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9 Programs. One Call. Nobody Ever Tells You. — Transcript

by Kevin Explains · 5,553 words · 797 segments · language en · Watch on YouTube

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  1. 0:00Your state has already set aside this
  2. 0:01money. It is sitting in an account with
  3. 0:03a program name on it this month,
  4. 0:05appropriated, budgeted, waiting. And not
  5. 0:08one item on that list gets mailed to
  6. 0:10anybody. Every single one waits for a
  7. 0:13person to ask for it by name. Which
  8. 0:15means the deciding factor is not your
  9. 0:17income and it is not your need. It is
  10. 0:19whether you know the words. Let me prove
  11. 0:22that with the thing that actually
  12. 0:23happens on the phone because this is the
  13. 0:25part nobody explains. Call your county
  14. 0:27and say, "I need some help." and you
  15. 0:29will get whatever the person on the
  16. 0:31other end happens to think of first.
  17. 0:33They are not withholding anything. They
  18. 0:35are answering a vague question with
  19. 0:36whatever comes to mind. Call the same
  20. 0:39office, same person, same afternoon, and
  21. 0:42read them nine program names off a piece
  22. 0:44of paper and they will check each one
  23. 0:46against your file and tell you yes or no
  24. 0:48on every single item. Identical call,
  25. 0:51completely different outcome. And the
  26. 0:54difference between remembering four of
  27. 0:55them and reading all nine is measured in
  28. 0:58hundreds of dollars a month. So this
  29. 1:00entire video is that list. Get a pen
  30. 1:02because at the end you are going to read
  31. 1:04these out loud to somebody. And I am
  32. 1:06giving you the phone number now rather
  33. 1:08than holding it to the end because I
  34. 1:10would rather you had it than watched
  35. 1:11politely to get it. Every county in the
  36. 1:14United States is covered by something
  37. 1:16called an area agency on aging. There
  38. 1:19are hundreds of them. They exist under
  39. 1:20federal law and their entire function is
  40. 1:23to be the front door to everything I am
  41. 1:25about to describe. You do not have to
  42. 1:27know which program you want. That is the
  43. 1:29whole point of them. You describe your
  44. 1:31situation and they tell you what your
  45. 1:33county and your state actually have. The
  46. 1:35national line that routes you to yours
  47. 1:37is called the elder care locator.
  48. 1:40800677116.
  49. 1:43One call, not one call per program.
  50. 1:46Write that down now. And before the
  51. 1:48list, let me take away the two things
  52. 1:49that stop people from ever dialing it.
  53. 1:52The first is the word that comes to mind
  54. 1:54when somebody hears state program. And
  55. 1:56for a lot of people, that word is
  56. 1:58welfare. And they have paid their own
  57. 1:59way for 60 years, and they tune out
  58. 2:01immediately. I understand that
  59. 2:03completely. But several items on this
  60. 2:05list have no income test whatsoever. Not
  61. 2:08one. and the ones that do have limits
  62. 2:10set considerably higher than people
  63. 2:11assume because they are usually tied to
  64. 2:14a percentage of a federal figure rather
  65. 2:16than to a number that sounds poor. The
  66. 2:18second is the assumption that if you
  67. 2:20qualified for something somebody would
  68. 2:22have told you by now that is the
  69. 2:24expensive one and I want to take it off
  70. 2:25you directly. Nobody is assigned to tell
  71. 2:28you. There is no agency whose job it is
  72. 2:30to call. The system does not look
  73. 2:32outward at all. It processes what
  74. 2:34arrives and it waits. I am not a lawyer
  75. 2:36and I am not your financial adviser and
  76. 2:38the rules on this vary by state more
  77. 2:40than almost any subject I cover. I am
  78. 2:43giving you the categories that exist
  79. 2:44everywhere and the door that leads to
  80. 2:46your own state's version. My name is
  81. 2:48Kevin. I read the rules so you do not
  82. 2:51have to. If that is useful, subscribe.
  83. 2:54Now the list nine names and I am leading
  84. 2:57with the one that does the opposite of
  85. 2:59what anybody expects from a government
  86. 3:00program. The first one pays people 55
  87. 3:03and older to work. It is called the
  88. 3:06Senior Community Service Employment
  89. 3:08Program. Federal money administered
  90. 3:10through your state, placing people 55
  91. 3:12and up in part-time positions at
  92. 3:14libraries, senior centers, food banks,
  93. 3:17and public agencies. You are paid at
  94. 3:20least the local minimum wage for those
  95. 3:22hours, typically around 20 hours a week.
