9 Programs. One Call. Nobody Ever Tells You. — Transcript
Full transcript
- 0:00Your state has already set aside this
- 0:01money. It is sitting in an account with
- 0:03a program name on it this month,
- 0:05appropriated, budgeted, waiting. And not
- 0:08one item on that list gets mailed to
- 0:10anybody. Every single one waits for a
- 0:13person to ask for it by name. Which
- 0:15means the deciding factor is not your
- 0:17income and it is not your need. It is
- 0:19whether you know the words. Let me prove
- 0:22that with the thing that actually
- 0:23happens on the phone because this is the
- 0:25part nobody explains. Call your county
- 0:27and say, "I need some help." and you
- 0:29will get whatever the person on the
- 0:31other end happens to think of first.
- 0:33They are not withholding anything. They
- 0:35are answering a vague question with
- 0:36whatever comes to mind. Call the same
- 0:39office, same person, same afternoon, and
- 0:42read them nine program names off a piece
- 0:44of paper and they will check each one
- 0:46against your file and tell you yes or no
- 0:48on every single item. Identical call,
- 0:51completely different outcome. And the
- 0:54difference between remembering four of
- 0:55them and reading all nine is measured in
- 0:58hundreds of dollars a month. So this
- 1:00entire video is that list. Get a pen
- 1:02because at the end you are going to read
- 1:04these out loud to somebody. And I am
- 1:06giving you the phone number now rather
- 1:08than holding it to the end because I
- 1:10would rather you had it than watched
- 1:11politely to get it. Every county in the
- 1:14United States is covered by something
- 1:16called an area agency on aging. There
- 1:19are hundreds of them. They exist under
- 1:20federal law and their entire function is
- 1:23to be the front door to everything I am
- 1:25about to describe. You do not have to
- 1:27know which program you want. That is the
- 1:29whole point of them. You describe your
- 1:31situation and they tell you what your
- 1:33county and your state actually have. The
- 1:35national line that routes you to yours
- 1:37is called the elder care locator.
- 1:40800677116.
- 1:43One call, not one call per program.
- 1:46Write that down now. And before the
- 1:48list, let me take away the two things
- 1:49that stop people from ever dialing it.
- 1:52The first is the word that comes to mind
- 1:54when somebody hears state program. And
- 1:56for a lot of people, that word is
- 1:58welfare. And they have paid their own
- 1:59way for 60 years, and they tune out
- 2:01immediately. I understand that
- 2:03completely. But several items on this
- 2:05list have no income test whatsoever. Not
- 2:08one. and the ones that do have limits
- 2:10set considerably higher than people
- 2:11assume because they are usually tied to
- 2:14a percentage of a federal figure rather
- 2:16than to a number that sounds poor. The
- 2:18second is the assumption that if you
- 2:20qualified for something somebody would
- 2:22have told you by now that is the
- 2:24expensive one and I want to take it off
- 2:25you directly. Nobody is assigned to tell
- 2:28you. There is no agency whose job it is
- 2:30to call. The system does not look
- 2:32outward at all. It processes what
- 2:34arrives and it waits. I am not a lawyer
- 2:36and I am not your financial adviser and
- 2:38the rules on this vary by state more
- 2:40than almost any subject I cover. I am
- 2:43giving you the categories that exist
- 2:44everywhere and the door that leads to
- 2:46your own state's version. My name is
- 2:48Kevin. I read the rules so you do not
- 2:51have to. If that is useful, subscribe.
- 2:54Now the list nine names and I am leading
- 2:57with the one that does the opposite of
- 2:59what anybody expects from a government
- 3:00program. The first one pays people 55
- 3:03and older to work. It is called the
- 3:06Senior Community Service Employment
- 3:08Program. Federal money administered
- 3:10through your state, placing people 55
- 3:12and up in part-time positions at
- 3:14libraries, senior centers, food banks,
- 3:17and public agencies. You are paid at
- 3:20least the local minimum wage for those
- 3:22hours, typically around 20 hours a week.
- 3:25There is an age floor of 55 and no
- 3:27ceiling at all. And the design of it
- 3:29matters. It is not charity work and it
- 3:31is not volunteering. It is built to fill
- 3:33a gap on a resume and move somebody into
- 3:36ordinary employment at the end of it.
