{"response":{"docs":[{"id":"dlg_ggpd_y-ga-bh800-pa4-bs1-bb4-b2016-belec-p-btext","title":"2016 guide to benefits programs for older Georgians [Mar. 2016]","collection_id":"dlg_ggpd","collection_title":"Georgia Government Publications","dcterms_contributor":["Georgia. Department of Human Services. Division of Aging Services"],"dcterms_spatial":["United States, Georgia, 32.75042, -83.50018"],"dcterms_creator":["Georgia. Department of Human Services. Division of Aging Services"],"dc_date":["2016-03"],"dcterms_description":["Began with 2016.","2017 (harvested on July 12, 2017 from aging.dhs.georgia.gov); title from PDF title page (Georgia Government Publications database, viewed June 30, 2023).","2022 (harvested on October 31, 2022 from aging.georgia.gov); (Georgia Government Publications database, viewed June 30, 2023)."],"dc_format":["application/pdf"],"dcterms_identifier":null,"dcterms_language":["eng"],"dcterms_publisher":["Atlanta, Ga. : Georgia. Department of Human Services. Division of Aging Services"],"dc_relation":null,"dc_right":["http://rightsstatements.org/vocab/InC/1.0/"],"dcterms_is_part_of":null,"dcterms_subject":["Georgia"],"dcterms_title":["2016 guide to benefits programs for older Georgians [Mar. 2016]"],"dcterms_type":["Text"],"dcterms_provenance":["University of Georgia. Map and Government Information Library"],"edm_is_shown_by":["https://dlg.galileo.usg.edu/do:dlg_ggpd_y-ga-bh800-pa4-bs1-bb4-b2016-belec-p-btext"],"edm_is_shown_at":["https://dlg.galileo.usg.edu/id:dlg_ggpd_y-ga-bh800-pa4-bs1-bb4-b2016-belec-p-btext"],"dcterms_temporal":null,"dcterms_rights_holder":null,"dcterms_bibliographic_citation":null,"dlg_local_right":null,"dcterms_medium":["publications (documents)"],"dcterms_extent":null,"dlg_subject_personal":null,"iiif_manifest_url_ss":null,"dcterms_subject_fast":null,"fulltext":"2016 Benefits Guide for \r\nOlder Georgians \r\nMarch 2016 \r\n \r\n MEDICARE \r\n \r\nEligible Persons: Age 65, on disability for 2 years or diagnosed with end-stage renal disease (on dialysis or in need of a transplant) apply at Social Security. \r\n \r\nCOVERAGE: \r\nPart A -- Hospitalization through Blue Cross/Blue Shield of Georgia \r\nPart B -- Medical coverage for doctors, equipment and supplies through Cahaba Government Benefit Administrators \r\n \r\nDEDUCTIBLES: Part A: $1,288.00 each benefit period Part B: $166.00 annually \r\nPREMIUMS: Monthly Part A -- $226.00 with 30-39 quarters of coverage; $411.00 for uninsured and certain disabled individuals with less than 30 quarters. \r\n \r\nPart B -- \r\n \r\nIf individual income is \r\n \r\nPt. B Premium \r\n \r\n$85,000 or less \r\n \r\n$104.90 \r\n \r\nNew Enrollees+ \r\n \r\n$121.80 (plus non SS recipients, those \r\n \r\nbilled directly for Part B premiums, dual eligible for Medicare \u0026 Medicaid) \r\n \r\nIf individual income is \r\n \r\nPt. B Premium (includes the Income \r\n \r\nRelated Adjustment \r\n \r\n$85,001 to $107,000 \r\n \r\n$170.60 \r\n \r\n$107,001 to $160,000 \r\n \r\n$243.60 \r\n \r\n$160,001 to $214,000 \r\n \r\n$316.70 \r\n \r\nGreater than $214,000 \r\n \r\n$389.80 \r\n \r\nAppeal Time: 180 days on initial appeal and 60 days on a request for reconsideration. \r\n \r\n2 \r\n \r\n HOSPITAL MEDICARE \r\nMedicare pays up to 90 days for each spell of illness. For the first 60 days, Medicare pays 100% of covered hospital services. For the 61st through the 90th day, Medicare pays all but $322.00 per day. \r\nLifetime Reserve Days: Every Medicare beneficiary has 60 days that they may use in their lifetime to cover days in the hospital that exceed the Medicare limit of 90 days. Once these 60 days have been used, they are not replaced. When one of these days is