  96. 3:25There is an age floor of 55 and no
  97. 3:27ceiling at all. And the design of it
  98. 3:29matters. It is not charity work and it
  99. 3:31is not volunteering. It is built to fill
  100. 3:33a gap on a resume and move somebody into
  101. 3:36ordinary employment at the end of it.
  102. 3:38Now write down two words because this is
  103. 3:40the part that makes the phone call work.
  104. 3:43Title five. That is the section of the
  105. 3:45law it comes from and a number of states
  106. 3:47run it under their own local name
  107. 3:48instead. So if the program name draws a
  108. 3:51blank on the phone, say title five
  109. 3:52instead and it will land. And I want to
  110. 3:55be clear about who this is genuinely for
  111. 3:57because most people watching this are
  112. 3:59long retired and will skip it. It is for
  113. 4:01the person who retired earlier than they
  114. 4:03planned and needs some income. It is for
  115. 4:05somebody whose spouse died and who
  116. 4:07suddenly needs both money and a reason
  117. 4:09to leave the house. And it is for the
  118. 4:11person watching this on behalf of a
  119. 4:12brother or a neighbor who is 57 out of
  120. 4:15work and being told repeatedly that they
  121. 4:17are too old to be hired. That last
  122. 4:19situation is common and it is brutal and
  123. 4:21this program exists precisely for it.
  124. 4:24The second one is the largest number in
  125. 4:26this entire video for a household in the
  126. 4:28middle of it and almost nobody knows the
  127. 4:30category exists. Your state can pay a
  128. 4:33family member to be the caregiver. Every
  129. 4:36state runs its Medicaid program with
  130. 4:37something called home and community
  131. 4:39based services. And the arithmetic
  132. 4:41behind it is simple and the state worked
  133. 4:43it out a long time ago. A nursing home
  134. 4:46costs the state an enormous amount every
  135. 4:48month. Keeping somebody at home costs a
  136. 4:50fraction of that. So, the state would
  137. 4:52rather pay for care at home. And in a
  138. 4:54great many states, the person paid to
  139. 4:56provide that care can be an adult child.
  140. 4:59In some states, it can be a spouse. I
  141. 5:01want to be honest that the rules vary
  142. 5:03enormously here, more than anything else
  143. 5:04on this list, but the category exists in
  144. 5:07every single state. sit with what that
  145. 5:09means for a household where a daughter
  146. 5:11dropped a part-time or left a job
  147. 5:13entirely to look after a parent. That is
  148. 5:16happening in millions of homes in this
  149. 5:18country right now unpaid. And in a large
  150. 5:21number of those homes, there is a
  151. 5:23program that would pay for some of those
  152. 5:24hours. Here is what is actually
  153. 5:26involved. So, nobody goes in expecting
  154. 5:28it to be simple. There is an assessment
  155. 5:30of the parents care needs, which is
  156. 5:32about what help they genuinely require.
  157. 5:35There is an income and asset test. And
  158. 5:37here is the important part. It is
  159. 5:39applied to the parent rather than to the
  160. 5:41child. The adult child's own income is
  161. 5:44generally irrelevant to whether the
  162. 5:45parent qualifies. And in many states,
  163. 5:47there is a waiting list, sometimes a
  164. 5:49long one, which is exactly why the phone
  165. 5:51call matters more than anything else
  166. 5:53about it. Getting on to a list early is
  167. 5:56the single most important action in this
  168. 5:58entire category because the list does
  169. 6:00not care when you started needing help.
  170. 6:02It cares when you applied. Let me tell
  171. 6:04you about a woman I will call Ardell. 68
  172. 6:07and she rented the same secondf flooror
  173. 6:09apartment for 19 years. Her heating bill
  174. 6:11one January was $310 and she left the
  175. 6:14envelope unopened on the table for 2
  176. 6:16days because she already knew roughly
  177. 6:18what was inside it. She had heard
  178. 6:20somewhere that there was help with
  179. 6:21heating bills. She called the number on
  180. 6:23a flyer, was told she needed a different
  181. 6:25office, called that one, got a
  182. 6:27recording, and gave up. She told her
  183. 6:30sister she had called and they did not
  184. 6:31have anything for her. What she had
  185. 6:33actually done was call about one
  186. 6:35program. Three years later, her sister
  187. 6:37called the elder care locator on her
  188. 6:39behalf, four or five questions, and the
  189. 6:42person came back with three things. The
  190. 6:44heating program, which she had qualified
  191. 6:46for the entire time, her state's renter
  192. 6:49rebate, which she had never heard of and
  193. 6:52had been eligible for since the day she
  194. 6:54turned 65, and a note that her building
  195. 6:57might qualify for weatherization.
  196. 7:00None of the three years in between came
  197. 7:01back. Not a dollar. These programs pay
  198. 7:04forward from the date of approval and
  199. 7:06not one day earlier. That is the reason
  200. 7:09I put together the quiet rules. It is at
  201. 7:12kevinexplains.shop.