- 3:38Now write down two words because this is
- 3:40the part that makes the phone call work.
- 3:43Title five. That is the section of the
- 3:45law it comes from and a number of states
- 3:47run it under their own local name
- 3:48instead. So if the program name draws a
- 3:51blank on the phone, say title five
- 3:52instead and it will land. And I want to
- 3:55be clear about who this is genuinely for
- 3:57because most people watching this are
- 3:59long retired and will skip it. It is for
- 4:01the person who retired earlier than they
- 4:03planned and needs some income. It is for
- 4:05somebody whose spouse died and who
- 4:07suddenly needs both money and a reason
- 4:09to leave the house. And it is for the
- 4:11person watching this on behalf of a
- 4:12brother or a neighbor who is 57 out of
- 4:15work and being told repeatedly that they
- 4:17are too old to be hired. That last
- 4:19situation is common and it is brutal and
- 4:21this program exists precisely for it.
- 4:24The second one is the largest number in
- 4:26this entire video for a household in the
- 4:28middle of it and almost nobody knows the
- 4:30category exists. Your state can pay a
- 4:33family member to be the caregiver. Every
- 4:36state runs its Medicaid program with
- 4:37something called home and community
- 4:39based services. And the arithmetic
- 4:41behind it is simple and the state worked
- 4:43it out a long time ago. A nursing home
- 4:46costs the state an enormous amount every
- 4:48month. Keeping somebody at home costs a
- 4:50fraction of that. So, the state would
- 4:52rather pay for care at home. And in a
- 4:54great many states, the person paid to
- 4:56provide that care can be an adult child.
- 4:59In some states, it can be a spouse. I
- 5:01want to be honest that the rules vary
- 5:03enormously here, more than anything else
- 5:04on this list, but the category exists in
- 5:07every single state. sit with what that
- 5:09means for a household where a daughter
- 5:11dropped a part-time or left a job
- 5:13entirely to look after a parent. That is
- 5:16happening in millions of homes in this
- 5:18country right now unpaid. And in a large
- 5:21number of those homes, there is a
- 5:23program that would pay for some of those
- 5:24hours. Here is what is actually
- 5:26involved. So, nobody goes in expecting
- 5:28it to be simple. There is an assessment
- 5:30of the parents care needs, which is
- 5:32about what help they genuinely require.
- 5:35There is an income and asset test. And
- 5:37here is the important part. It is
- 5:39applied to the parent rather than to the
- 5:41child. The adult child's own income is
- 5:44generally irrelevant to whether the
- 5:45parent qualifies. And in many states,
- 5:47there is a waiting list, sometimes a
- 5:49long one, which is exactly why the phone
- 5:51call matters more than anything else
- 5:53about it. Getting on to a list early is
- 5:56the single most important action in this
- 5:58entire category because the list does
- 6:00not care when you started needing help.
- 6:02It cares when you applied. Let me tell
- 6:04you about a woman I will call Ardell. 68
- 6:07and she rented the same secondf flooror
- 6:09apartment for 19 years. Her heating bill
- 6:11one January was $310 and she left the
- 6:14envelope unopened on the table for 2
- 6:16days because she already knew roughly
- 6:18what was inside it. She had heard
- 6:20somewhere that there was help with
- 6:21heating bills. She called the number on
- 6:23a flyer, was told she needed a different
- 6:25office, called that one, got a
- 6:27recording, and gave up. She told her
- 6:30sister she had called and they did not
- 6:31have anything for her. What she had
- 6:33actually done was call about one
- 6:35program. Three years later, her sister
- 6:37called the elder care locator on her
- 6:39behalf, four or five questions, and the
- 6:42person came back with three things. The
- 6:44heating program, which she had qualified
- 6:46for the entire time, her state's renter
- 6:49rebate, which she had never heard of and
- 6:52had been eligible for since the day she
- 6:54turned 65, and a note that her building
- 6:57might qualify for weatherization.
- 7:00None of the three years in between came
- 7:01back. Not a dollar. These programs pay
- 7:04forward from the date of approval and
- 7:06not one day earlier. That is the reason
- 7:09I put together the quiet rules. It is at
- 7:12kevinexplains.shop.
