Highbanks Care Center

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

Description

Highbanks Care Center is a reputable 56-bed secured nursing home facility in Westerville, Ohio, known for its exceptional 24/7 skilled nursing care and specialized mental health services. With a focus on providing compassionate care, this assisted living and nursing home community offers a comprehensive range of services, including short-term rehabilitation, long-term care, Hospice, and Respite care.
At Highbanks Care Center, residents benefit from a dedicated team of professionals who deliver top-notch Physical Therapy, Occupational Therapy, and Speech Therapy right on-site. The community’s mental health services cover a wide spectrum, addressing conditions such as dementia, depression, anxiety, sleep disorders, schizophrenia, bipolar disorder, and encephalopathy. Through personalized, person-centered care, they strive to enhance the quality of life and foster independence for each resident they serve. With a commitment to making a positive impact, Highbanks Care Center takes pride in its friendly and professional approach. Every resident is treated with respect, dignity, and individualized attention. By providing exceptional care, one resident at a time, Highbanks Care Center stands as a beacon of support and compassion within the community.

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Highbanks Care Center

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Claim What’s Yours: Financial Aid for Ohio Seniors

Program

State Program Name

Eligibility

Benefits

PASSPORT Waiver

Ohio Medicaid PASSPORT

General: Age 60+, Ohio 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).
OH Specifics: Administered through regional agencies; waitlists possible.

Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($65/day), home modifications ($1,500 avg.).

Ohio Home Care Program (non-Medicaid)

OH HCP

General: Age 60+, Ohio resident, at risk of decline.
Income Limits: ~$2,000/month (individual, varies).
Asset Limits: $5,000 (individual).
OH Specifics: Limited funding; regional variation.

Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).

Assisted Living Waiver (ALW)

Ohio Assisted Living Waiver

General: Age 21+ (65+ prioritized), OH resident, Medicaid-eligible, NFLOC.
Income Limits (2025): ~$2,829/month (individual); QIT required.
Asset Limits: $2,000 (individual), $3,000 (couple).
OH Specifics: Covers ~300 facilities; room/board not included (separate cost).

Services: Personal care, meals, medication management, transportation (~$3,000-$4,000/month value).

Program of All-Inclusive Care for the Elderly (PACE)

Ohio PACE (e.g., McGregor PACE)

General: Age 55+, OH resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025): ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits: $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
OH Specifics: Available in 9 counties (e.g., Cuyahoga, Franklin); expanding via Healthy Aging Grants.

Services: Personal care (5-7 hours/day), medical care, meals, transportation, respite, therapies.

Medicare Savings Program (MSP)

Ohio Medicare Savings Program

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

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

Home Energy Assistance Program (HEAP)

Ohio HEAP

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

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

Family Caregiver Support Program (FCSP)

Ohio Family Caregiver Support Program

General: Caregivers of 60+ needing care or 55+ caregivers of others; OH resident; functional needs (2+ ADLs).
Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits: Not assessed; need-based.
OH Specifics: 12 AAAs; rural/low-income priority; volunteer respite option.

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)

Ohio SCSEP

General: Age 55+, unemployed, low-income, OH resident.
Income Limits (2025): ~$1,983/month (125% FPL).
Asset Limits: Not specified; income-focused.
OH 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

Ohio VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, OH 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).
OH Specifics: High veteran demand; supports care in multiple settings.

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

Homestead Exemption

Ohio Homestead Exemption

General: Age 65+ (or disabled), OH resident, homeowner, low-income.
Income Limits (2025): ~$38,500/year (individual, adjusted annually).
Asset Limits: Not assessed; home ownership required.
OH Specifics: Reduces taxable value by $25,000; applies to primary residence.

Services: Tax reduction (~$400-$800/year avg., varies by county).

Save the Dream Ohio (Homeowner Assistance Fund)

Ohio Save the Dream

General: Age 60+ prioritized, OH resident, homeowner, hardship post-Jan 21, 2020.
Income Limits (2025): ~$147,600/year (family of 4, 150% AMI; varies by county).
Asset Limits: Not assessed; hardship-focused.
OH Specifics: Covers delinquent mortgages, utilities, taxes; max $25,000 mortgage aid.

Services: Mortgage aid ($25,000 max), utility/property tax aid ($5,000 avg.).

Claim What’s Yours Financial Aid for Ohio Seniors

Ohio Medicaid PASSPORT

PASSPORT Waiver

Eligibility

General: Age 60+, Ohio 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).
OH Specifics: Administered through regional agencies; waitlists possible.

Benefits

Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($65/day), home modifications ($1,500 avg.).

OH HCP

Ohio Home Care Program (non-Medicaid)

Eligibility

General: Age 60+, Ohio resident, at risk of decline.
Income Limits: ~$2,000/month (individual, varies).
Asset Limits: $5,000 (individual).
OH Specifics: Limited funding; regional variation.

Benefits

Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).

Ohio Assisted Living Waiver

Assisted Living Waiver (ALW)

Eligibility

General: Age 21+ (65+ prioritized), OH resident, Medicaid-eligible, NFLOC.
Income Limits (2025): ~$2,829/month (individual); QIT required.
Asset Limits: $2,000 (individual), $3,000 (couple).
OH Specifics: Covers ~300 facilities; room/board not included (separate cost).

Benefits

Services: Personal care, meals, medication management, transportation (~$3,000-$4,000/month value).

Ohio PACE (e.g., McGregor PACE)

Program of All-Inclusive Care for the Elderly (PACE)

Eligibility

General: Age 55+, OH resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025): ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits: $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
OH Specifics: Available in 9 counties (e.g., Cuyahoga, Franklin); expanding via Healthy Aging Grants.

Benefits

Services: Personal care (5-7 hours/day), medical care, meals, transportation, respite, therapies.

Ohio Medicare Savings Program

Medicare Savings Program (MSP)

Eligibility

General: Age 65+ or disabled, OH 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).
OH 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%).

Ohio HEAP

Home Energy Assistance Program (HEAP)

Eligibility

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

Benefits

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

Ohio Family Caregiver Support Program

Family Caregiver Support Program (FCSP)

Eligibility

General: Caregivers of 60+ needing care or 55+ caregivers of others; OH resident; functional needs (2+ ADLs).
Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits: Not assessed; need-based.
OH Specifics: 12 AAAs; rural/low-income priority; volunteer respite option.

Benefits

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

Ohio SCSEP

Senior Community Service Employment Program (SCSEP)

Eligibility

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

Benefits

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

Ohio VA Aid and Attendance/Housebound

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

Eligibility

General: Age 65+ or disabled veteran/spouse, OH 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).
OH Specifics: High veteran demand; supports care in multiple settings.

Benefits

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

Ohio Homestead Exemption

Homestead Exemption

Eligibility

General: Age 65+ (or disabled), OH resident, homeowner, low-income.
Income Limits (2025): ~$38,500/year (individual, adjusted annually).
Asset Limits: Not assessed; home ownership required.
OH Specifics: Reduces taxable value by $25,000; applies to primary residence.

Benefits

Services: Tax reduction (~$400-$800/year avg., varies by county).

Ohio Save the Dream

Save the Dream Ohio (Homeowner Assistance Fund)

Eligibility

General: Age 60+ prioritized, OH resident, homeowner, hardship post-Jan 21, 2020.
Income Limits (2025): ~$147,600/year (family of 4, 150% AMI; varies by county).
Asset Limits: Not assessed; hardship-focused.
OH Specifics: Covers delinquent mortgages, utilities, taxes; max $25,000 mortgage aid.