  202. 7:14There is a code on the screen now. So,
  203. 7:16hold your phone up to it or use the link
  204. 7:18pinned at the top of the comments or the
  205. 7:20one in the description below. It has
  206. 7:22this entire list in it in print in large
  207. 7:25type with the exact words to say on the
  208. 7:28call and what each program is called in
  209. 7:30different states. You have seven days
  210. 7:32with it. If it does not change something
  211. 7:34about what you do this week, send it
  212. 7:36back and we are done. Ardell was not
  213. 7:38lazy and she was not uninformed. She did
  214. 7:41the thing almost everybody does, which
  215. 7:43is call one office about one problem,
  216. 7:45get told no, and conclude that no was
  217. 7:48the answer for all of it. That is what
  218. 7:50this system punishes, not ineligibility,
  219. 7:53delay. And there are two things sitting
  220. 7:56underneath that second program that
  221. 7:57nobody covers. And both are worth more
  222. 7:59than most items on this list. The first
  223. 8:02is for married couples, and it is the
  224. 8:04reason a great many people wrongly
  225. 8:05believe they could never qualify for
  226. 8:07care at home. When one spouse needs
  227. 8:10long-term care and the other does not,
  228. 8:12there are rules that exist specifically
  229. 8:14so the healthy spouse is not left with
  230. 8:16nothing. They are sometimes called the
  231. 8:18spousal impoverishment provisions and
  232. 8:21that name tells you exactly what they
  233. 8:22were written to prevent. Under them, the
  234. 8:24spouse who remains at home is allowed to
  235. 8:26keep a substantial share of the couple's
  236. 8:28assets and there is a floor and a
  237. 8:30ceiling on that amount that adjusts
  238. 8:31every year. The house is generally
  239. 8:33protected entirely while that spouse
  240. 8:35lives in it. And the atome spouse is
  241. 8:37allowed to keep a minimum monthly
  242. 8:39income, which in some cases means income
  243. 8:41is actually shifted from the spouse
  244. 8:43receiving care to the one at home. So
  245. 8:45the picture people have in their heads
  246. 8:47where a couple has to be reduced to
  247. 8:49nothing before any help arrives is not
  248. 8:51how it works when one spouse is still at
  249. 8:53home. And that misunderstanding stops
  250. 8:56people from applying for years. The
  251. 8:58second is a program that exists in most
  252. 9:00states and that hardly anybody has heard
  253. 9:02of. And for the right person, it is the
  254. 9:04best arrangement available anywhere. It
  255. 9:07is called PACE, the program of
  256. 9:09all-inclusive care for the elderly. It
  257. 9:12is for people 55 and older who need a
  258. 9:14nursing home level of care but want to
  259. 9:16stay at home. What it does is unusual.
  260. 9:19It combines everything into one
  261. 9:21organization. Your doctors, your
  262. 9:23specialists, your prescriptions, your
  263. 9:25therapy, transportation, day services,
  264. 9:28home care, all coordinated by one team
  265. 9:31that is responsible for the whole
  266. 9:32picture rather than billing separately
  267. 9:34for pieces of it. It is available in
  268. 9:37roughly 30 states. For somebody on both
  269. 9:40Medicare and Medicaid, it typically
  270. 9:42costs nothing at all. And for somebody
  271. 9:44on Medicare only, there is a monthly
  272. 9:46premium. The reason it matters is that
  273. 9:49it is the one arrangement in this entire
  274. 9:52landscape where somebody is actually
  275. 9:54responsible for coordinating everything
  276. 9:56rather than a family member being handed
  277. 9:58a list of phone numbers. Ask whether
  278. 10:00there is a PACE program in your county.
  279. 10:03In a great many places there is and
  280. 10:05almost nobody applies. And one more
  281. 10:07piece of that category that people never
  282. 10:09ask about because they assume the answer
  283. 10:11is obvious and it is not. If somebody is
  284. 10:14already in a nursing home paid for by
  285. 10:16Medicaid, that is not necessarily
  286. 10:18permanent. There is a federal initiative
  287. 10:20built specifically to move people out of
  288. 10:22facilities and back into the community
  289. 10:24with the funding following the person
  290. 10:26rather than staying attached to the
  291. 10:28building. It pays for the transition
  292. 10:30itself, setting up a home, a deposit,
  293. 10:33the equipment somebody needs to live
  294. 10:34independently again, and the services
  295. 10:36once they are back. Which means a family
  296. 10:39who was told 2 years ago that a parent
  297. 10:41needed a facility and has assumed ever
  298. 10:43since that the decision was final may
  299. 10:45have a route back that nobody mentioned
  300. 10:47because nobody at the facility has any
  301. 10:49reason to mention it. Ask about it by
  302. 10:51name if that describes your household.