- 7:14There is a code on the screen now. So,
- 7:16hold your phone up to it or use the link
- 7:18pinned at the top of the comments or the
- 7:20one in the description below. It has
- 7:22this entire list in it in print in large
- 7:25type with the exact words to say on the
- 7:28call and what each program is called in
- 7:30different states. You have seven days
- 7:32with it. If it does not change something
- 7:34about what you do this week, send it
- 7:36back and we are done. Ardell was not
- 7:38lazy and she was not uninformed. She did
- 7:41the thing almost everybody does, which
- 7:43is call one office about one problem,
- 7:45get told no, and conclude that no was
- 7:48the answer for all of it. That is what
- 7:50this system punishes, not ineligibility,
- 7:53delay. And there are two things sitting
- 7:56underneath that second program that
- 7:57nobody covers. And both are worth more
- 7:59than most items on this list. The first
- 8:02is for married couples, and it is the
- 8:04reason a great many people wrongly
- 8:05believe they could never qualify for
- 8:07care at home. When one spouse needs
- 8:10long-term care and the other does not,
- 8:12there are rules that exist specifically
- 8:14so the healthy spouse is not left with
- 8:16nothing. They are sometimes called the
- 8:18spousal impoverishment provisions and
- 8:21that name tells you exactly what they
- 8:22were written to prevent. Under them, the
- 8:24spouse who remains at home is allowed to
- 8:26keep a substantial share of the couple's
- 8:28assets and there is a floor and a
- 8:30ceiling on that amount that adjusts
- 8:31every year. The house is generally
- 8:33protected entirely while that spouse
- 8:35lives in it. And the atome spouse is
- 8:37allowed to keep a minimum monthly
- 8:39income, which in some cases means income
- 8:41is actually shifted from the spouse
- 8:43receiving care to the one at home. So
- 8:45the picture people have in their heads
- 8:47where a couple has to be reduced to
- 8:49nothing before any help arrives is not
- 8:51how it works when one spouse is still at
- 8:53home. And that misunderstanding stops
- 8:56people from applying for years. The
- 8:58second is a program that exists in most
- 9:00states and that hardly anybody has heard
- 9:02of. And for the right person, it is the
- 9:04best arrangement available anywhere. It
- 9:07is called PACE, the program of
- 9:09all-inclusive care for the elderly. It
- 9:12is for people 55 and older who need a
- 9:14nursing home level of care but want to
- 9:16stay at home. What it does is unusual.
- 9:19It combines everything into one
- 9:21organization. Your doctors, your
- 9:23specialists, your prescriptions, your
- 9:25therapy, transportation, day services,
- 9:28home care, all coordinated by one team
- 9:31that is responsible for the whole
- 9:32picture rather than billing separately
- 9:34for pieces of it. It is available in
- 9:37roughly 30 states. For somebody on both
- 9:40Medicare and Medicaid, it typically
- 9:42costs nothing at all. And for somebody
- 9:44on Medicare only, there is a monthly
- 9:46premium. The reason it matters is that
- 9:49it is the one arrangement in this entire
- 9:52landscape where somebody is actually
- 9:54responsible for coordinating everything
- 9:56rather than a family member being handed
- 9:58a list of phone numbers. Ask whether
- 10:00there is a PACE program in your county.
- 10:03In a great many places there is and
- 10:05almost nobody applies. And one more
- 10:07piece of that category that people never
- 10:09ask about because they assume the answer
- 10:11is obvious and it is not. If somebody is
- 10:14already in a nursing home paid for by
- 10:16Medicaid, that is not necessarily
- 10:18permanent. There is a federal initiative
- 10:20built specifically to move people out of
- 10:22facilities and back into the community
- 10:24with the funding following the person
- 10:26rather than staying attached to the
- 10:28building. It pays for the transition
- 10:30itself, setting up a home, a deposit,
- 10:33the equipment somebody needs to live
- 10:34independently again, and the services
- 10:36once they are back. Which means a family
- 10:39who was told 2 years ago that a parent
- 10:41needed a facility and has assumed ever
- 10:43since that the decision was final may
- 10:45have a route back that nobody mentioned
- 10:47because nobody at the facility has any
- 10:49reason to mention it. Ask about it by
- 10:51name if that describes your household.
