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Quality Dementia Care Guide

Planning Ahead
Evaluating Ability
Legal Planning
Paying for Care
Tax Deductions and Credits


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Paying for care is another concern after an Alzheimer's diagnosis. To plan a long-term budget, list the costs you might face in the future. Possible expenses include:

  • treatment for dementia
  • treatment for other medical problems, such as high blood pressure
  • prescription drugs
  • personal care items
  • adult day care
  • in-home care
  • full-time residential care

In addition to planning a long-term budget, discuss how you will meet everyday financial responsibilities, such as:

  • paying bills
  • arranging for benefits
  • making investments
  • preparing tax returns

Payment sources

Many different sources can help pay for dementia care. These sources include insurance, retirement benefits, personal savings, government assistance and community support.

Insurance:

  • the government programs Medicare and Medigap
  • disability insurance from an employer-paid plan or personal policy
  • a group employee plan or retiree medical coverage
  • life insurance
  • long-term care insurance

Retirement benefits:

  • individual retirement accounts (IRAs)
  • employee-funded retirement plans, such as a 401(k), 403(b), and Keough

Personal savings and assets:

  • stocks
  • bonds
  • savings accounts
  • real estate
  • personal property, such as jewelry or artwork

Government assistance:

  • Social Security Disability Income (SSDI) for workers under age 65
  • Supplemental Security Income (SSI)
  • Medicaid
  • Veterans Benefits
  • tax deductions and credits such as the Household and Dependent Care Credit


  • To see if you may be eligible for a variety of governmental programs, check BenefitsCheckUp.

Community support:

  • respite care
  • support groups
  • transportation and meal delivery

Getting Medicaid
A government program called Medicaid offers health care aid to low-income people. Medicaid also covers most nursing home care. In some states, Medicaid helps pay for assisted living services.

Benefits: Each state decides how much Medicaid will pay for nursing facility care. These payments cover room, board, nursing care, and social activities.

Eligibility: Medicaid covers nursing home care for people who meet certain state requirements.

How to apply for Medicaid: For an application, contact your local Department of Welfare or Department of Health. Medicaid is based on financial need. So, you will be asked to supply information, including:

  • where you live
  • family members
  • how much money you make
  • property
  • belongings
  • savings
  • investments
  • medical expenses


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