used, Medicare will pay everything except the first $644.00 per day. \r\nNURSING HOME MEDICARE \r\nMedicare pays for Skilled Care only. One must have been hospitalized for 3 consecutive days before entering the nursing home. For the first 20 days, Medicare pays all of the covered costs. For, days 21-100, there is a co-insurance payment of $161.00 per day and Medicare pays the rest. After 100 days, Medicare pays nothing. \r\nMEDICAID \r\nIf one is eligible for Supplemental Security Income (SSI) or Temporary Assistance for Needy Families (TANF), then one is eligible for Medicaid. The Georgia Department of Community Health's Division of Medical Assistance administers Georgia Medicaid: 1-866211-0950. An application can be made at your local county DFCS office. If you lose your SSI or TANF, you do not necessarily lose Medicaid. The State must make an independent determination. \r\n3 \r\n \r\n MEDICAID COVERED SERVICES \r\n Ambulatory Surgical Services  Certified Registered Nurse Anesthetists  Childbirth Education Services  Children's Intervention Services  Community Based Alternatives (SOURCE)  Dental Services (some)  Diagnostic, Screening and Preventive Services  Dialysis Services  Durable Medical Equipment Rental (hospital beds, wheelchairs, \r\ncrutches and walkers prescribed by doctors)  Emergency Ambulance Services  EPSDT (Early and Periodic Screening Diagnosis and Treatment)  Family Planning  Georgia Better Health Care  Health Insurance Premiums (Medicare: Part A and Part B, \r\nQMB, SLMB)  Home health  Hospice Services  Inpatient and Outpatient Hospital Services  Intermediate Care for the Mentally Retarded Facility \r\nServices  Laboratory/ X-ray Services  Medicare Crossovers  Mental Health Clinic Services  Non-emergency transportation (12 doctors' visits per year \r\nunless more medically justified)  Nurse Practitioner Services  Nursing Home Services  Oral Surgery  Orthotic and Prosthetic  Pharmacy Services: NOTE: MEDICARE eligible recipients must \r\nbe enrolled in a Medicare Prescription Drug Plan \r\n4 \r\n \r\n MEDICAID SERVICES (continued) \r\n Physician Service  Physician's Assistant Services  Podiatric Services  Pre-Admission Screening/Annual Resident Review  Pregnancy Related Services  Psychological Services  Retroactive Medicaid (3 months)  Rural Health Clinic/Community Health Center Services  Swing Bed Services  Targeted Case Management Services \r\no Adults w/Aids o Chronically Mentally Ill o Early Intervention o Perinatal o Therapeutic Residential Intervention  Vision Care Services  Waiver Services o Community Care o Independent Care o Mental Retardation o Community Habilitation and Support o Traumatic Brain Injury \r\n5 \r\n \r\n Transfer of Assets for Long-Term Care Medicaid: In Medicaid for long-term care, which includes nursing homes and the Community Care Services Program, where assets are transferred for less than the Fair Market Value within 60 months before application for Medicaid is filed; a person may be disqualified for a period equal to the value transferred. \r\n(Contact the Division of Aging Services for more information about this subject in our publication, \"Medicaid Information for Long-Term Care.