In-Home Personal Attendant Care In San Marcos Instead of Nursing Home?

Nursing Home Bill Personal Attendant Near San MarcosOf all the good reasons to hire a company to provide in-home personal attendants in San Marcos instead of sending a loved one to live in a nursing home, the following story may illustrate one of the best reasons.

It’s no secret to anyone that nursing home care is expensive, but most of the time, if a senior’s adult children can not afford it Medicaid (called “Medi-Cal” here in California) foots the bill. But what happens if Medicaid coverage is not yet approved when the bill comes due?

Stuck in the Middle

An elderly parent in Pennsylvania recently spent some time in a nursing home, recovering from car accident injuries. She applied for Medicaid, since she could not afford to pay for the care herself, but by the time she left the facility the Medicaid approval had not come through yet. Instead of waiting for the approval, the nursing home decided to sue one of the lady’s adult sons for the full $93,000 bill.

Filial Responsibility Laws – Who Knew?  Nursing Homes, That’s Who!

The son argued in court that the nursing home should have waited for the Medicaid funding, sought a way to include other family members in the solution, or looked into other payment options.  However, the court decided in favor of the nursing home.

This decision leaves the son liable for the total $93,000 bill. Supporting the decision is a state law, shared by many other states, that charges family members with the ultimate responsibility for “indigent” parents—those that are too poor to pay for required care.

The basis for this finding is a provision in Pennsylvania state law called a “filial responsibility” statute.   Under such state statutes, the adult children of indigent adult parents are responsible for the cost of their parents’ care, regardless of other sources that the providers of that care could consider pursuing, including Medicaid funds.

California Also Has A Filial Responsibility Statute

California Family Code sec. 4400 states:

Except as otherwise provided by law, an adult child shall, to the extent of his or her ability, support a parent who is in need and unable to maintain himself or herself by work.

In-Home Personal Attendants In San Marcos May Help Avoid Trouble

Choosing to hire a personal attendant near San Marcos may be a way to avoid getting into trouble over similar high nursing home bills, in cases where the parent needs intermittent hourly visits instead of around the clock care.  In such cases, the cost for those visits will often be less than the cost of nursing home care.

Financial experts also strongly recommend that aging people purchase a long-term care insurance policy. These policies take the pressure off family members for paying for nursing home care and other services, like a personal attendant in San Marcos.

Finally: If you DO have to apply for Medicaid to cover high costs, do so as quickly as possible, making sure to follow all requirements so that there are no delays later.

Tim Colling
Tim Colling

Tim Colling is the founder and President of A Servant's Heart In-Home Care, which provided in-home caregiving services in San Diego County, and also of A Servant's Heart Geriatric Care Management, which provided
professional geriatric care management services and long term care placement services in San Diego County. Tim has more than 30 years of experience in management in a variety of industries. He held a Certified Care Manager credential from the National Academy of Certified Care Managers. Tim is also a Certified Public Accountant (retired), and received his Bachelor’s Degree in Accounting from California State University at San Diego. In addition to writing blog posts here for the Servant’s Heart blog, Tim also is a regular contributor to and to as well as blogs of other eldercare services provider companies. Finally, Tim is also the president of A Servant's Heart Web Design and Marketing, which provides home care marketing as well as website design and online marketing for those who serve the elderly and their families.

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