Exploring the Benefits of Home Attendants Over Nursing Homes

Exploring the Benefits of Home Attendants Over Nursing Homes

When it comes to the care of our loved ones, we want nothing but the best. The decision whether to choose a nursing home or opt for a home attendant is a crucial one, as the result can dictate your loved ones comfort and care for the upcoming years. Although nursing homes typically serve as the traditional route when debating on long term care, there is nothing comparable to the comfort your loved one will receive in their home as well as the one on one care that is tailored to their needs. In this article, we will analyze the many reasons why home attendants provide a transformative experience which prioritizes individual’s needs in the comfort of their own home.

Exploring the Benefits of Home Attendants Over Nursing Homes

Personalized Care and Individual Attention

Home attendants offer a level of personalized care that sets them apart from nursing homes. When individuals receive care at home, they benefit from one on one care with a caregiver that can focus exclusively on their needs. Unlike a nursing home where the staff to patient ratio is higher, home attendants have the opportunity to build strong connections to their patients and allow them to understand their unique routines and preferences of treatment. Home attendants can also offer constant assistance with tasks including bathing, dressing and meal preparations. The individualized attention given by home attendants allows for meaningful relationships, companionship and emotional support which establishes trust between the patient and caregiver while providing a sense of comfort to the patient as well.

Nursing Homes Are Extremely Expensive

In New York State, the average cost of a private room in a nursing home totals to $158,797 annually (American Council on Aging) in comparison to the average annual home attendant cost of $52,620 (SeniorCare). Nursing homes provide elderly care within a facility, which includes expenses related to maintaining and operating a residential establishment. With the expenses of utilities, staffing, and maintenance, the cost increases drastically. Nursing homes are also equipped to handle emergency medical situations which require round-the-clock medical personnel. Additionally, the cost of the living space such as rooms and bathrooms as well as meal plans, is included in the overall price. Home attendants on the other hand, provide medical care in the patients residence, therefore eliminating the additional facility expenses. Home attendants can be more flexible in terms of scheduling allowing for cost effective options based on an individual’s needs. 

Familiar Surroundings

Home attendants offer a unique advantage by allowing patients to age in the comfort of their own home. This becomes particularly important for patients with dementia or Alzheimer's disease. These two conditions can cause memory loss and disorientation which makes it incredibly difficult for those individuals to adapt to new environments. Being in a familiar setting such as their home helps minimize the stress and anxiety of changing locations. Remaining in a recognizable space also helps to maintain daily routines which can be comforting for patients with memory loss. Allowing patients to age in their own home can enhance their quality of life and promotes familiarity during challenging times.

Increased flexibility and Family Involvement

Home attendants allow for much more family involvement and flexibility when it comes to treatment plans. By receiving care at home, families have more control over schedules and care provided. Home attendants are able accommodate specific preferences and routines and adapt to a patient's needs. Home attendants encourage family involvement as well by allowing families to actively participate in decision making and will also keep them informed about their loved one’s condition. 

Comfort to the family

Home attendants can provide the family of a patient a higher level of comfort in comparison to nursing homes. Families can often take comfort in knowing that their loved one is in the hands of a trusted individual of their choosing. Knowing that they are receiving individual attention in the comfort of their own home can put their minds at ease. Additionally, with patients who are immunocompromised, it can be comforting knowing they are only exposed to one individual instead of living with a significant number of people.

Home attendants offer countless advantages that make them superior to nursing homes. The personalized care, individual attention, and comfort they provide to patients contribute to a higher quality of life and overall well-being to seniors. While seeking assistance with elder care needs, Attorney Inna Fershteyn can be a valuable resource to assist you in making the best choices suited for your family’s needs. With her expertise and knowledge in elder law and estate planning, Attorney Inna Fershteyn can guide your family through the legalities of elder care, ensuring that your loved ones receive the best possible treatment. Her dedication to serving the needs of seniors makes her an invaluable asset in navigating the challenges of eldercare. Ensure your loved ones are comfortable and provided for by calling the Trust and Estate Planning Office at (718) 333–2395.

How Can I Increase My Home Attendant Hours?