\") \r\n(Note: Because there was no Cost of Living Adjustment for Social Security, eligibility amounts associated with Social Security and Medicaid remain unchanged for 2016) \r\nCOMMUNITY CARE SERVICES PROGRAM \r\nThis program assists eligible Medicaid beneficiaries to live in the community and delay or avoid institutionalization. It provides Medicaid Coverage and in-home services for persons who meet the same medical, functional, and financial criteria for placement as residents of a nursing facility, but choose to stay in their own homes. If a person's income level exceeds the Federal Benefit Rate for Supplemental Security Income (SSI) then there is a cost share to participate in the program. The cap for eligibility is $2,199. Income exceeding this amount will require a Qualified Income Trust or Miller Trust for eligibility. Cost share is based upon the amount of income over the SSI amount. Some of the services available include Personal Care Aide, Adult Day Health, Emergency Response System, Nursing Services, etc. \r\nFor more information, contact the Community Care Services Program Office for your area through the local Area Agency on \r\nAging. \r\nNURSING HOME MEDICAID \r\n6 \r\n \r\n This is a program that enables people aged, blind or disabled who need nursing home care but are unable to afford it a means by which to receive care through the Medicaid program. Income exceeding the amount below will require a Qualified Income Trust or Miller Trust in order to ensure eligibility. \r\nIncome limit: up to $2,199 per month  per person Resources limit: $2,000 individual; $3,000 couple \r\nSPOUSAL IMPOVERISHMENT \r\nThis is a program that can prevent a married couple from having to spend down all of their resources. The program allows the spouse who remains at home, the Community Spouse, who is not receiving Medicaid, to keep up to $2,980.00 of the couple's income and $119,220.00 of the couple's resources. \r\nAllowable Resources: The home, a $10,000.00 limit for burial exclusions for the applicant/recipient and for the spouse, including accounts, life insurance and preneeds contracts, $2,000.00 savings for the applicant/recipient, household furnishings, certain automobiles, and some other items. \r\nExample: For a Nursing Home (NH) bill of $2,000/month, where the community spouse has $1,000.00 income and the nursing home resident has $1,200 income; the calculations will be as follows: \r\nStep 1: The NH Resident receives income in the amount of $1,200: \r\n$1,200 income (-) $50.00 Personal Needs Allowance (-) $130.00 in excess medical expenses (=) $1,020.00 available income \r\nStep 2: \r\n7 \r\n \r\n The Community Spouse receives $1,000.00 income: \r\n$1,000.00 income (+) $1,020.00 from NH resident (=) $2020.00 total income which is less than $2,980.00, therefore community spouse keeps $2,020.00 income, leaving $0.00 for the resident's contribution to the nursing home bill and the Medicaid payment is $2,000. \r\nIncurred excess medical expenses not covered by Medicaid, (i.e. dentures, some medications and chiropractic care) may be deducted from the NH resident's income. Most medications should be covered by the NH resident's Medicare Prescription Drug Plan for those on Medicare and NH Medicaid. Your local county DFCS office must be notified. \r\n \r\nSUPPLEMENTAL SECURITY INCOME (SSI) \r\n \r\nFor: Those age 65 or older, blind or disabled with income as provided below, apply at Social Security. \r\n \r\nJanuary 2016 \r\n \r\nIndividual: $733.00 per month \r\n \r\nCouple: \r\n \r\n$1,100.00 per month \r\n \r\nThere is a resource limit of $2,000.00 for an individual and $3,000.00 for a couple. Resources include things like cash, savings, certificates of deposit (CDs), etc. Certain things are excluded from resources. \r\n \r\nExamples of things excluded from resources are: home, car up to $4,500, prepaid burial plots, caskets, vaults etc. and up to $1,500 in a burial account, household goods up to $2,000, trade/business, and life insurance face value up to $1,500. \r\n \r\n8 \r\n \r\n Appeal Time: 60 days. Pickle People: If you received Social Security or Supplemental Security Income in the same month and Supplemental Security Income was