Maryland Elder Law

Serving Clients in Laurel, Maryland and the Surrounding Area

Elder law is another aspect of estate planning, focusing primarily on the needs of families and individuals as they age. Issues of aging include senior housing and home care, long-term (or nursing home) care, guardianships, and health care documents, Medicare and Medicaid.

Senior Housing & Long-Term Care Options

The Long Term Care Dilemma

As our population ages, more and more of us confront elder law-related issues, whether for ourselves or our parents. One of the most pressing issues is long-term nursing home care, which usually is not covered by traditional health insurance. Depending on where you live and the level of care needed, nursing home care costs can vary greatly. In 2017, the national median cost for a private room in a skilled nursing facility was $97,455. The average stay is slightly more than two years. Most people end up paying for nursing home care until their personal (or family) assets are depleted, then they may qualify for Medicaid to pick up the cost.

Careful planning, however, can help protect your assets, whether for your spouse or for your children. The belt-and-suspenders approach is to purchase long-term care insurance while you are healthy enough to qualify, and to make sure you receive the benefits to which you are entitled under Medicare and Medicaid.

Medicare

Clients are frequently confused over the differences between Medicare and Medicaid. Though their names are very similar, the programs are quite different. Medicare is an entitlement program, a federal health insurance program in which most people enroll when they turn 65 years old. There are no financial qualification rules. Medicare has two primary parts: Part A and Part B.

Medicare Part A covers in-hospital care, extended care after a hospital stay, some home health care services, and hospice services. The rules for nursing home coverage are very strict and, in fact, Medicare pays for less than nine percent of nursing home care in this country.

Medicare Resources

Maryland Medicaid

Medicaid, is a joint federal-state program, subject to certain federal requirements, each state implements its own regulations on how the program is managed. Medicaid is not an entitlement program like Medicare, but rather a form of welfare. Medicaid eligibility is determined after the proper application is submitted to the state. There are many Medicaid insurance programs available in MD, from basic medical coverage to nursing home programs.

We assist seniors and their families in making tough decisions regarding long-term care planning, including whether Medicaid eligibility may be an option.

Senior Housing Options

Helping a parent move to senior housing can seem more intimidating than orchestrating a rocket launch. The death of a spouse, declining health or safety concerns can trigger the need to move. The first phase comes with the realization that what has been home is no longer suitable. Emotional ties to a place are hard to overcome. Finding a new home that is appealing and appropriate is no easy task, and neither is culling through a lifetime’s accumulation of “stuff.”

Here are some tips to help make the transition easier:

  • Plan ahead. Don’t wait for a health crisis to start the process. The smoothest transitions occur when the person moving is in the driver’s seat.
  • Get a full assessment of the current situation. Physical care needs and financial resources are where to start. Consider the costs of staying in place, including renovation and ongoing maintenance. Add the cost of rising utility bills and taxes, and don’t forget transportation and food. Make a list and decide whether it’s cheaper to stay or move to a community designed for seniors.
  • Take a multi-phase approach. Seniors often take longer than a year to actually make the move.
  • Fully explore new housing options. Senior living offers a broader range of options than ever before.

Sources

Testimonials

Steve Z.

Erik and Wendy were patient and thorough. Great follow up. Made sure that I considered all aspects of estate planning and provided me with peace of mine for my family when I am gone.

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Michael C.

Probate Court “It went better than expected during a year of dealing with paperwork and going to the Courthouse several times. But in the end it worked out better than I could of hoped for. Certainly Recommend to anyone who needs a Lawyer to stop by, their right beside the Post Office on Main Street in Laurel.”

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Michael M.

Fantastic!! I came very confused after my wife‘s death and in a half hour with Tom I felt like I knew what I needed to do and they have been with me every step of the way. Very pleasant, knowledge and a great help in navigating areas with which I have no experience. Thank you very much!

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Keith B.

Tom is an excellent attorney who really knows his business. He won’t guide you wrong. Our kids grew up together & I’ve known him for decades. I know him form more than just his professional work. He is a very good man and someone you can absolutely trust

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Lynn D. C.

We had the Downs Law Firm set up a trust for us years ago and recently made an appointment to review the information and make some changes. Tom was very helpful in expediting the necessary changes. The office staff was very friendly. We have been very satisfied with the Downs Law Firm. We also used Tom’s services to have a will and other necessary documents drawn up for my Dad. We would recommend the Downs Law Firm to others.

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Cynthia F.

Tom Downs has always provided our family with expert and professional estate planning advice and documents. We highly recommended him to anyone living in the State of Maryland to seek out his advice and services for their estate planning needs.

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