Pine Brooke Pointe

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

Description

A few minutes away from Racine, Pine Brook Pointe in Burlington offers exceptional personal care for assisted living and memory care residents. Expect elegance and upscale accommodations at one of Wisconsin’s premier communities. The spirited assisted and memory care living community performs nothing less than exceptional service offered by its professional and compassionate staff, who make residents feel like family.
Pine Brook Pointe’s personalized care includes daily health checks, medication management, memory care therapy programs, and ADLs. Within the community, scheduled local transportation is available upon request; a calendar of activities is given to each resident, with a planned list of classes and outings for an engaging social life and enriching residential experience.

Claim What’s Yours: Financial Aid for Wisconsin Seniors

Program

State Program Name

Eligibility

Benefits

Family Care Program

WI Medicaid Family Care

General: Age 65+ or disabled, Wisconsin resident, Medicaid-eligible, long-term care need.
Income Limits (2025): ~$2,829/month (300% FBR, individual).
Asset Limits: $2,000 (individual), $3,000 (couple).
WI Specifics: Managed care model; rural/urban balance.

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

Wisconsin Caregiver Support Program

WI NFCSP Respite

General: Caregiver of someone 60+ (or with dementia), Wisconsin resident.
Income Limits: No strict limit; prioritizes low-income.
Asset Limits: Not applicable.
WI Specifics: High rural demand; ADRC coordination.

Services: In-home respite (4-6 hours/day), adult day care (~$65/day), short-term facility care (up to 5 days).

IRIS (Include, Respect, I Self-Direct)

Wisconsin IRIS

General: Age 65+ (or disabled 18+), WI resident, Medicaid-eligible, NFLOC.
Income Limits (2025): ~$2,829/month; QIT optional.
Asset Limits: $2,000 (individual), $3,000 (couple).
WI Specifics: Flexible budget; serves ~20,000; participant hires caregivers.

Services: Personal care (custom hours), respite, home mods, equipment, transportation, support services.

SeniorCare Prescription Drug Assistance

Wisconsin SeniorCare

General: Age 65+, WI resident, US citizen/qualified immigrant, not on full Medicaid.
Income Limits (2025): ~$24,980-$34,980/year (Level 1-2B, individual); varies by level.
Asset Limits: None.
WI Specifics: Four benefit levels; serves ~50,000 annually.

Services: $5 generic/$15 brand copays (Level 1); deductibles ($500-$850) for higher levels; covers most Rx drugs.

Medicare Savings Program (MSP)

Wisconsin Medicare Savings Program

General: Age 65+ or disabled, WI 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).
WI Specifics: Includes Extra Help for Part D; no waitlist.

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

Wisconsin Home Energy Assistance Program (WHEAP)

Wisconsin WHEAP

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

Services: Heating/electric aid ($300-$1,000/season), crisis aid ($500 max), weatherization.

Senior Community Service Employment Program (SCSEP)

Wisconsin SCSEP

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

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

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

Wisconsin VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, WI resident, wartime service, 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).
WI Specifics: High rural veteran use; supports care costs.

Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.

Property Tax Deferral Loan Program

Wisconsin Property Tax Deferral Loan

General: Age 65+, WI resident, homeowner, live in home 6+ months/year.
Income Limits (2025): ~$24,980/year (household).
Asset Limits: Home equity < $500,000; limited other assets.
WI Specifics: Saves ~$500-$1,500/year; interest ~2%-3%.

Services: Deferred tax payment (~$500-$1,500/year avg.).

Senior Farmers’ Market Nutrition Program (SFMNP)

Wisconsin SFMNP

General: Age 60+, WI resident, low-income.
Income Limits (2025): ~$2,322/month (185% FPL).
Asset Limits: Not assessed.
WI Specifics: Vouchers (~$45/season); serves ~15,000 annually.

Services: Vouchers (~$45/season) for produce at farmers’ markets.

Claim What’s Yours Financial Aid for Wisconsin Seniors

WI Medicaid Family Care

Family Care Program

Eligibility

General: Age 65+ or disabled, Wisconsin resident, Medicaid-eligible, long-term care need.
Income Limits (2025): ~$2,829/month (300% FBR, individual).
Asset Limits: $2,000 (individual), $3,000 (couple).
WI Specifics: Managed care model; rural/urban balance.

Benefits

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

WI NFCSP Respite

Wisconsin Caregiver Support Program

Eligibility

General: Caregiver of someone 60+ (or with dementia), Wisconsin resident.
Income Limits: No strict limit; prioritizes low-income.
Asset Limits: Not applicable.
WI Specifics: High rural demand; ADRC coordination.

Benefits

Services: In-home respite (4-6 hours/day), adult day care (~$65/day), short-term facility care (up to 5 days).

Wisconsin IRIS

IRIS (Include, Respect, I Self-Direct)

Eligibility

General: Age 65+ (or disabled 18+), WI resident, Medicaid-eligible, NFLOC.
Income Limits (2025): ~$2,829/month; QIT optional.
Asset Limits: $2,000 (individual), $3,000 (couple).
WI Specifics: Flexible budget; serves ~20,000; participant hires caregivers.

Benefits

Services: Personal care (custom hours), respite, home mods, equipment, transportation, support services.

Wisconsin SeniorCare

SeniorCare Prescription Drug Assistance

Eligibility

General: Age 65+, WI resident, US citizen/qualified immigrant, not on full Medicaid.
Income Limits (2025): ~$24,980-$34,980/year (Level 1-2B, individual); varies by level.
Asset Limits: None.
WI Specifics: Four benefit levels; serves ~50,000 annually.

Benefits

Services: $5 generic/$15 brand copays (Level 1); deductibles ($500-$850) for higher levels; covers most Rx drugs.

Wisconsin Medicare Savings Program

Medicare Savings Program (MSP)

Eligibility

General: Age 65+ or disabled, WI 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).
WI Specifics: Includes Extra Help for Part D; no waitlist.

Benefits

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

Wisconsin WHEAP

Wisconsin Home Energy Assistance Program (WHEAP)

Eligibility

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

Benefits

Services: Heating/electric aid ($300-$1,000/season), crisis aid ($500 max), weatherization.

Wisconsin SCSEP

Senior Community Service Employment Program (SCSEP)

Eligibility

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

Benefits

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

Wisconsin VA Aid and Attendance/Housebound

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

Eligibility

General: Age 65+ or disabled veteran/spouse, WI resident, wartime service, 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).
WI Specifics: High rural veteran use; supports care costs.