  303. 10:54Money following the person out is a very
  304. 10:56different conversation from money
  305. 10:57following them in. The third one is
  306. 10:59prescriptions, and this one is
  307. 11:01geographic in a way that is genuinely
  308. 11:03unfair. Roughly 20 states run their own
  309. 11:05pharmaceutical assistance program. These
  310. 11:08sit on top of Medicare drug coverage and
  311. 11:10help with premiums, deductibles, or the
  312. 11:12cost of the medication itself. Some of
  313. 11:14them are substantial. If you live in one
  314. 11:16of those states and you are paying out
  315. 11:18of pocket for medication, you may be
  316. 11:20paying for something your state was
  317. 11:21already prepared to cover. And if you
  318. 11:23live in a state that does not run one,
  319. 11:25you need to know that, too. So, you stop
  320. 11:27looking for it and put your attention on
  321. 11:29the federal program instead, which
  322. 11:31reduces what you pay for drug coverage
  323. 11:33and is worth asking about in the same
  324. 11:35call. Now, two additional routes on
  325. 11:37medication that almost nobody uses, and
  326. 11:40both matter if your state has nothing.
  327. 11:41Most drug manufacturers run assistance
  328. 11:44programs that provide medication at no
  329. 11:46cost or heavily reduced cost to people
  330. 11:48below certain income levels. They are
  331. 11:50longestablished. They are real and they
  332. 11:53are underused because you have to find
  333. 11:54them and apply usually with your
  334. 11:56doctor's office helping. And if you
  335. 11:58receive care at a community health
  336. 12:00center, ask about their pharmacy
  337. 12:01specifically because those centers
  338. 12:03frequently access drug pricing
  339. 12:05dramatically below retail. The fourth
  340. 12:08one is your utility bill. And there are
  341. 12:10three completely separate things here
  342. 12:11that people collapse into one. And the
  343. 12:13second of the three is worth the most.
  344. 12:16The first is the program that helps pay
  345. 12:18heating and cooling bills directly.
  346. 12:20Depending on your state, it commonly
  347. 12:21runs somewhere between a few hundred
  348. 12:23dollar and 1,500 a year. And many states
  349. 12:26also have a crisis component for an
  350. 12:28emergency. A furnace failing in February
  351. 12:30or a dangerous heat wave. The critical
  352. 12:32thing about that one is timing. It is
  353. 12:34funded as a block. And in a number of
  354. 12:36states, the money for the season
  355. 12:37genuinely runs out. Apply early rather
  356. 12:40than when the bill arrives. The second
  357. 12:42is separate, much larger, and hardly
  358. 12:44anybody knows it exists. It does not pay
  359. 12:47your bill. It fixes the reason the bill
  360. 12:49is high. It sends people to your house
  361. 12:51to insulate the attic, seal the places
  362. 12:54air is escaping, and repair or replace
  363. 12:56an unsafe or failing heating system with
  364. 12:59a safety inspection of your appliances.
  365. 13:01It is done at no cost to an eligible
  366. 13:03household. And the value of the work on
  367. 13:05a single home commonly runs into
  368. 13:07thousands of dollars. Think about the
  369. 13:10difference between those two. One pays
  370. 13:12this winter's bill. The other lowers
  371. 13:14every winter's bill for as long as you
  372. 13:16live in that house. and approval for the
  373. 13:18first frequently makes you automatically
  374. 13:20eligible for the second, which is that
  375. 13:22unlocking pattern you will see again and
  376. 13:24again on this list. The third is your
  377. 13:26own utility company, and it is the
  378. 13:28easiest phone call in this video. Most
  379. 13:31gas and electric companies run their own
  380. 13:32discounted rate for older or lower
  381. 13:34income customers, and they do not
  382. 13:36advertise it. One question while you
  383. 13:38have them on the phone, do you have a
  384. 13:40senior or low-income discount program,
  385. 13:42and am I on it? The fifth one is for
  386. 13:45renters. And I want to say that clearly
  387. 13:47because almost every video about
  388. 13:49benefits for older people talks
  389. 13:51exclusively to homeowners. Several
  390. 13:53states run a rebate for renters.
  391. 13:55Pennsylvania has run one for decades.