canceled due to a cost of living increase, you may be eligible for continued Medicaid if you are eligible, but for the cost of the living increase. Apply at your local county DFCS office. \r\nAdult Medically Needy \"Spend Down\" \r\nEligible persons are those who are aged 65 or older, blind or disabled with high medical bills and income too high for other categories of Medicaid. Total unpaid bills must bring income below the required limits. Apply at your local county DFCS office. \r\nJanuary 2016 $337.00 $395.00 \r\nResources: $2,000 individual; $4,000 couple Appeal Time: 30 days \r\n9 \r\n \r\n MEDICARE SAVINGS PROGRAMS \r\n \r\nThere are programs that enable a person with limited income to assist with paying for the cost of having Medicare. Income limits change every year when the Federal Poverty Levels change. Apply at your local county DFCS office. \r\n \r\n1. Qualified Medicare Beneficiary (QMB) Covers part B premium, co-insurance and part A \u0026 B deductibles; does not pay for prescriptions. \r\n \r\nIncome Limit: \r\n \r\n(Thru March 2017) \r\n \r\nIndividual $1,010.00 \r\n \r\nCouple \r\n \r\n$1,355.00 \r\n \r\n2. Specified Low Income Medicare Beneficiary (SLIMB) Only covers the Part B Premium. \r\n \r\nIncome Limit: \r\n \r\n(Thru March 2017) \r\n \r\nIndividual $1,208.00 \r\n \r\nCouple \r\n \r\n$1,622.00 \r\n \r\n*Ask about the availability of benefits under the Q-1 program that pays the Part B premium. \r\n \r\nResources: $7,280 individual; $10,930 couple \r\nAppeal Time: 30 days (10 days for continued benefits) \r\n \r\n10 \r\n \r\n 2016-17 MEDICARE PART D SUBSIDIES (\"Extra Help\") \r\nFull - Provides drug subsidy with low co-payments to Medicare beneficiaries with incomes up to 135% of federal poverty level and limited resources. With the full subsidy, there is no Part D deductible. Apply at Social Security. \r\nMonthly Income Limit: $1,357 individual $1,823 couple \r\nResources: $8,780 individual; $13,930 couple \r\nPartial - Provides a partial subsidy of premium, deductible and coinsurance to Medicare beneficiaries with incomes up to 150% of poverty and limited resources. With the partial subsidy, the Part D deductible is limited to $74.00 \r\nMonthly Income limit: $1,505 individual $2,023 couple \r\nResources: $13,930 individual; $27,250 couple \r\nThese resource limits include the automatic $1,500 burial fund allotment. \r\nHOSPICE \r\nHospice cares for the terminally ill and their families. The goal is not to cure but to provide care and counseling to make the final stages of life more comfortable. Hospice, provided by a public or private agency that is Medicare or Medicaid approved is for all ages, including children and adults. \r\nServices available:  Nursing services \r\n11 \r\n \r\n  Medical social services  Physician services  Counseling  Homemaker services  Medical equipment (such as wheelchairs, walkers, hospital \r\nbeds)  Medical supplies (bandages, catheters)  Prescription drugs for pain  Short term stay in the hospital for respite care  Home health aide  Physical and occupational therapy  Speech therapy  Social worker services  Dietary counseling  Grief counseling \r\nServices Not Covered By Hospice  Treatment to cure the terminal illness  Care from a hospice provider other than your approved hospice provider  The same type of care that your hospice care provider is giving you \r\nMedicare Hospice \r\nYou pay a possible $5.00 co-payment for each outpatient prescription drug and similar products for pain relief and symptom control and possibly 5% of the Medicare per day payment amount for inpatient respite care. Medications for one in hospice are also covered by either Medicare Part B or Part D. \r\nMedicaid