- 10:54Money following the person out is a very
- 10:56different conversation from money
- 10:57following them in. The third one is
- 10:59prescriptions, and this one is
- 11:01geographic in a way that is genuinely
- 11:03unfair. Roughly 20 states run their own
- 11:05pharmaceutical assistance program. These
- 11:08sit on top of Medicare drug coverage and
- 11:10help with premiums, deductibles, or the
- 11:12cost of the medication itself. Some of
- 11:14them are substantial. If you live in one
- 11:16of those states and you are paying out
- 11:18of pocket for medication, you may be
- 11:20paying for something your state was
- 11:21already prepared to cover. And if you
- 11:23live in a state that does not run one,
- 11:25you need to know that, too. So, you stop
- 11:27looking for it and put your attention on
- 11:29the federal program instead, which
- 11:31reduces what you pay for drug coverage
- 11:33and is worth asking about in the same
- 11:35call. Now, two additional routes on
- 11:37medication that almost nobody uses, and
- 11:40both matter if your state has nothing.
- 11:41Most drug manufacturers run assistance
- 11:44programs that provide medication at no
- 11:46cost or heavily reduced cost to people
- 11:48below certain income levels. They are
- 11:50longestablished. They are real and they
- 11:53are underused because you have to find
- 11:54them and apply usually with your
- 11:56doctor's office helping. And if you
- 11:58receive care at a community health
- 12:00center, ask about their pharmacy
- 12:01specifically because those centers
- 12:03frequently access drug pricing
- 12:05dramatically below retail. The fourth
- 12:08one is your utility bill. And there are
- 12:10three completely separate things here
- 12:11that people collapse into one. And the
- 12:13second of the three is worth the most.
- 12:16The first is the program that helps pay
- 12:18heating and cooling bills directly.
- 12:20Depending on your state, it commonly
- 12:21runs somewhere between a few hundred
- 12:23dollar and 1,500 a year. And many states
- 12:26also have a crisis component for an
- 12:28emergency. A furnace failing in February
- 12:30or a dangerous heat wave. The critical
- 12:32thing about that one is timing. It is
- 12:34funded as a block. And in a number of
- 12:36states, the money for the season
- 12:37genuinely runs out. Apply early rather
- 12:40than when the bill arrives. The second
- 12:42is separate, much larger, and hardly
- 12:44anybody knows it exists. It does not pay
- 12:47your bill. It fixes the reason the bill
- 12:49is high. It sends people to your house
- 12:51to insulate the attic, seal the places
- 12:54air is escaping, and repair or replace
- 12:56an unsafe or failing heating system with
- 12:59a safety inspection of your appliances.
- 13:01It is done at no cost to an eligible
- 13:03household. And the value of the work on
- 13:05a single home commonly runs into
- 13:07thousands of dollars. Think about the
- 13:10difference between those two. One pays
- 13:12this winter's bill. The other lowers
- 13:14every winter's bill for as long as you
- 13:16live in that house. and approval for the
- 13:18first frequently makes you automatically
- 13:20eligible for the second, which is that
- 13:22unlocking pattern you will see again and
- 13:24again on this list. The third is your
- 13:26own utility company, and it is the
- 13:28easiest phone call in this video. Most
- 13:31gas and electric companies run their own
- 13:32discounted rate for older or lower
- 13:34income customers, and they do not
- 13:36advertise it. One question while you
- 13:38have them on the phone, do you have a
- 13:40senior or low-income discount program,
- 13:42and am I on it? The fifth one is for
- 13:45renters. And I want to say that clearly
- 13:47because almost every video about
- 13:49benefits for older people talks
- 13:51exclusively to homeowners. Several
- 13:53states run a rebate for renters.
- 13:55Pennsylvania has run one for decades.