  392. 13:58Others have their own version, sometimes
  393. 14:00called a renter credit, sometimes
  394. 14:02bundled into a property tax and rent
  395. 14:04rebate. The logic behind it is that your
  396. 14:06landlord's property tax is built into
  397. 14:08your rent, so the state rebates a share
  398. 14:10of it back to you directly. It is
  399. 14:12usually claimed on a state form once a
  400. 14:14year, which means two things. It is
  401. 14:16genuinely easy to claim and it is the
  402. 14:19single most commonly missed item for
  403. 14:21renters because it lives with tax forms
  404. 14:24rather than with benefit offices and
  405. 14:26nobody connects the two. And there is a
  406. 14:28detail about it that cost Ardell 3
  407. 14:30years. Those rebates are claimed for a
  408. 14:33specific year and the years you never
  409. 14:34filed for close on their own schedule
  410. 14:37and are finished. Some states allow you
  411. 14:39to go back a year or two. most do not.
  412. 14:42So the question for your state is not
  413. 14:43only whether one exists but whether you
  414. 14:46can still claim a prior year and that is
  415. 14:48worth asking in the same call. The sixth
  416. 14:51is food and I am going to be direct
  417. 14:53about why this one goes unclaimed
  418. 14:55because it is not eligibility. The share
  419. 14:58of eligible older adults who actually
  420. 14:59receive food assistance is far lower
  421. 15:02than for any other age group in the
  422. 15:04country and the reason is that people
  423. 15:06who worked their whole lives will not
  424. 15:07apply. I am not going to tell anybody
  425. 15:09how to feel about that. I will give you
  426. 15:11two facts. The first is that for a
  427. 15:13household with somebody 60 or older, the
  428. 15:15rules are different and considerably
  429. 15:17more generous than most people know.
  430. 15:19Medical costs above a small monthly
  431. 15:21threshold come off your income before
  432. 15:23eligibility is calculated, which pulls
  433. 15:25in a great many people who assume their
  434. 15:27income is too high. That includes your
  435. 15:29Medicare premiums, your supplemental
  436. 15:31premium, co-ayments, prescriptions,
  437. 15:34dental work, and transport to
  438. 15:36appointments. And in most states, there
  439. 15:38is no asset limit at all for these
  440. 15:39households, which removes the other
  441. 15:41thing people disqualify themselves over.
  442. 15:43The second fact is that a great many
  443. 15:45states run a separate seasonal program
  444. 15:47issuing coupons for fresh produce at
  445. 15:49local farmers markets with a simple
  446. 15:52application and a low bar. It is small,
  447. 15:55it is genuinely pleasant, and it is
  448. 15:57almost entirely unclaimed. And there is
  449. 15:59one more thing about that food program
  450. 16:01that is worth 30 seconds because it
  451. 16:03removes the last objection. A great many
  452. 16:06people picture standing at a checkout
  453. 16:08with something that marks them out. That
  454. 16:10is not how it works anymore and has not
  455. 16:12been for years. It arrives as an
  456. 16:14ordinary card that works exactly like a
  457. 16:17bank card at the till. And nobody in the
  458. 16:19queue behind you knows the difference
  459. 16:20between yours and theirs. I mention it
  460. 16:23because that specific worry, not the
  461. 16:25paperwork and not the eligibility, is
  462. 16:28what actually stops people in this age
  463. 16:30group from applying. The dignity concern
  464. 16:32is real and it is also out of date. The
  465. 16:35seventh is transportation and this is
  466. 16:37the one people are most embarrassed to
  467. 16:39ask about. Every area agency on aging in
  468. 16:42the country funds transportation and it
  469. 16:44is one of the most heavily used services
  470. 16:46they have. Rides to medical appointments
  471. 16:49to the pharmacy to the grocery store to
  472. 16:51dialysis. Some of it is a scheduled van,
  473. 16:54some of it is a volunteer driver. Some
  474. 16:56of it is a voucher for a taxi or a ride
  475. 16:59service. And there is usually no income
  476. 17:01test on it at all. The qualification is
  477. 17:03age. I am spending time on it because
  478. 17:06giving up driving is one of the hardest
  479. 17:08things that happens to a person and the
  480. 17:10fear underneath it is almost never about
  481. 17:11the car. It is about becoming a burden
  482. 17:14about having to ask a son or a daughter
  483. 17:16for permission to go to every single
  484. 17:18errand. A scheduled ride to the doctor
  485. 17:20that does not require asking anybody for
  486. 17:22a favor is worth considerably more than
  487. 17:24its dollar value and it is sitting
  488. 17:26unused in most counties in this country.
  489. 17:29The eighth is meals and there are two
  490. 17:31different programs here that people
  491. 17:32constantly confuse. The first is home
  492. 17:35delivered meals which most people know
  493. 17:36by the name of the best known
  494. 17:38organization doing it. That one is for
  495. 17:40somebody who has genuine difficulty
  496. 17:42leaving home. The second is completely
  497. 17:44different and it is served at a senior
  498. 17:46center or a community site and in most
  499. 17:48places it is not means tested at all.
