has major problems to deal with. Thanks, chris
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Since I am considering a move from Connecticut to New York state to be nearer my family, I asked a medical social worker about this. She said I need to contact a medical social worker in New York State since each state sets up the program differently. She also said first contact the medical social worker--way cheaper than a lawyer! I thought that was great advice! And she said some paper work can be done with a notary for the signatures and a lawyer is not needed,.. I was so relieved not to have to involve a lawyer! I have lost money several times by paying for advice from lawyers. chris
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