The Oasis at Coral Reef

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

Description

Nestled within 121 sprawling acres and affiliated with the esteemed Jackson Health System, The Oasis at Coral Reef is the epitome of luxury senior living. Just a short drive away from popular destinations such as The Falls, a premier shopping center, and Zoo Miami, this community is perfectly situated to take full advantage of all that South Florida has to offer.
Beautifully landscaped gardens provide an idyllic setting to enjoy the balmy weather that this region is famous for. Seniors will relish the opportunity to bask in the warm glow of the Florida sun, take a refreshing dip in the pool, or relax in one of the many spacious units that offer ample closet space. With a variety of assisted living and memory care options available, The Oasis at Coral Reef is a place where seniors can truly thrive.

Claim What’s Yours: Financial Aid for Florida Seniors

Program

State Program Name

Eligibility

Benefits

Long-Term Care Waiver

Florida Medicaid LTC Waiver

General: Age 65+ or 21+ disabled, Florida 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).
FL Specifics: High demand; waitlists common.

Services: In-home care (6-8 hours/day), assisted living, respite (240 hours/year), case management.

Community Care for the Elderly (CCE)

Florida CCE

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

Services: Homemaker services (3-5 hours/week), adult day care (~$60/day), respite (up to 10 days/year).

Home Care for the Elderly (HCE)

Florida Home Care for the Elderly

General: Age 60+, Florida resident, at risk of nursing home placement; caregiver must be approved.
Income Limits (2025): ~$2,829/month (individual, aligned with Medicaid thresholds).
Asset Limits: ~$2,000 (individual); varies by case manager discretion.
FL Specifics: Limited funding (~3,500 served annually); prioritizes low-income frail seniors.

Services: Basic subsidy (~$160/month) for housing/medical costs; special subsidies for supplies/services (e.g., incontinence supplies, ~$50-$200/month).

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

Florida Medicaid PACE

General: Age 55+, Florida resident, nursing home-level care need, safe with PACE support.
Income Limits (2025): ~$2,829/month (300% FBR).
Asset Limits: $2,000 (individual), $3,000 (couple).
FL Specifics: Limited to specific counties (e.g., Hillsborough, Miami-Dade); ~10 sites statewide.

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

Optional State Supplementation (OSS)

Florida Optional State Supplementation

General: Age 65+ or disabled, Florida resident, living in approved facility, receiving SSI or low-income.
Income Limits (2025): ~$1,004/month (individual, including SSI).
Asset Limits: $2,000 (individual), $3,000 (couple).
FL Specifics: Limited to specific facility types; ~$78.40/month max supplement.

Services: Cash payment (~$78.40/month) for room/board or personal needs in facilities.

Senior Community Service Employment Program (SCSEP)

Florida SCSEP (federally funded, state-administered)

General: Age 55+, unemployed, low-income, Florida resident.
Income Limits (2025): ~$1,983/month (125% FPL, individual).
Asset Limits: Not specified; income-focused.
FL Specifics: Priority for veterans, rural residents; ~1,000 slots/year.

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

Claim What’s Yours Financial Aid for Florida Seniors

Florida Medicaid LTC Waiver

Long-Term Care Waiver

Eligibility

General: Age 65+ or 21+ disabled, Florida 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).
FL Specifics: High demand; waitlists common.

Benefits

Services: In-home care (6-8 hours/day), assisted living, respite (240 hours/year), case management.

Florida CCE

Community Care for the Elderly (CCE)

Eligibility

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

Benefits

Services: Homemaker services (3-5 hours/week), adult day care (~$60/day), respite (up to 10 days/year).

Florida Home Care for the Elderly

Home Care for the Elderly (HCE)

Eligibility

General: Age 60+, Florida resident, at risk of nursing home placement; caregiver must be approved.
Income Limits (2025): ~$2,829/month (individual, aligned with Medicaid thresholds).
Asset Limits: ~$2,000 (individual); varies by case manager discretion.
FL Specifics: Limited funding (~3,500 served annually); prioritizes low-income frail seniors.

Benefits

Services: Basic subsidy (~$160/month) for housing/medical costs; special subsidies for supplies/services (e.g., incontinence supplies, ~$50-$200/month).

Florida Medicaid PACE

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

Eligibility

General: Age 55+, Florida resident, nursing home-level care need, safe with PACE support.
Income Limits (2025): ~$2,829/month (300% FBR).
Asset Limits: $2,000 (individual), $3,000 (couple).
FL Specifics: Limited to specific counties (e.g., Hillsborough, Miami-Dade); ~10 sites statewide.

Benefits

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

Florida Optional State Supplementation

Optional State Supplementation (OSS)

Eligibility

General: Age 65+ or disabled, Florida resident, living in approved facility, receiving SSI or low-income.
Income Limits (2025): ~$1,004/month (individual, including SSI).
Asset Limits: $2,000 (individual), $3,000 (couple).
FL Specifics: Limited to specific facility types; ~$78.40/month max supplement.