  500. 17:51You turn up, you eat with other people,
  501. 17:52there is usually a suggested donation
  502. 17:54and nobody is turned away for not making
  503. 17:56it. And I am going to say something
  504. 17:58about that second one that is not about
  505. 18:00money at all. Isolation is not a soft
  506. 18:03problem for somebody living alone. A
  507. 18:05reason to leave the house at a set time
  508. 18:07on a set day where somebody notices if
  509. 18:09you do not turn up does more for how the
  510. 18:12next 5 years go than most items on this
  511. 18:14list. That last part is the one nobody
  512. 18:16says out loud. Somebody notices if you
  513. 18:18do not turn up. For a person living
  514. 18:20alone, that is not a meal program. That
  515. 18:23is a safety net with lunch attached. Let
  516. 18:25me tell you about a woman I will call
  517. 18:27Mavis because she is the reason the
  518. 18:28ninth item is on this list at all. 54
  519. 18:31and her mother moved in with her after a
  520. 18:32fall. Mavis went from full-time to three
  521. 18:35days a week and then to two and the
  522. 18:37arithmetic of her own retirement quietly
  523. 18:39fell apart over about 18 months. Her
  524. 18:42mother's income was modestly too high
  525. 18:44for Medicaid. So when Mavis asked about
  526. 18:46help, she was told her mother did not
  527. 18:48qualify. And that was the end of the
  528. 18:50conversation as far as she understood
  529. 18:52it. There was an entirely separate
  530. 18:54federal program available to her the
  531. 18:56whole time with no income test on it at
  532. 18:58all that funds somebody coming to sit
  533. 19:00with her mother so she can leave the
  534. 19:02house. She had never heard the name of
  535. 19:04it. Everything in this video is written
  536. 19:06out in the quiet rules in the order you
  537. 19:08would actually use it with the names of
  538. 19:10the programs as they are called in
  539. 19:12different states. Scan the code on the
  540. 19:14screen or go to kevinexplains.shop
  541. 19:17or use the link at the top of the pinned
  542. 19:19comment. 7 days to look it over and if
  543. 19:21it does not earn its place, send it
  544. 19:23back.
  545. 19:24Mavis was told no about the wrong
  546. 19:26program and accepted it as a no about
  547. 19:28all of them, which is exactly the
  548. 19:30pattern that keeps this money sitting
  549. 19:31where it is. So, the ninth item is for
  550. 19:33the family member rather than the older
  551. 19:35person, and it is the one that catches
  552. 19:37households in exactly Mavis's position.
  553. 19:40Separate from Medicaid entirely, there
  554. 19:42is a federal program called the National
  555. 19:44Family Caregiver Support Program. And
  556. 19:46the important thing about it is what it
  557. 19:48does not have. It does not have
  558. 19:50Medicaid's income and asset tests. What
  559. 19:53it funds is respit care, meaning
  560. 19:55somebody comes and stays with your
  561. 19:57parents so you can leave, plus training
  562. 19:59and support for the caregiver
  563. 20:00themselves. So if you are the daughter
  564. 20:02doing everything and your mother's
  565. 20:04income is too high for Medicaid, this is
  566. 20:06the one that is still open to you.
  567. 20:08Almost nobody knows it is a separate
  568. 20:10program with separate rules and it is
  569. 20:12administered through the same area
  570. 20:14agency on aging as everything else on
  571. 20:16this list. And there are two more things
  572. 20:18in the same family worth naming on the
  573. 20:20same call. Adult day services which is a
  574. 20:23supervised program during the day at a
  575. 20:25center giving a working family member
  576. 20:27their working hours back. It is
  577. 20:29frequently funded partly through these
  578. 20:31same channels. And if your parent is a
  579. 20:33veteran, there is a version of the paid
  580. 20:35family caregiver arrangement that runs
  581. 20:37through the veteran system rather than
  582. 20:39Medicaid with its own rules and its own
  583. 20:41eligibility.
  584. 20:43Different door, same idea, and worth
  585. 20:45asking about specifically if service is
  586. 20:48anywhere in the household's history.
  587. 20:49Now, three things to ask for on that
  588. 20:51same call that are not programs at all.
  589. 20:54They are people, and every one of them
  590. 20:56is free. The first is your state health
  591. 20:58insurance assistance program. free
  592. 21:00trained one-to-one help with Medicare
  593. 21:02from somebody who does not sell
  594. 21:04insurance. If you have ever sat in front
  595. 21:06of a stack of Medicare post not knowing
  596. 21:08which envelope mattered, that is
  597. 21:10precisely who this exists for. And the
  598. 21:12crucial thing about them is that they
  599. 21:14earn nothing based on what you choose.