Hospice \r\nIncome limit: $2,199 per month \r\nResources: $2,000 individual; $3,000 couple \r\n12 \r\n \r\n Food Stamps (through September 2017) \r\nFederal Program renamed \"SNAP\" (Supplemental Nutrition Assistance Program) \r\n \r\nHH Size \r\nHH=household \r\n1 2 3 4 5 6 7 8 \r\nEach additional \r\nperson \r\n \r\nGross 130% \r\n$1,276 $1,726 $2,177 $2,628 $3,078 $3,529 $3,980 $4,430 +$451 \r\n \r\n(Elderly) \r\nNet Income 100% \r\n$ 981 $1,328 $1,675 $2,021 $2,368 $2,715 $3,061 $3,408 +$347 \r\n \r\nMax Allotment \r\n$194 $357 $511 $649 $771 $925 $1,022 $1,169 +$146 \r\n \r\nAn elderly or disabled person's food stamp allotment is based upon their net income. Most households must meet the maximum gross income to even be considered eligible for the program and then meet the net income limit. You can apply at your local county DFCS office. Multiply the net income by .3 and subtract that figure from the maximum food stamp allotment to obtain the household allotment. \r\n \r\nResources: $3,250 elderly (60 and over); $2,250 non-elderly \r\n \r\nExempt Resources: Home and lot; household goods; cars exempt. Appeal Time: 90 days (10 days continued benefits). \r\n \r\n13 \r\n \r\n Proved medical expenses in excess of $35.00 can be used to increase food stamp allotments for the elderly and disabled. These would include one-time medical bills and recurring expenses such as Medicare and insurance premiums, (when paid by the recipient) and doctor visits. This now includes medical mileage defined as transportation to and from medical appointments and the pharmacy in the recipient's own vehicle. Mileage expenses should be reported on Form 840-Medical Transportation Log which is available from your local county DFCS office. \r\nFor transportation by taxi, bus, train, etc., use the actual cost of the trip to claim it as an expense. Georgia now has a Standard Medical Deduction if expenses exceed $35.00 per month for elderly and disabled adults. \r\nOther Food Stamp Budget Allowances \r\nStandard Deduction: $155.00 maximum (1-3 people) $165.00 (4+ people) \r\nShelter Deduction: $504.00 For elderly households: All shelter costs over half the household income may be deducted (i.e. rent/mortgage, taxes, interest, utilities  gas, electricity and water) \r\nStandard Medical Deduction: $185.00 For elderly and disabled households with proved medical expenses in excess of $35.00 per month; recipients may choose to request an actual expense deduction instead of using the standard medical deduction. \r\nA dependent care deduction for work, training or education. \r\nA 20% deduction for earned income. \r\n14 \r\n \r\n For assistance with any of the programs mentioned in this information, please contact one of the following: \r\nCounty DFCS Office \r\n(1-877-423-4746) \r\n1. Nursing Home Medicaid 2. Spousal Impoverishment 3. QMB or SLIMB 4. Adult Medically Needy \"Spend Down\" 5. SNAP Benefits (Food Stamps) 6. Georgia Senior SNAP Application Process \r\n(NOTE: https://compass.ga.gov/selfservice/ for an option of applying for benefits online) \r\nSOCIAL SECURITY ADMINISTRATION \r\n(1-800-772-1213) \r\n1. Social Security 2. Supplemental Security Income 3. Low income Subsidy or Medicare Part D \"Extra Help\" \r\nMEDICARE \r\n(1-800-MEDICARE) \"1-800-633-4227\" \r\nGEORGIA HOSPICE \u0026 PALLIATIVE CARE ORGANIZATION 404-323-9397 or 1-877-924-6073 \r\nMEDICAID \r\nGeorgia Department of Community Health Division of Medical Assistance 1-866-211-0950 \r\n15 \r\n \r\n GEORGIA SENIOR LEGAL HOTLINE \r\nBrief legal advice over the phone for people 60 years of age and older 1-888-257-9519 or (404) 657-9915 \r\nDIVISION OF AGING SERVICES PROGRAMS \r\n1-866-55AGING (552-4464) \r\n AGING \u0026 DISABILITY RESOURCE CONNECTION (ADRC) A \"one-stop-shop\" for information and resources to help you stay in your home is available. \r\n COMMUNITY CARE SERVICES PROGRAM (CCSP) Information is available from the local Area Agency on Aging Office for your area. \r\n ELDERLY LEGAL ASSISTANCE PROGRAM (ELAP) Legal assistance program providing civil information, education and representation at no cost to persons 60 years of age and older when brief telephone legal advice is not enough. \r\nFor the program that serves your area, contact your local Area Agency on Aging or the Division of Aging Services. \r\n GEORGIACARES For information on and assistance with prescription drug plans, Medicare and other health insurance options, contact a local program. \r\n LONG-TERM CARE OMBUDSMAN PROGRAM If you have someone in a personal care home or nursing home that needs an advocate or an extra voice, contact the local ombudsman. \r\n16 \r\n \r\n AREA AGENCIES ON AGING \r\n1-866-55AGING (552-4464) \r\n \r\nAtlanta Regional Commission \r\nHome Office: Atlanta \r\n(404) 463-3333 1-866-552-4464 \r\nCentral Savannah River Area \r\nHome Office: Augusta \r\n1-866-552-4464 \r\nCoastal Georgia Home Office: Brunswick \r\n1-800-580-6860 \r\nGA Mountains (Legacy Link, Inc.) \r\nHome Office: Gainesville \r\n1-855-266-4283 \r\nHeart of Georgia Altamaha Home Office: Baxley 1-888-367-9913 \r\nMiddle Georgia Home Office: Macon 1-888-548-1456 \r\n \r\nNortheast Georgia Home Office: Athens 1-800-474-7540 \r\nNorthwest Georgia Home Office: Rome 1-800-759-2963 \r\nRiver Valley Home Office: Columbus \r\n1-800-615-4379 \r\nSouthern Georgia Home Office: Waycross \r\n1-888-732-4464 \r\nSouthwest Georgia Home Office: Albany 1-800-282-6612 \r\nThree Rivers/Southern Crescent \r\nHome Office: Franklin \r\n1-866-854-5652 \r\n \r\nFor resources in the community, please contact the Aging\u0026 Disability Resource Connection within your local Area Agency on Aging. \r\n17 \r\n \r\n Notes \r\n18 \r\n \r\n Notes \r\n19 \r\n \r\n Natalie K. Thomas, Esq. State Legal Services Developer Georgia Department of Human Services \r\nDivision of Aging Services 2 Peachtree Street, NW; Suite 33.384 \r\nAtlanta, Georgia 30303-3142 (404) 657-5328 1-866-552-4464 \r\nNatalie.Thomas@dhs.ga.gov \r\n20 \r\n \r\n "},{"id":"dlg_ggpd_y-ga-bh800-pa4-bs1-bb4-b2013-belec-p-btext","title":"2013 guide to benefits programs for older Georgians [Jan. 2013]","collection_id":"dlg_ggpd","collection_title":"Georgia Government Publications","dcterms_contributor":["Georgia. Department of Human Services. Division of Aging Services"],"dcterms_spatial":["United States, Georgia, 32.75042, -83.50018"],"dcterms_creator":["Georgia. Department of Human Services. Division of Aging Services"],"dc_date":["2013-01"],"dcterms_description":["Open access; Unrestricted online access star GAGAL","It is unclear if this title was available in print after 2011 or if it was briefly published online only. It is also unclear whether the succeeding title is available in print.","Print version record.","2013 (Georgia Government Publications database, viewed July 31, 2023)."],"dc_format":["application/pdf"],"dcterms_identifier":null,"dcterms_language":["eng"],"dcterms_publisher":["Atlanta, Ga. : Georgia. Department of Human Services. Division of Aging Services"],"dc_relation":null,"dc_right":["http://rightsstatements.org/vocab/InC/1.0/"],"dcterms_is_part_of":null,"dcterms_subject":["Georgia"],"dcterms_title":["2013 guide to benefits programs for older Georgians [Jan. 2013]"],"dcterms_type":["Text"],"dcterms_provenance":["University of Georgia. Map and Government Information