Avantara Norton

Article: How to get Medicare and Medicaid to Pay for Assisted Living

Description

Avantara Norton boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. As one of the city’s most trusted nursing homes, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Norton has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life.

The areas of excellence are found in the range of an array of specialized services such as; cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. The list of accommodations extends to the comprehensive care plan physical therapy equipment, a team of full-time therapists on-site, and a home assessment completed.

Claim What’s Yours: Financial Aid for South Dakota Seniors

Program

State Program Name

Eligibility

Benefits

Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

General: Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025): ~$2,829/month (300% FBR, individual).
Asset Limits: $2,000 (individual), $3,000 (couple).
SD Specifics: Sparse population aids rural access; limited providers.

Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.

South Dakota Elderly Services Program

SD ESP

General: Age 60+, South Dakota resident, at risk of decline.
Income Limits: ~$1,732/month (individual, varies).
Asset Limits: $5,000 (individual).
SD Specifics: Limited funding; rural focus.

Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).

Medicare Savings Program (MSP)

South Dakota Medicare Savings Program

General: Age 65+ or disabled, SD resident, Medicare Part A/B.
Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits: $9,430 (individual), $14,130 (couple).
SD Specifics: Three tiers; includes Extra Help for Part D; no waitlist.

Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

General: Age 60+ prioritized, SD resident, low-income household.
Income Limits (2025): ~$3,970/month (individual, 185% FPL).
Asset Limits: Not assessed; income-focused.
SD Specifics: Covers gas, electric, propane; weatherization add-on available.

Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

General: Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year).
Asset Limits: Not assessed; need-based.
SD Specifics: Rural emphasis; includes grandparent caregivers.

Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).

Senior Community Service Employment Program (SCSEP)

South Dakota SCSEP

General: Age 55+, unemployed, low-income, SD resident.
Income Limits (2025): ~$1,983/month (125% FPL).
Asset Limits: Not specified; income-focused.
SD Specifics: Priority for veterans, rural residents; AARP partnership.

Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.

VA Aid and Attendance (A&A) and Housebound Benefits

South Dakota VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits: ~$155,356 (net worth limit).
SD Specifics: Supports rural veterans; high demand near Sioux Falls VA.

Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).

Property Tax Reduction Program

South Dakota Property Tax Reduction from Municipal Taxes

General: Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.
Income Limits (2025): ~$20,192/year (single), ~$24,679/year (multiple-member household).
Asset Limits: Not assessed; income-focused.
SD Specifics: Refunds up to $575; ~10,000 seniors benefit annually.

Services: Tax refund (~$250-$575/year based on income).

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

General: Age 60+, SD resident, low-income.
Income Limits (2025): ~$2,322/month (individual, 185% FPL).
Asset Limits: Not assessed.
SD Specifics: Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.

Services: Vouchers (~$50/season) for fresh produce at approved markets.

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

General: Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.
Income Limits (2025): ~$35,000/year (single), ~$45,000/year (multiple-member household).
Asset Limits: Property value < $250,000 (single), $300,000 (multiple).
SD Specifics: Saves ~$300-$600/year avg.; applies to primary residence.

Services: Assessment freeze (~$300-$600/year savings).

Older Americans Act (OAA) Services

South Dakota OAA Services

General: Age 60+, SD resident (or spouse of any age); no income/asset limits.
Income Limits (2025): None; donations encouraged for some services.
Asset Limits: Not assessed.
SD Specifics: 6 AAAs; rural focus due to sparse population.

Services: Meals (home-delivered or congregate, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.

Claim What’s Yours Financial Aid for South Dakota Seniors

SD Medicaid HCBS Waiver

Home and Community Based Services Waiver

Eligibility

General: Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025): ~$2,829/month (300% FBR, individual).
Asset Limits: $2,000 (individual), $3,000 (couple).
SD Specifics: Sparse population aids rural access; limited providers.

Benefits

Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.

SD ESP

South Dakota Elderly Services Program

Eligibility

General: Age 60+, South Dakota resident, at risk of decline.
Income Limits: ~$1,732/month (individual, varies).
Asset Limits: $5,000 (individual).
SD Specifics: Limited funding; rural focus.

Benefits

Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).

South Dakota Medicare Savings Program

Medicare Savings Program (MSP)

Eligibility

General: Age 65+ or disabled, SD resident, Medicare Part A/B.
Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits: $9,430 (individual), $14,130 (couple).
SD Specifics: Three tiers; includes Extra Help for Part D; no waitlist.

Benefits

Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).

South Dakota LIEAP

Low-Income Home Energy Assistance Program (LIEAP)

Eligibility

General: Age 60+ prioritized, SD resident, low-income household.
Income Limits (2025): ~$3,970/month (individual, 185% FPL).
Asset Limits: Not assessed; income-focused.
SD Specifics: Covers gas, electric, propane; weatherization add-on available.

Benefits

Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).

South Dakota Family Caregiver Support Program

Family Caregiver Support Program (FCSP)

Eligibility

General: Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year).
Asset Limits: Not assessed; need-based.
SD Specifics: Rural emphasis; includes grandparent caregivers.

Benefits

Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).

South Dakota SCSEP

Senior Community Service Employment Program (SCSEP)

Eligibility

General: Age 55+, unemployed, low-income, SD resident.
Income Limits (2025): ~$1,983/month (125% FPL).
Asset Limits: Not specified; income-focused.
SD Specifics: Priority for veterans, rural residents; AARP partnership.

Benefits

Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.

South Dakota VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Eligibility

General: Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits: ~$155,356 (net worth limit).
SD Specifics: Supports rural veterans; high demand near Sioux Falls VA.

Benefits

Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).

South Dakota Property Tax Reduction from Municipal Taxes

Property Tax Reduction Program

Eligibility

General: Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.
Income Limits (2025): ~$20,192/year (single), ~$24,679/year (multiple-member household).
Asset Limits: Not assessed; income-focused.
SD Specifics: Refunds up to $575; ~10,000 seniors benefit annually.

Benefits

Services: Tax refund (~$250-$575/year based on income).

South Dakota SFMNP

Senior Farmers’ Market Nutrition Program (SFMNP)

Eligibility

General: Age 60+, SD resident, low-income.
Income Limits (2025): ~$2,322/month (individual, 185% FPL).
Asset Limits: Not assessed.
SD Specifics: Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.

Benefits

Services: Vouchers (~$50/season) for fresh produce at approved markets.

South Dakota Property Tax Freeze

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

Eligibility

General: Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.
Income Limits (2025): ~$35,000/year (single), ~$45,000/year (multiple-member household).
Asset Limits: Property value < $250,000 (single), $300,000 (multiple).
SD Specifics: Saves ~$300-$600/year avg.; applies to primary residence.

Benefits

Services: Assessment freeze (~$300-$600/year savings).

South Dakota OAA Services

Older Americans Act (OAA) Services

Eligibility

General: Age 60+, SD resident (or spouse of any age); no income/asset limits.
Income Limits (2025): None; donations encouraged for some services.
Asset Limits: Not assessed.
SD Specifics: 6 AAAs; rural focus due to sparse population.

Benefits

Services: Meals (home-delivered or congregate, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.