  600. 21:16The second is free legal help. Under the
  601. 21:19same federal law that created the area
  602. 21:21agencies on aging, every state funds
  603. 21:23legal assistance for people 60 and older
  604. 21:26specifically for things like benefit
  605. 21:27denials, landlord disputes, and consumer
  606. 21:30problems. Not a discount, free. And that
  607. 21:34one matters enormously given what I am
  608. 21:36about to tell you about denials. The
  609. 21:38third is the long-term care ombbudsman.
  610. 21:40And it applies if anybody in your family
  611. 21:42is in a facility of any kind. Every
  612. 21:44state has one. They are an independent
  613. 21:47advocate whose entire job is to
  614. 21:49investigate complaints and resolve
  615. 21:50problems on behalf of residents and they
  616. 21:53do not work for the facility. Most
  617. 21:55families with a parent in a nursing home
  618. 21:56have never heard the word. And one more
  619. 21:59that is not on the main list because it
  620. 22:00is a longer road, but it belongs here.
  621. 22:03There is a federal housing program built
  622. 22:05specifically for older people with
  623. 22:06limited income where rent is set as a
  624. 22:09share of your income rather than at
  625. 22:11market rate. And the buildings
  626. 22:12frequently have a service coordinator on
  627. 22:14site who connects residents to
  628. 22:16everything else on this list. Waiting
  629. 22:17lists for it are long and in some places
  630. 22:19they are closed entirely, which is
  631. 22:22exactly why it belongs in a video like
  632. 22:24this rather than a video you watch when
  633. 22:26you need it. Because the only way
  634. 22:27anybody ever gets one of those
  635. 22:29apartments is being on a list years
  636. 22:31early. Now, let me deal honestly with
  637. 22:33what these programs are not. Because a
  638. 22:35list where everything works is a list
  639. 22:38you should not trust. Waiting lists are
  640. 22:40real. Home and community based services
  641. 22:43in particular can have long ones in some
  642. 22:45states. And the honest answer is that
  643. 22:47getting on the list early matters more
  644. 22:49than anything else about that category.
  645. 22:51Income limits are real and several items
  646. 22:53here will not apply to you. If you have
  647. 22:56a solid pension and real savings, some
  648. 22:58of this is not yours and I would rather
  649. 23:00you know that in 10 minutes than after
  650. 23:0210 phone calls. Rules vary by state more
  651. 23:04than in almost any subject I cover. I
  652. 23:07have given you the categories that exist
  653. 23:08everywhere and the door that leads to
  654. 23:10your own state's version because handing
  655. 23:12you 50 states of specifics would be
  656. 23:14useless to 49 of you. And a first denial
  657. 23:18is common. Agencies deny first
  658. 23:20applications at a high rate. And most of
  659. 23:22the time it is not because somebody did
  660. 23:24not qualify. It is a missing document, a
  661. 23:26box completed differently than a clerk
  662. 23:28expected, or a deadline read off a
  663. 23:30different calendar. So here is the
  664. 23:32single most useful sentence in this
  665. 23:34section. Ask in writing for the denial
  666. 23:36to state the specific reason. That one
  667. 23:39page tells you exactly what to fix and
  668. 23:41it turns a no into a task. And every
  669. 23:45program here has a formal appeal path,
  670. 23:47usually with a short window of around 30
  671. 23:49days from the date of the notice, which
  672. 23:51means a denial sitting in a drawer for 6
  673. 23:53weeks has quietly become permanent. The
  674. 23:56people who end up receiving these
  675. 23:57benefits are not luckier and they are
  676. 23:59not more deserving. They are the ones
  677. 24:01who came back after the first no inside
  678. 24:04the window. One more thing before your
  679. 24:06call and it is about your own house
  680. 24:08rather than your state's list. If you
  681. 24:10own your home, there is a separate set
  682. 24:11of filings that reduce your property tax
  683. 24:14and they run on a completely different
  684. 24:15track through your county rather than
  685. 24:17through any of this. a homestead
  686. 24:19exemption, a senior exemption where in
  687. 24:21more than half the states age is the
  688. 24:23only qualification, and in some places
  689. 24:26an assessment freeze that locks your
  690. 24:28taxable value the year you turn 65.
  691. 24:31Those are a call to your county
  692. 24:32assessor, and the number is printed on
  693. 24:35your tax bill. I have covered them
  694. 24:37properly in their own video because they
  695. 24:39deserve more room than I can give them
  696. 24:40here. Now, your call, and this is the
  697. 24:43part to write down if you have written
  698. 24:44nothing else. 800677116.
