Brandywine Living at Toms River

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

Description

Brandywine Living at Toms River, situated in New Jersey, is a premier provider of assisted living and memory care services. Tucked in a serene neighborhood, it enjoys proximity to various local conveniences and charming towns. The community is well-regarded for its cleanliness and maintenance, offering excellent care with high ratings. The professional and attentive staff is known for treating each resident like family, ensuring their well-being around the clock.
Boasting a spacious and vibrant environment, the community is conveniently located near the picturesque sandy beaches and provides easy access to Monmouth Park. With a secure entrance and exit, on-site nursing 24 hours a day, and various amenities including short-term and respite stays, physical therapy, a beauty and barbershop, resident transportation, a library, a movie theater, and pet-friendly policies, Brandywine Living at Toms River creates a welcoming and comprehensive assisted living facility for seniors.

Claim What’s Yours: Financial Aid for New Jersey Seniors

Program

State Program Name

Eligibility

Benefits

Managed Long Term Services and Supports

NJ Medicaid MLTSS

General: Age 65+ or disabled, New Jersey 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).
NJ Specifics: High urban demand; managed care model.

Services: In-home care (5-7 hours/day), assisted living, respite (240 hours/year), medical services.

JACC (Jersey Assistance for Community Caregiving)

NJ JACC

General: Age 60+, New Jersey resident, at risk of nursing home.
Income Limits: ~$2,500/month (individual, varies).
Asset Limits: $40,000 (individual).
NJ Specifics: Higher asset limit; limited funding.

Services: In-home care (3-5 hours/week), respite (up to 10 days/year), home modifications (~$1,000 avg.).

Pharmaceutical Assistance to the Aged and Disabled (PAAD)

New Jersey PAAD

General: Age 65+, NJ resident, enrolled in Medicare Part D or eligible.
Income Limits (2025): ~$42,142/year (individual), ~$49,209/year (couple).
Asset Limits: Not assessed.
NJ Specifics: Copays $5 (generic), $7 (brand); covers Part D premiums up to benchmark.

Services: Prescription cost reduction ($500-$1,000/year savings), premium assistance ($20/month above benchmark).

Senior Gold Prescription Discount Program

New Jersey Senior Gold

General: Age 65+, NJ resident, enrolled in Medicare Part D or eligible.
Income Limits (2025): ~$42,142-$52,142/year (individual), ~$49,209-$59,209/year (couple).
Asset Limits: Not assessed.
NJ Specifics: Copays $15 + 50% of remaining cost; no premium assistance.

Services: Prescription cost reduction (~$300-$800/year savings).

Medicare Savings Program (MSP)

New Jersey Medicare Savings Program

General: Age 65+ or disabled, NJ 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).
NJ Specifics: Three tiers; no waitlist; includes Extra Help for Part D.

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

Senior Freeze (Property Tax Reimbursement)

New Jersey Senior Freeze

General: Age 65+ by Dec 31 prior year, NJ resident, homeowner, paid property taxes.
Income Limits (2025): ~$150,000/year (combined household, projected).
Asset Limits: Not assessed; home ownership required.
NJ Specifics: Combines with ANCHOR/Stay NJ via PAS-1; annual application.

Services: Tax reimbursement (~$500-$2,000/year) for increases since base year.

ANCHOR (Affordable NJ Communities for Homeowners and Renters)

New Jersey ANCHOR

General: Age 65+ prioritized, NJ resident, homeowner/renter, paid property taxes/rent.
Income Limits (2025): ~$150,000/year (homeowners), ~$75,000/year (renters).
Asset Limits: Not assessed.
NJ Specifics: Combines with Senior Freeze/Stay NJ; broader than prior Homestead program.

Services: Tax relief (~$700-$1,500/year homeowners, ~$250-$450 renters).

Stay NJ

New Jersey Stay NJ

General: Age 65+ by Dec 31 prior year, NJ resident, homeowner, lived in home 10+ years.
Income Limits (2025): ~$500,000/year (projected, subject to final regs).
Asset Limits: Not assessed; home ownership required.
NJ Specifics: Up to 50% tax credit (max $6,500); phased implementation.

Services: Tax credit (~$3,000-$6,500/year, projected) starting 2026.

Universal Service Fund (USF)

New Jersey Universal Service Fund

General: Age 65+ prioritized, NJ resident, utility customer, low-income.
Income Limits (2025): ~$3,970/month (individual, 185% FPL).
Asset Limits: Not assessed; income-focused.
NJ Specifics: Must owe >$25 on bill; combines with LIHEAP if eligible.

Services: Bill credits (~$300-$1,500/year) to cap energy costs at 6% of income.

Home Energy Assistance Program (LIHEAP)

New Jersey LIHEAP

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

Services: Heating/cooling aid ($300-$1,000/season), emergency fuel ($450 max).

NJ Family Caregiver Support Program (via NFCSP)

New Jersey Family Caregiver Support Program

General: Caregivers of 60+ needing care or 55+ caregivers of others; NJ resident; functional needs (2+ ADLs).
Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits: Not assessed; need-based.
NJ Specifics: 21 AAAs; rural/low-income priority.

