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How to Pay for Alzheimer's Disease Care

Medical and non-medical expenses are covered with different sources of payment

By US Department of Health and Human Services | June 7, 2012

Alzheimer's care can be extremely expensive.

It's important to know what to expect and what resources are available to you.

Care for a person with Alzheimer's is broken down into two categories, each with different sources of payment. Medical expenses are usually paid separately from the non-medical services that are needed to make it possible for someone with Alzheimer's to live at home as long as possible.

Medical Expenses

People with Alzheimer's disease require regular medical care as well as some special care that might include medications or other interventions. Medical services are often covered under medical insurance (either Medicare or private health insurance). It may be important to examine the health coverage to determine the extent of coverage limitations or co-pays and
deductibles.

Medicare


Private Health Insurance

If the person with Alzheimer's has private health insurance it is important to contact the insurer and learn what lifetime maximums or other limitations you may encounter. Knowing what you are covered for in advance will help avoid surprises when coverage is denied.

Long-Term Care

Long-term care refers to a set of services and supports for activities of daily living, like dressing, bathing, eating and moving around. Medicare does not generally pay for long-term care and Medicaid is available only under specific circumstances.

Almost half of the formal long-term care provided in the United States is paid for out of pocket. While not every person with Alzheimer's disease needs long-term care, it is important to develop a plan because it can be very expensive. A list of long-term care services and their definitions is available.

Medicaid

Medicaid is a state/federal program that pays for long-term care services. The program is administered by each state so eligibility criteria and services may differ from one state to another.

It is important to learn what the rules are in your state. Each state also provides a somewhat different set of services. Nursing homes are always covered but coverage for in-home services varies. Programs for Veterans with Alzheimer's Disease

Private Long-Term Care Insurance

The National Clearinghouse for Long-Term Care Information has an overview of long-term care options, details on cost, how to buy insurance, and provides information on state partnership programs.