  699. 24:48The Elder Care Locator. Open with this.
  700. 24:51I am in my 60s or 70s. I live in this
  701. 24:54county. I live on roughly this much a
  702. 24:56month and I own or I rent. I would like
  703. 24:58you to screen me for the following. And
  704. 25:00I'm going to read you a list. Then read
  705. 25:02them these by name. The Senior Community
  706. 25:05Service Employment Program or Title 5,
  707. 25:07Medicaid Home and Community Based
  708. 25:09Services. And specifically whether a
  709. 25:11family member can be paid as the
  710. 25:12caregiver. my state's pharmaceutical
  711. 25:14assistance program and the federal
  712. 25:16subsidy through social security, the
  713. 25:18heating and cooling assistance program
  714. 25:20and separately the weatherization
  715. 25:21program. My state's renter rebate or
  716. 25:24renter credit if I rent and whether I
  717. 25:26can still claim a prior year, food
  718. 25:28assistance under the rules for
  719. 25:29households with somebody 60 or older,
  720. 25:31transportation and homed delivered or
  721. 25:34congregate meals. the national family
  722. 25:36caregiver support program and whether it
  723. 25:38covers respbit and whether there is a
  724. 25:40PACE program in this county.
  725. 25:43Then the three that are people rather
  726. 25:45than programs. My state health insurance
  727. 25:48assistance office for Medicare help free
  728. 25:50legal assistance for people 60 and older
  729. 25:53and the long-term care ombbudsman if
  730. 25:55anybody in the family is in a facility.
  731. 25:58And one more sentence to add at the end
  732. 25:59of that call because it costs nothing
  733. 26:01and it is the one that catches whatever
  734. 26:03I have left out. Ask them this. Is there
  735. 26:06anything else in this county or this
  736. 26:08state that somebody in my situation
  737. 26:10commonly qualifies for that I have not
  738. 26:12asked about? That question exists
  739. 26:15because no list, including mine, can
  740. 26:17cover 50 states. Some counties run
  741. 26:20things that exist nowhere else. A local
  742. 26:22property tax deferral, a county
  743. 26:24prescription card, a hardware grant for
  744. 26:27grab bars and ramps, a discount program
  745. 26:29run by the water authority. The person
  746. 26:31on the phone knows their own county.
  747. 26:34That one open question at the end is how
  748. 26:37you get the things I could never have
  749. 26:38told you about. And if you have a
  750. 26:40question about your own situation after
  751. 26:42all this, write to me at
  752. 26:44[email protected].
  753. 26:47I read everyone that comes in. And when
  754. 26:49you are finished, write down the name of
  755. 26:50the person you spoke with and the date.
  756. 26:53Not because you expect trouble, because
  757. 26:55if you ever have to go back, that one
  758. 26:57line on a piece of paper is worth more
  759. 26:59than an hour of explaining. One call,
  760. 27:02nine names, three people, and one line
  761. 27:05of writing. My honest read. Everything
  762. 27:08in this video has the same shape. And
  763. 27:10once you see it, you cannot unsee it.
  764. 27:13The money is already appropriated. Your
  765. 27:15state already agreed to spend it. The
  766. 27:17programs are staffed, the budgets are
  767. 27:19set, and the offices are open. And there
  768. 27:21is nobody whose job it is to tell you
  769. 27:24because the entire system was designed
  770. 27:25to respond rather than to reach. which
  771. 27:28means it reaches whoever happens to have
  772. 27:30somebody in their life who knows the
  773. 27:32words. A sister who makes the call, a
  774. 27:35neighbor's daughter who works in a
  775. 27:37facility and recognizes the situation.
  776. 27:39Somebody at a coffee morning. So it
  777. 27:41reliably reaches the connected and
  778. 27:43reliably misses the isolated. And the
  779. 27:45isolated are precisely who it was
  780. 27:47written for. That is not a conspiracy
  781. 27:49and nobody designed it that way. It is
  782. 27:52just where it lands. Last thought.
  783. 27:55Ardell sat at a table with an unopened
  784. 27:57envelope for two days, three winters in
  785. 27:59a row, while money with her name's
  786. 28:01eligibility attached to it, sat in an
  787. 28:03account in her own state capital. The
  788. 28:06only thing that separated her from it
  789. 28:07was one phone number and nine words on a
  790. 28:10piece of paper. She has them now. So do
  791. 28:13you. So make the call this week, read
  792. 28:16the list, and write down who you spoke
  793. 28:18to. That is the entire assignment, and
  794. 28:21it is about 20 minutes of a Tuesday. I
  795. 28:23am Kevin. Thanks for watching. Do not
  796. 28:25forget to check the quiet rules at
  797. 28:27kevinexplains.shop.

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