In the realm of senior care, the term "Life Plan at Home" (LPaH) or "Continuing Care at Home” (CCRC) is becoming increasingly important. This model offers a blend of proactive health management and financial coverage, ensuring seniors can enjoy their golden years in the comfort of their homes and reap aging in place benefits.
While Life Plan at Home programs have been around for decades and have helped thousands of Americans keep living in the homes they love, they have often been run by local senior living facilities and thus have not been widely known.
Evergold’s Life Plan at Home Program is one of the programs that isn’t attached to a specific senior living facility, which provides more optionality for customers.1
But what does it entail, and how does it stand out from traditional senior care options?
A Deep Dive into LPaH:
LPaH is not just a service; it's a commitment to holistic well-being. It's designed to provide seniors with both wellness management and a financial safety net for specific care needs.2 Let's break down its components:
Wellness Management / Care Coordination:
- Proactive Care Planning: At the heart of LPaH is the role of the wellness manager. This professional is responsible for formulating care plans tailored to each individual and monitoring their health status. As health needs evolve, the care coordinator steps in to ensure those needs are met seamlessly.
- In-depth Assessments: The wellness manager conducts in-home assessments on an annual basis, evaluating functional and cognitive status, nutrition, mental health, and home safety. This comprehensive check ensures that any potential issues are identified early on.3
- Advocacy and Navigation: Whether it's an emergency visit, hospitalization, or a new diagnosis, the wellness manager acts as a personal advocate, ensuring the best care and understanding of medical procedures and implications.
- Constant Access: One of the standout features of LPaH is the round-the-clock access to wellness management and care coordination services. When a customer has an issue, no matter the severity or time, support is readily available.
- How It Works: Think of it as basic protection. Just as you pay a premium to your health insurance company and they cover medical appointments, a LPaH customer pays fees, and in return, they receive financial coverage for specified care needs.
- Coverage Limits: Each customer has a daily limit, which translates to a monthly cap. For instance, if a customer has a daily limit of $200, their maximum coverage for a month like June would be $6,000 ($200 x 30 days).
- Tiers of Coverage: LPaH offers various tiers of coverage, each of which has a daily limit. As expected, the fees for each tier vary, with higher coverage tiers having higher fees.
LPaH in Action: Real-life Scenarios:
To better understand how LPaH works, let's consider the story of Emily, a hypothetical customer. Emily, facing challenges with activities of daily living, reaches out to her wellness manager. After an assessment, the coordinator determines she needs a home aide. Given that her plan offers a daily limit of $250, her coverage for June stands at $7,500. The home aide's services for the month amount to $2,000. Since this is within her coverage limit, Emily doesn't have to pay anything extra.
However, as time progresses and Emily's health needs change, she might require more intensive care, like a nursing home. If the costs exceed her daily limit, Emily will have to pay the excess amount.
Understanding the Costs:
Joining LPaH involves two primary payments: a one-time membership fee and a monthly fee. These two fees vary based on the plan chosen, the age at which one joins, and whether an individual or a couple joins together.4 While the upfront fee often varies with age, the monthly fee for each tier remains constant.
Additional Features and Benefits:
- Tier Benefits: Regardless of the tier chosen, all customers receive the same level of care coordination. The tiering only affects the financial coverage extent.
- Specified Care Needs: LPaH covers a range of care needs, from senior home care, with an emphasis on assistance with daily activities, homemaking, and adult daycare services to facility-based care, including nursing homes, assisted living, and memory care facilities.5
- Third-party Providers: While the wellness manager is employed by the LPaH, other care needs are often catered to by vetted third-party providers. These senior care partners and providers are part of a network curated by the LPaH, ensuring quality and reliability.
Evergold’s Life Plan at Home
Life Plan at Home is a revolutionary approach to senior care, blending the comforts of home with comprehensive health management and financial coverage. It's a testament to the evolving understanding of senior needs, offering a model that prioritizes independence, personalized care, and peace. If you’re interested in learning more about Evergold’s Life Plan at Home and getting started today, fill out the form below or give us a call at (614) 324-8792.