- 13:58Others have their own version, sometimes
- 14:00called a renter credit, sometimes
- 14:02bundled into a property tax and rent
- 14:04rebate. The logic behind it is that your
- 14:06landlord's property tax is built into
- 14:08your rent, so the state rebates a share
- 14:10of it back to you directly. It is
- 14:12usually claimed on a state form once a
- 14:14year, which means two things. It is
- 14:16genuinely easy to claim and it is the
- 14:19single most commonly missed item for
- 14:21renters because it lives with tax forms
- 14:24rather than with benefit offices and
- 14:26nobody connects the two. And there is a
- 14:28detail about it that cost Ardell 3
- 14:30years. Those rebates are claimed for a
- 14:33specific year and the years you never
- 14:34filed for close on their own schedule
- 14:37and are finished. Some states allow you
- 14:39to go back a year or two. most do not.
- 14:42So the question for your state is not
- 14:43only whether one exists but whether you
- 14:46can still claim a prior year and that is
- 14:48worth asking in the same call. The sixth
- 14:51is food and I am going to be direct
- 14:53about why this one goes unclaimed
- 14:55because it is not eligibility. The share
- 14:58of eligible older adults who actually
- 14:59receive food assistance is far lower
- 15:02than for any other age group in the
- 15:04country and the reason is that people
- 15:06who worked their whole lives will not
- 15:07apply. I am not going to tell anybody
- 15:09how to feel about that. I will give you
- 15:11two facts. The first is that for a
- 15:13household with somebody 60 or older, the
- 15:15rules are different and considerably
- 15:17more generous than most people know.
- 15:19Medical costs above a small monthly
- 15:21threshold come off your income before
- 15:23eligibility is calculated, which pulls
- 15:25in a great many people who assume their
- 15:27income is too high. That includes your
- 15:29Medicare premiums, your supplemental
- 15:31premium, co-ayments, prescriptions,
- 15:34dental work, and transport to
- 15:36appointments. And in most states, there
- 15:38is no asset limit at all for these
- 15:39households, which removes the other
- 15:41thing people disqualify themselves over.
- 15:43The second fact is that a great many
- 15:45states run a separate seasonal program
- 15:47issuing coupons for fresh produce at
- 15:49local farmers markets with a simple
- 15:52application and a low bar. It is small,
- 15:55it is genuinely pleasant, and it is
- 15:57almost entirely unclaimed. And there is
- 15:59one more thing about that food program
- 16:01that is worth 30 seconds because it
- 16:03removes the last objection. A great many
- 16:06people picture standing at a checkout
- 16:08with something that marks them out. That
- 16:10is not how it works anymore and has not
- 16:12been for years. It arrives as an
- 16:14ordinary card that works exactly like a
- 16:17bank card at the till. And nobody in the
- 16:19queue behind you knows the difference
- 16:20between yours and theirs. I mention it
- 16:23because that specific worry, not the
- 16:25paperwork and not the eligibility, is
- 16:28what actually stops people in this age
- 16:30group from applying. The dignity concern
- 16:32is real and it is also out of date. The
- 16:35seventh is transportation and this is
- 16:37the one people are most embarrassed to
- 16:39ask about. Every area agency on aging in
- 16:42the country funds transportation and it
- 16:44is one of the most heavily used services
- 16:46they have. Rides to medical appointments
- 16:49to the pharmacy to the grocery store to
- 16:51dialysis. Some of it is a scheduled van,
- 16:54some of it is a volunteer driver. Some
- 16:56of it is a voucher for a taxi or a ride
- 16:59service. And there is usually no income
- 17:01test on it at all. The qualification is
- 17:03age. I am spending time on it because
- 17:06giving up driving is one of the hardest
- 17:08things that happens to a person and the
- 17:10fear underneath it is almost never about
- 17:11the car. It is about becoming a burden
- 17:14about having to ask a son or a daughter
- 17:16for permission to go to every single
- 17:18errand. A scheduled ride to the doctor
- 17:20that does not require asking anybody for
- 17:22a favor is worth considerably more than
- 17:24its dollar value and it is sitting
- 17:26unused in most counties in this country.
- 17:29The eighth is meals and there are two
- 17:31different programs here that people
- 17:32constantly confuse. The first is home
- 17:35delivered meals which most people know
- 17:36by the name of the best known
- 17:38organization doing it. That one is for
- 17:40somebody who has genuine difficulty
- 17:42leaving home. The second is completely
- 17:44different and it is served at a senior
- 17:46center or a community site and in most
- 17:48places it is not means tested at all.
