Merrill Gardens at Siena Hills

Description

Merrill Gardens at Siena Hills offers an exceptional blend of quality independent living, assisted living, and memory care services. As a family-owned company, they understand firsthand the importance of genuine care for seniors and the unique challenges that come with aging. Specially trained staff, including psychiatrists, are dedicated to ensuring the well-being and safety of residents, particularly in the realm of memory care. Utilizing a Montessori approach, they foster a strong sense of belonging and overall well-being among residents.
At Merrill Gardens, they believe in celebrating individuality and making each resident feel like an integral part of their extended family. Opportunities for personal growth and fulfillment abound, allowing residents to truly thrive in their unique residential experience. Step into their meticulously landscaped grounds and experience the tranquility of their secure outdoor courtyards. Discover a community that goes beyond the ordinary, offering exceptional care, a warm and welcoming atmosphere, and a commitment to creating a sense of home.

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How to get Medicare and Medicaid to Pay for Assisted Living

Claim What’s Yours: Financial Aid for Nevada Seniors

Program

State Program Name

Eligibility

Benefits

Home and Community Based Waiver

Nevada Medicaid HCBW

General: Age 65+ or disabled, Nevada 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).
NV Specifics: High urban demand (e.g., Las Vegas); rural challenges.

Services: Personal care (5-7 hours/day), respite (240 hours/year), home modifications ($1,500 avg.), meals ($6/meal).

Nevada Senior Services Program

NV SSP

General: Age 60+, Nevada resident, at risk of decline.
Income Limits: ~$1,800/month (individual, varies).
Asset Limits: $5,000 (individual).
NV Specifics: Limited funding; rural focus.

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

Personal Care Services (PCS)

Nevada Personal Care Services

General: Age 19+ (65+ for seniors focus), Nevada resident, Medicaid-eligible, needs help with 1+ ADL.
Income Limits (2025): ~$967/month (individual); spenddown allowed.
Asset Limits: $2,000 (individual), $3,000 (couple).
NV Specifics: Self-directed (family can be paid); statewide via DHHS.

Services: Personal care (4-6 hours/day), limited homemaker services, respite (~200 hours/year).

Senior Rx Program

Nevada Senior Rx Program

General: Age 65+, Nevada resident, enrolled in Medicare Part D, income below limit.
Income Limits (2025): ~$2,510/month (individual), ~$3,380/month (couple).
Asset Limits: Not assessed.
NV Specifics: Covers up to $38.75/month premium; funded by tobacco settlement.

Services: Prescription drug premium assistance (~$465/year), reducing out-of-pocket costs.

Medicare Savings Program (MSP)

Nevada Medicare Savings Program

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

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

Nevada Caregiver Support Program (via NFCSP)

Nevada Caregiver Support Program

General: Caregivers of 60+ needing care or 55+ caregivers of others; Nevada resident; functional needs (2+ ADLs).
Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits: Not assessed; need-based.
NV Specifics: 5 AAAs; prioritizes rural, low-income caregivers.

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

Nevada VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Nevada 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).
NV 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 Nevada Seniors

Nevada Medicaid HCBW

Home and Community Based Waiver

Eligibility

General: Age 65+ or disabled, Nevada 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).
NV Specifics: High urban demand (e.g., Las Vegas); rural challenges.

Benefits

Services: Personal care (5-7 hours/day), respite (240 hours/year), home modifications ($1,500 avg.), meals ($6/meal).

NV SSP

Nevada Senior Services Program

Eligibility

General: Age 60+, Nevada resident, at risk of decline.
Income Limits: ~$1,800/month (individual, varies).
Asset Limits: $5,000 (individual).
NV Specifics: Limited funding; rural focus.

Benefits

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

Nevada Personal Care Services

Personal Care Services (PCS)

Eligibility

General: Age 19+ (65+ for seniors focus), Nevada resident, Medicaid-eligible, needs help with 1+ ADL.
Income Limits (2025): ~$967/month (individual); spenddown allowed.
Asset Limits: $2,000 (individual), $3,000 (couple).
NV Specifics: Self-directed (family can be paid); statewide via DHHS.

Benefits

Services: Personal care (4-6 hours/day), limited homemaker services, respite (~200 hours/year).

Nevada Senior Rx Program

Senior Rx Program

Eligibility

General: Age 65+, Nevada resident, enrolled in Medicare Part D, income below limit.
Income Limits (2025): ~$2,510/month (individual), ~$3,380/month (couple).
Asset Limits: Not assessed.
NV Specifics: Covers up to $38.75/month premium; funded by tobacco settlement.

Benefits

Services: Prescription drug premium assistance (~$465/year), reducing out-of-pocket costs.

Nevada Medicare Savings Program

Medicare Savings Program (MSP)

Eligibility

General: Age 65+ or disabled, Nevada 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).
NV 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%).

Nevada Caregiver Support Program

Nevada Caregiver Support Program (via NFCSP)

Eligibility

General: Caregivers of 60+ needing care or 55+ caregivers of others; Nevada resident; functional needs (2+ ADLs).
Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits: Not assessed; need-based.
NV Specifics: 5 AAAs; prioritizes rural, low-income caregivers.

Benefits

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

Nevada VA Aid and Attendance/Housebound

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

Eligibility

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