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

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

New Jersey VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, NJ 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).
NJ Specifics: High veteran demand in urban/rural areas.

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

Claim What’s Yours Financial Aid for New Jersey Seniors

NJ Medicaid MLTSS

Managed Long Term Services and Supports

Eligibility

General: Age 65+ or disabled, New Jersey 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).
NJ Specifics: High urban demand; managed care model.

Benefits

Services: In-home care (5-7 hours/day), assisted living, respite (240 hours/year), medical services.

NJ JACC

JACC (Jersey Assistance for Community Caregiving)

Eligibility

General: Age 60+, New Jersey resident, at risk of nursing home.
Income Limits: ~$2,500/month (individual, varies).
Asset Limits: $40,000 (individual).
NJ Specifics: Higher asset limit; limited funding.

Benefits

Services: In-home care (3-5 hours/week), respite (up to 10 days/year), home modifications (~$1,000 avg.).

New Jersey PAAD

Pharmaceutical Assistance to the Aged and Disabled (PAAD)

Eligibility

General: Age 65+, NJ resident, enrolled in Medicare Part D or eligible.
Income Limits (2025): ~$42,142/year (individual), ~$49,209/year (couple).
Asset Limits: Not assessed.
NJ Specifics: Copays $5 (generic), $7 (brand); covers Part D premiums up to benchmark.

Benefits

Services: Prescription cost reduction ($500-$1,000/year savings), premium assistance ($20/month above benchmark).

New Jersey Senior Gold

Senior Gold Prescription Discount Program

Eligibility

General: Age 65+, NJ resident, enrolled in Medicare Part D or eligible.
Income Limits (2025): ~$42,142-$52,142/year (individual), ~$49,209-$59,209/year (couple).
Asset Limits: Not assessed.
NJ Specifics: Copays $15 + 50% of remaining cost; no premium assistance.

Benefits

Services: Prescription cost reduction (~$300-$800/year savings).

New Jersey Medicare Savings Program

Medicare Savings Program (MSP)

Eligibility

General: Age 65+ or disabled, NJ 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).
NJ Specifics: Three tiers; no waitlist; includes Extra Help for Part D.

Benefits

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

New Jersey Senior Freeze

Senior Freeze (Property Tax Reimbursement)

Eligibility

General: Age 65+ by Dec 31 prior year, NJ resident, homeowner, paid property taxes.
Income Limits (2025): ~$150,000/year (combined household, projected).
Asset Limits: Not assessed; home ownership required.
NJ Specifics: Combines with ANCHOR/Stay NJ via PAS-1; annual application.

Benefits

Services: Tax reimbursement (~$500-$2,000/year) for increases since base year.

New Jersey ANCHOR

ANCHOR (Affordable NJ Communities for Homeowners and Renters)

Eligibility

General: Age 65+ prioritized, NJ resident, homeowner/renter, paid property taxes/rent.
Income Limits (2025): ~$150,000/year (homeowners), ~$75,000/year (renters).
Asset Limits: Not assessed.
NJ Specifics: Combines with Senior Freeze/Stay NJ; broader than prior Homestead program.

Benefits

Services: Tax relief (~$700-$1,500/year homeowners, ~$250-$450 renters).

New Jersey Stay NJ

Stay NJ

Eligibility

General: Age 65+ by Dec 31 prior year, NJ resident, homeowner, lived in home 10+ years.
Income Limits (2025): ~$500,000/year (projected, subject to final regs).
Asset Limits: Not assessed; home ownership required.
NJ Specifics: Up to 50% tax credit (max $6,500); phased implementation.

Benefits

Services: Tax credit (~$3,000-$6,500/year, projected) starting 2026.

New Jersey Universal Service Fund

Universal Service Fund (USF)

Eligibility

General: Age 65+ prioritized, NJ resident, utility customer, low-income.
Income Limits (2025): ~$3,970/month (individual, 185% FPL).
Asset Limits: Not assessed; income-focused.
NJ Specifics: Must owe >$25 on bill; combines with LIHEAP if eligible.

Benefits

Services: Bill credits (~$300-$1,500/year) to cap energy costs at 6% of income.

New Jersey LIHEAP

Home Energy Assistance Program (LIHEAP)

Eligibility

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

Benefits

Services: Heating/cooling aid ($300-$1,000/season), emergency fuel ($450 max).

New Jersey Family Caregiver Support Program

NJ Family Caregiver Support Program (via NFCSP)

Eligibility

General: Caregivers of 60+ needing care or 55+ caregivers of others; NJ resident; functional needs (2+ ADLs).
Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits: Not assessed; need-based.
NJ Specifics: 21 AAAs; rural/low-income priority.

Benefits

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

New Jersey VA Aid and Attendance/Housebound

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

Eligibility

General: Age 65+ or disabled veteran/spouse, NJ 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).
NJ Specifics: High veteran demand in urban/rural areas.