- 17:51You turn up, you eat with other people,
- 17:52there is usually a suggested donation
- 17:54and nobody is turned away for not making
- 17:56it. And I am going to say something
- 17:58about that second one that is not about
- 18:00money at all. Isolation is not a soft
- 18:03problem for somebody living alone. A
- 18:05reason to leave the house at a set time
- 18:07on a set day where somebody notices if
- 18:09you do not turn up does more for how the
- 18:12next 5 years go than most items on this
- 18:14list. That last part is the one nobody
- 18:16says out loud. Somebody notices if you
- 18:18do not turn up. For a person living
- 18:20alone, that is not a meal program. That
- 18:23is a safety net with lunch attached. Let
- 18:25me tell you about a woman I will call
- 18:27Mavis because she is the reason the
- 18:28ninth item is on this list at all. 54
- 18:31and her mother moved in with her after a
- 18:32fall. Mavis went from full-time to three
- 18:35days a week and then to two and the
- 18:37arithmetic of her own retirement quietly
- 18:39fell apart over about 18 months. Her
- 18:42mother's income was modestly too high
- 18:44for Medicaid. So when Mavis asked about
- 18:46help, she was told her mother did not
- 18:48qualify. And that was the end of the
- 18:50conversation as far as she understood
- 18:52it. There was an entirely separate
- 18:54federal program available to her the
- 18:56whole time with no income test on it at
- 18:58all that funds somebody coming to sit
- 19:00with her mother so she can leave the
- 19:02house. She had never heard the name of
- 19:04it. Everything in this video is written
- 19:06out in the quiet rules in the order you
- 19:08would actually use it with the names of
- 19:10the programs as they are called in
- 19:12different states. Scan the code on the
- 19:14screen or go to kevinexplains.shop
- 19:17or use the link at the top of the pinned
- 19:19comment. 7 days to look it over and if
- 19:21it does not earn its place, send it
- 19:23back.
- 19:24Mavis was told no about the wrong
- 19:26program and accepted it as a no about
- 19:28all of them, which is exactly the
- 19:30pattern that keeps this money sitting
- 19:31where it is. So, the ninth item is for
- 19:33the family member rather than the older
- 19:35person, and it is the one that catches
- 19:37households in exactly Mavis's position.
- 19:40Separate from Medicaid entirely, there
- 19:42is a federal program called the National
- 19:44Family Caregiver Support Program. And
- 19:46the important thing about it is what it
- 19:48does not have. It does not have
- 19:50Medicaid's income and asset tests. What
- 19:53it funds is respit care, meaning
- 19:55somebody comes and stays with your
- 19:57parents so you can leave, plus training
- 19:59and support for the caregiver
- 20:00themselves. So if you are the daughter
- 20:02doing everything and your mother's
- 20:04income is too high for Medicaid, this is
- 20:06the one that is still open to you.
- 20:08Almost nobody knows it is a separate
- 20:10program with separate rules and it is
- 20:12administered through the same area
- 20:14agency on aging as everything else on
- 20:16this list. And there are two more things
- 20:18in the same family worth naming on the
- 20:20same call. Adult day services which is a
- 20:23supervised program during the day at a
- 20:25center giving a working family member
- 20:27their working hours back. It is
- 20:29frequently funded partly through these
- 20:31same channels. And if your parent is a
- 20:33veteran, there is a version of the paid
- 20:35family caregiver arrangement that runs
- 20:37through the veteran system rather than
- 20:39Medicaid with its own rules and its own
- 20:41eligibility.
- 20:43Different door, same idea, and worth
- 20:45asking about specifically if service is
- 20:48anywhere in the household's history.
- 20:49Now, three things to ask for on that
- 20:51same call that are not programs at all.
- 20:54They are people, and every one of them
- 20:56is free. The first is your state health
- 20:58insurance assistance program. free
- 21:00trained one-to-one help with Medicare
- 21:02from somebody who does not sell
- 21:04insurance. If you have ever sat in front
- 21:06of a stack of Medicare post not knowing
- 21:08which envelope mattered, that is
- 21:10precisely who this exists for. And the
- 21:12crucial thing about them is that they
- 21:14earn nothing based on what you choose.
