In an aging society, the question of how best to care for elderly loved ones becomes increasingly pertinent. While some families opt for nursing homes, others prefer to keep their elders at home with the assistance of individual caretakers. One significant factor in making this decision is the financial aspect, including government funding available for both options. Let's delve into the comparison, focusing particularly on the situations in Missouri and Kansas, and how they stack up against those in larger metropolitan areas.

The Financial Burden of Elderly Care

Elderly care is often associated with substantial financial burdens. The cost of nursing homes, in particular, can be staggering, with expenses varying based on location, level of care required, and the amenities provided.  In 2019, for example, the average annual cost of residency at a nursing home in New York City was $72,000. 

The other option of keeping elders at home and employing individual caregivers, while preferred by a growing number of the population, is also expensive. According to the Genworth Cost of Care Survey for 2023, the average monthly cost of in-home elderly care in San Francisco was

$8,580.  The rates in Missouri and Kansas these days are just as staggering.  Seniors in Missouri paid an average monthly rate of $7,627 and seniors in Kansas, $5,625, for home care in 2023. 

Government Funding in Missouri and Kansas

In Missouri and Kansas, government funding for elderly care primarily comes in the form of Medicaid, a joint federal and state program that assists low-income individuals with medical costs. However, the specifics of Medicaid coverage for elderly care can vary between states, and it's essential to understand the options available in each region.

In Missouri, Medicaid offers several programs aimed at supporting elderly individuals who wish to receive care at home. One such program is the Aged and Disabled Medicaid Waiver, which provides services like personal care, adult day care, and home-delivered meals to eligible individuals. Additionally, Missouri has a Consumer-Directed Services program, allowing Medicaid recipients to hire their own caregivers, often family members, and receive compensation for their services.

Similarly, Kansas provides Medicaid-funded programs designed to help elderly individuals remain in their homes or communities for as long as possible. The Kansas Medicaid Home and Community Based Services (HCBS) waiver program offers a range of services, including personal care assistance, respite care, and home modifications to improve accessibility.

Comparing Costs: Nursing Homes vs. Individual Caretakers

When comparing the costs of nursing homes versus individual caretakers, it's crucial to consider not only the financial aspect but also the quality of care and the preferences of the elderly individual and their family. While nursing homes provide round-the-clock professional care, they can be expensive and may not offer the same level of personalized attention as care provided at home.

Individual caretakers, often family members or hired aides, can offer personalized care tailored to the specific needs and preferences of the elderly individual. While this option may be more affordable than nursing home care, it can still incur significant expenses, especially if the caretaker needs to reduce their working hours or quit their job to provide full-time care.

In Missouri, there are also private companies, such as Freedom Care, which are funded by the state Medicaid programs to pay individuals to take care of a loved one at home. This service allows for a family member or friend to provide care to any Missouri resident that is on Medicaid, needs help with day to day activities and is able to mentally direct their own care. The only limitation is the care giver cannot be your spouse.

Seeking Professional Guidance

Navigating the complexities of government funding for elderly care can be daunting. Families facing this decision may benefit from seeking guidance from legal professionals who specialize in elder law. Attorneys well-versed in Medicaid regulations and other government assistance programs can provide invaluable advice on maximizing available resources while ensuring the best possible care for elderly loved ones.

In Missouri, there are also private companies, such as Freedom Care, which are funded by the state Medicaid programs to pay individuals to take care of a loved one at home. This service allows for a family member or friend to provide care to any Missouri resident that is on Medicaid, needs help with day to day activities and is able to mentally direct their own care. The only limitation is the care giver cannot be your spouse.

Conclusion

Ultimately, the decision between individual caretakers and nursing homes for elderly care is deeply personal and depends on various factors, including financial considerations, the level of care required, and the preferences of the elderly individual and their family. While government funding programs like Medicaid can alleviate some of the financial burdens associated with elderly care, understanding the available options is crucial for making informed decisions.

If you or a loved one are considering elderly nursing care, it's essential to explore all available resources and options. Consulting with experienced legal professionals, such as the attorneys at Bautista LeRoy LLC, can provide critical information and guidance tailored to your specific circumstances. With the right support and resources, families can navigate the complexities of elderly care with confidence and peace of mind.