How Can I Increase My Home Attendant Hours?

The process of applying for a home attendant requires many documents and a lot of patience when waiting for a response. Medicare typically provides home attendant assistance for a maximum of 28 hours per week, and in some cases, up to 35 hours per week. However, for many elderly individuals who are incapable of walking, cooking, and showering by themselves, around the clock attention is crucial. Oftentimes, the process of increasing home attendant hours is even more gruesome. Medicare will justify any reason against extending current hours and make the vulnerable individual’s life easier. In this article, the Trust and Estate planning office will explore ways to maximize the amount of home attendant hours so that you or a loved one can receive the care that suits your needs.

Ways to Maximize Your Home Attendant Hours

Understanding The Current Home Attendant System

To receive at-home medical care, the applicant needs to fit multiple criteria. Primarily, you will receive a physical assessment to determine whether or not you are eligible for the program as well as assess the amount of hours you will receive each week with a home attendant. A physician's recommendation is often required to support the need for a home attendant. In many cases, patients may receive less hours than they feel is necessary. In these cases, there are various ways to obtain additional home attendant hours. It is important to assess each option to determine which one works best for you.

What You Can do to Receive Additional Home Attendant Hours

  1. Medicare advantage plans- A Medicare advantage plan, or Medicare part C, is an alternative way to obtain additional home attendant hours. These plans are offered by private insurance companies that are approved by Medicare. Depending on the plan that you chose, they will provide the benefits of Medicare as well as additional services and coverage. For example, if Medicare provided you with a limited number of home attendant hours, a Medicare advantage plan can cover the costs of additional hours if needed.
  2. Medicaid waiver programs- Some states have implemented Medicaid waiver programs in which Medicaid and Medicare can work together to fulfill the needs of those who require additional support. This program will allow you to receive additional home attendant hours if eligible and allows individuals who require constant care to reside at home rather than a nursing facility. However, these programs have many eligibility requirements, including proof that you need an equivalent amount of care that you would receive in a nursing home. If you believe that you qualify for additional care, consulting with a knowledgeable and experienced attorney will assist you in applying to these programs.
  3. Appeal the decision- If you disagree with the amount of home attendant hours Medicare has provided, it is in your best interest to file an appeal as soon as possible. Attorney Inna Fershteyn is an experienced and proficient attorney who will help you appeal a Medicare decision pertaining to your home attendant hours and provide you with additional care if you feel it is necessary. Consulting with an attorney regarding your appeal can relieve stress and increase your chances of approval. Additionally, if your home attendant hours were reduced by Medicare, appealing the decision can help restore your initial amount of hours. 

In 2020, Attorney Inna Fershteyn was introduced to a case in which a client’s home 

attendant hours were reduced substantially although the client required round-the-clock care. Attorney Inna Fershteyn helped this client win a fair hearing and ensured that their amount of care would be restored to the original amount of hours.

  1. CDPAP- The Consumer Directed Personal Assistance Program is a Medicaid program which allows an individual to designate a family member to be a home attendant and get paid hourly in the process. Although Medicaid pays for up to sixty hours of care based on eligibility, home attendants may apply to get paid overtime which will compensate for additional services.
  2. Request a physical reassessment- Before receiving a home attendant, a patient must undergo a physical examination to establish their eligibility and the extent of care necessary. A physical reassessment can reevaluate your necessity for additional care and can grant you extra home attendant hours.

How can I benefit from an attorney in this process? 

If you or a relative feel that you need to increase your home attendant hours for any amount, but your claim has been unfairly denied, a Medicaid attorney will help. In fact, consulting with a knowledgeable attorney is the best approach to take in preparation for a fair hearing or challenging Medicare’s response. Inna Fershteyn has over 20 years of experience helping clients extend their home attendant hours. She will assist you by preparing a strong application for CDPAP, Medicaid waiver programs, or Medicare advantage plans. Most importantly, she will attend to your emotional needs through this long winded process. If you believe that you require additional home attendant hours and fit all of the requirements, yet your request has been unjustly denied, please contact the Trust and Estate Planning Office at (718) 333–2395.