- 21:16The second is free legal help. Under the
- 21:19same federal law that created the area
- 21:21agencies on aging, every state funds
- 21:23legal assistance for people 60 and older
- 21:26specifically for things like benefit
- 21:27denials, landlord disputes, and consumer
- 21:30problems. Not a discount, free. And that
- 21:34one matters enormously given what I am
- 21:36about to tell you about denials. The
- 21:38third is the long-term care ombbudsman.
- 21:40And it applies if anybody in your family
- 21:42is in a facility of any kind. Every
- 21:44state has one. They are an independent
- 21:47advocate whose entire job is to
- 21:49investigate complaints and resolve
- 21:50problems on behalf of residents and they
- 21:53do not work for the facility. Most
- 21:55families with a parent in a nursing home
- 21:56have never heard the word. And one more
- 21:59that is not on the main list because it
- 22:00is a longer road, but it belongs here.
- 22:03There is a federal housing program built
- 22:05specifically for older people with
- 22:06limited income where rent is set as a
- 22:09share of your income rather than at
- 22:11market rate. And the buildings
- 22:12frequently have a service coordinator on
- 22:14site who connects residents to
- 22:16everything else on this list. Waiting
- 22:17lists for it are long and in some places
- 22:19they are closed entirely, which is
- 22:22exactly why it belongs in a video like
- 22:24this rather than a video you watch when
- 22:26you need it. Because the only way
- 22:27anybody ever gets one of those
- 22:29apartments is being on a list years
- 22:31early. Now, let me deal honestly with
- 22:33what these programs are not. Because a
- 22:35list where everything works is a list
- 22:38you should not trust. Waiting lists are
- 22:40real. Home and community based services
- 22:43in particular can have long ones in some
- 22:45states. And the honest answer is that
- 22:47getting on the list early matters more
- 22:49than anything else about that category.
- 22:51Income limits are real and several items
- 22:53here will not apply to you. If you have
- 22:56a solid pension and real savings, some
- 22:58of this is not yours and I would rather
- 23:00you know that in 10 minutes than after
- 23:0210 phone calls. Rules vary by state more
- 23:04than in almost any subject I cover. I
- 23:07have given you the categories that exist
- 23:08everywhere and the door that leads to
- 23:10your own state's version because handing
- 23:12you 50 states of specifics would be
- 23:14useless to 49 of you. And a first denial
- 23:18is common. Agencies deny first
- 23:20applications at a high rate. And most of
- 23:22the time it is not because somebody did
- 23:24not qualify. It is a missing document, a
- 23:26box completed differently than a clerk
- 23:28expected, or a deadline read off a
- 23:30different calendar. So here is the
- 23:32single most useful sentence in this
- 23:34section. Ask in writing for the denial
- 23:36to state the specific reason. That one
- 23:39page tells you exactly what to fix and
- 23:41it turns a no into a task. And every
- 23:45program here has a formal appeal path,
- 23:47usually with a short window of around 30
- 23:49days from the date of the notice, which
- 23:51means a denial sitting in a drawer for 6
- 23:53weeks has quietly become permanent. The
- 23:56people who end up receiving these
- 23:57benefits are not luckier and they are
- 23:59not more deserving. They are the ones
- 24:01who came back after the first no inside
- 24:04the window. One more thing before your
- 24:06call and it is about your own house
- 24:08rather than your state's list. If you
- 24:10own your home, there is a separate set
- 24:11of filings that reduce your property tax
- 24:14and they run on a completely different
- 24:15track through your county rather than
- 24:17through any of this. a homestead
- 24:19exemption, a senior exemption where in
- 24:21more than half the states age is the
- 24:23only qualification, and in some places
- 24:26an assessment freeze that locks your
- 24:28taxable value the year you turn 65.
- 24:31Those are a call to your county
- 24:32assessor, and the number is printed on
- 24:35your tax bill. I have covered them
- 24:37properly in their own video because they
- 24:39deserve more room than I can give them
- 24:40here. Now, your call, and this is the
- 24:43part to write down if you have written
- 24:44nothing else. 800677116.
- 24:48The Elder Care Locator. Open with this.
