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Long-Term Care Home    |    Steps to Choosing Long-Term Care    |    Types of Long-Term Care    |    Paying For Long-Term Care


Steps to Choosing Long-Term Care

  Steps to Choosing Long-Term Care Resources  
  Overview | Selected Section Step 1: Think | Step 2: Learn | Step 3: Find out about choices 
 | Step 4: Find out about quality | Step 5: Visit 

There are many different kinds of long-term care. Long-term care can take place at home, in senior centers, at community centers, in assisted living or special retirement communities, as well as in nursing homes. Long-term care service is not only nursing home care.

IMPORTANT: Medicare does not pay for most long-term care. Medicare pays only for medically necessary skilled nursing facility or home health care. You must meet certain conditions for Medicare to pay for these types of care when you get out of the hospital. Most long-term care is to assist people with support services such as dressing, bathing, and using the bathroom. Medicare doesn’t pay for this type of care, which is often called “custodial care.” Custodial care is care that helps you with activities of daily living. It may also include care that most people do for themselves.

The chart below lists some of the many kinds of custodial care people often need, like help with activities of daily living or care most people do themselves. Think about whether you need these services now, or if you may need them in the future. Check off the services you think you may need.

You may need help with only one or two types of activities of daily living, like help with eating or bathing. Or, you may need help with many activities of daily living or help with care needs, like diabetes monitoring or help with oxygen if you have breathing problems. Also, your needs may change over time. It is important to make a list of the kinds of services you need and revise this list as your needs change.

Will I need help with the following activities of daily living?
 
Bathing
 
Dressing
 
Eating
 
Using the bathroom, including caring for a catheter or colostomy bag if needed.
 
Moving into or out of a bed, chair, or wheelchair.
 
Other__________________________
Will I need help with these additional services?
 
Preparing meals
 
Shopping
 
Housework and laundry
 
Getting to appointments
 
Paying bills and other money matters
 
Home maintenance and repairs
 
Using the telephone
 
Other__________________________
Will I need help with the following care?
 
Remembering to take medicines
 
Diabetes monitoring
 
Using eye drops
 
Getting oxygen
 
Taking care of colostomy or bladder catheters
 
Other__________________________

For additional information, please look at the Summary of Long-Term Care Choices information.

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