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Senior Living Q&A: Will Obamacare Affect Assisted Living?

By on September 27, 2013
Financial PlanningDear AssistedLiving.Com: I work part time at a large retailer and just learned that under Obamacare I will be able to afford health insurance for the first time. My mother works at assisted living and I am wondering how Obamacare affects assisted living residents and if my mother’s long-term care costs will change?

Debbi

Hi Debbi,

The Affordable Care Act, commonly known as Obamacare, will not really affect the world of long-term care whatsoever. Assisted living care is formally considered non-medical, so it would not fall under the umbrella of health insurance and is not affected by Obamacare.

While this would not have affected your mother, the the Affordable Care Act originally included plans for a government run long-term care insurance insurance program called “Class Act”, but the program was cancelled because “the numbers could not be made to work”.

That’s not to say that Obamacare does not affect seniors whatsoever. For example, Obamacare eliminates the Medicare “doughnut hole” that has been a financial thorn in senior’s sides for quite a while. For more information, the AARP website has an excellent interactive tool on their website that can show you how the new health care law will affect you and your family.

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Jeff attended the University of Alaska Fairbanks on an academic scholarship, and also studied creative writing at University of Hull (UK). He found his calling in 2009 when he began working with seniors and their families at A Place for Mom, and has immersed himself in writing and research about issues affecting older adults. He also enjoys literature, spending time with his daughter and recording music

  1. sharon
    I don't see why it would be considered non-medical. When my mother entered an independent living facility it was necessary to have a doctor fill out a form that showed she shouldn't be alone based on her hearing and other minor factors. This information also had to be submitted to the VA in order for them to grant her widow benefits. She is now in an assisted living facility who administers her daily medicine because she is not able to "remember" to take them or prepare the correct dosage. This facility also employes a nursing staff-both LPN and RN. How is that non-medical.
  2. Julie
    I completely agree. It's because of medical issues that they need assisted living. My mother in law lives in a group home in Puerto Rico and would benefit from assisted living since she is diabetic, needs dialysis, and can hardly see due to glaucoma, so she needs someone to be around 24/7 which we sadly cant do. But since assisted living is not "medical", insurance is no help, so we cant afford one of those locations and give her better quality of life. It truly sucks.
  3. Susan King
    This is an example of the misunderstanding about Long Term Care. Health Insurance (Medicare) for these two moms only covers doctor visits, hospitalization, meds and very limited skilled care. It does not cover the cost of caring for them as they age. Sharon's mother is receiving VA widow's benefits and is receiving care. Julie's mother is in a group home and is either paying for her care or is in a Medicaid approved group home. Long Term Care Insurance is the only insurance that pays for actually care. You either self insure (pay for care out of your assets) or spend down your assets and qualify for Medicaid or purchase a Long Term Care Insurance policy. There is another alternative...your family can be your care provider. Keep in mind that you have to medically qualify when purchasing LTC Insurance. You can't wait to purchase until you need it!
  4. mary m. hetzel
    i just want to ask a question. what none medical mean? does it mean that you will not have to have an insurance to pay for assisted living. or will we have more on our social security check?
  5. Jim
    Well, we got the answer. My mother's assisted living bill is going up $400 per month on January 1. The notification letter said that this was because of the Medicare cuts resulting from the ACA. Makes me mad, but I guess there is nothing we can do about it now...
  6. Jeff Anderson
    Hi Jim,
    I don't understand how this can be because Medicare does not pay for assisted living care.
    Warm regards,
    Jeff

    AssistedLiving.com Team