- 24:51I am in my 60s or 70s. I live in this
- 24:54county. I live on roughly this much a
- 24:56month and I own or I rent. I would like
- 24:58you to screen me for the following. And
- 25:00I'm going to read you a list. Then read
- 25:02them these by name. The Senior Community
- 25:05Service Employment Program or Title 5,
- 25:07Medicaid Home and Community Based
- 25:09Services. And specifically whether a
- 25:11family member can be paid as the
- 25:12caregiver. my state's pharmaceutical
- 25:14assistance program and the federal
- 25:16subsidy through social security, the
- 25:18heating and cooling assistance program
- 25:20and separately the weatherization
- 25:21program. My state's renter rebate or
- 25:24renter credit if I rent and whether I
- 25:26can still claim a prior year, food
- 25:28assistance under the rules for
- 25:29households with somebody 60 or older,
- 25:31transportation and homed delivered or
- 25:34congregate meals. the national family
- 25:36caregiver support program and whether it
- 25:38covers respbit and whether there is a
- 25:40PACE program in this county.
- 25:43Then the three that are people rather
- 25:45than programs. My state health insurance
- 25:48assistance office for Medicare help free
- 25:50legal assistance for people 60 and older
- 25:53and the long-term care ombbudsman if
- 25:55anybody in the family is in a facility.
- 25:58And one more sentence to add at the end
- 25:59of that call because it costs nothing
- 26:01and it is the one that catches whatever
- 26:03I have left out. Ask them this. Is there
- 26:06anything else in this county or this
- 26:08state that somebody in my situation
- 26:10commonly qualifies for that I have not
- 26:12asked about? That question exists
- 26:15because no list, including mine, can
- 26:17cover 50 states. Some counties run
- 26:20things that exist nowhere else. A local
- 26:22property tax deferral, a county
- 26:24prescription card, a hardware grant for
- 26:27grab bars and ramps, a discount program
- 26:29run by the water authority. The person
- 26:31on the phone knows their own county.
- 26:34That one open question at the end is how
- 26:37you get the things I could never have
- 26:38told you about. And if you have a
- 26:40question about your own situation after
- 26:42all this, write to me at
- 26:44[email protected].
- 26:47I read everyone that comes in. And when
- 26:49you are finished, write down the name of
- 26:50the person you spoke with and the date.
- 26:53Not because you expect trouble, because
- 26:55if you ever have to go back, that one
- 26:57line on a piece of paper is worth more
- 26:59than an hour of explaining. One call,
- 27:02nine names, three people, and one line
- 27:05of writing. My honest read. Everything
- 27:08in this video has the same shape. And
- 27:10once you see it, you cannot unsee it.
- 27:13The money is already appropriated. Your
- 27:15state already agreed to spend it. The
- 27:17programs are staffed, the budgets are
- 27:19set, and the offices are open. And there
- 27:21is nobody whose job it is to tell you
- 27:24because the entire system was designed
- 27:25to respond rather than to reach. which
- 27:28means it reaches whoever happens to have
- 27:30somebody in their life who knows the
- 27:32words. A sister who makes the call, a
- 27:35neighbor's daughter who works in a
- 27:37facility and recognizes the situation.
- 27:39Somebody at a coffee morning. So it
- 27:41reliably reaches the connected and
- 27:43reliably misses the isolated. And the
- 27:45isolated are precisely who it was
- 27:47written for. That is not a conspiracy
- 27:49and nobody designed it that way. It is
- 27:52just where it lands. Last thought.
- 27:55Ardell sat at a table with an unopened
- 27:57envelope for two days, three winters in
- 27:59a row, while money with her name's
- 28:01eligibility attached to it, sat in an
- 28:03account in her own state capital. The
- 28:06only thing that separated her from it
- 28:07was one phone number and nine words on a
- 28:10piece of paper. She has them now. So do
- 28:13you. So make the call this week, read
- 28:16the list, and write down who you spoke
- 28:18to. That is the entire assignment, and
- 28:21it is about 20 minutes of a Tuesday. I
- 28:23am Kevin. Thanks for watching. Do not
- 28:25forget to check the quiet rules at
- 28:27kevinexplains.shop.
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