Library"],"edm_is_shown_by":["https://dlg.galileo.usg.edu/do:dlg_ggpd_y-ga-bh800-pa4-bs1-bb4-b2013-belec-p-btext"],"edm_is_shown_at":["https://dlg.galileo.usg.edu/id:dlg_ggpd_y-ga-bh800-pa4-bs1-bb4-b2013-belec-p-btext"],"dcterms_temporal":null,"dcterms_rights_holder":null,"dcterms_bibliographic_citation":null,"dlg_local_right":null,"dcterms_medium":["publications (documents)"],"dcterms_extent":null,"dlg_subject_personal":null,"iiif_manifest_url_ss":null,"dcterms_subject_fast":null,"fulltext":"2013 GUIDE To \r\nBENEFITS PROGRAMS \r\n \r\nFEDERAL FOOD STAMP PROGRAM \r\n \r\nSOCIAL SECURITY \r\n \r\nMEDICARE \r\n \r\nMEDICAID \r\n \r\nFOR OLDER GEORGIANS \r\nJanuary 2013 \r\n \r\n MEDICARE \r\n \r\nEligible Persons: Age 65, on disability for 2 years or diagnosed with end-stage renal disease (on dialysis or in need of a transplant) Apply at Social Security. \r\n \r\nCOVERAGE: \r\nPart A -- Hospitalization through Blue Cross/Blue Shield \r\nPart B -- Medical Coverage for Doctors, Equipment and Supplies through Noridian Administrative Services \r\n \r\nDEDUCTIBLES: Part A: $1,184.00 each benefit period Part B: $147.00 annually \r\nPREMIUMS: Monthly Part A -- $243.00 with 30-39 quarters of coverage; $441.00 for uninsured and certain disabled individuals with less than 30 quarters. \r\n \r\nPart B -- Based on annual income. \r\n For higher incomes beginning in 2011, the Affordable Care Act requires Part D enrollees to pay to Medicare in addition to their Part D plan premiums, a monthly income related adjustment. That adjustment is reflected below. \r\n \r\nIf individual income is $85,000 or less \r\n \r\nPt. B Premium $104.90 \r\n \r\nPt. D Adjustment $0.00 \r\n \r\nIf individual income is $85,001 to $107,000 $107,001 to $160,000 $160,001 to $214,000 Greater than $214,000 \r\n \r\nPt. B Premium $146.90 $209.80 $272.70 $335.70 \r\n \r\nPt. D Adjustment $11.60 $29.90 $48.30 $66.60 \r\n \r\nAppeal Time: 180 days on initial appeal and 60 days for a request for reconsideration. \r\n \r\n2 \r\n \r\n MEDICARE PRESCRIPTION DRUG COVERAGE \r\nIf you have not enrolled in a Medicare Prescription Drug Plan, please go to www.Medicare.gov or call GeorgiaCares at 1-800-669-8387 \r\nHOSPITAL MEDICARE \r\nMedicare pays up to 90 days for each spell of illness. For the first 60 days, Medicare pays 100% of covered hospital services. For the 61st through the 90th day, Medicare pays all but $296.00 per day. \r\nLifetime Reserve Days: Every Medicare beneficiary has 60 days that they may use in their lifetime to cover days in the hospital that exceed the Medicare limit of 90. Once these 60 days have been used, they are not replaced. When one of these days is used, Medicare will pay everything except the first $592.00 per day. \r\nNURSING HOME MEDICARE \r\nMedicare pays for Skilled Care only. One must have been hospitalized for 3 consecutive days before entering the nursing home. For the first 20 days, Medicare pays all of the covered costs. For the 21st-100th day, there is a coinsurance payment of $148.00 per day and Medicare pays the rest. After 100 days, Medicare pays nothing. \r\nMEDICAID \r\nIf one is eligible for Supplemental Security Income (SSI) or Temporary Assistance to Needy Families (TANF), then one is eligible for Medicaid. The Georgia Department of Community Health's Division of Medical Assistance administers Georgia Medicaid: 1-800-766-4456 or (404) 298-1228, Application is made at the County DFCS office. If you lose your SSI or TANF, you do not necessarily lose Medicaid. The State must make an independent determination. \r\n3 \r\n \r\n MEDICAID COVERED SERVICES \r\nAmbulatory Surgical Services Certified Registered Nurse Anesthetists Childbirth Education Services Children's Intervention Services Community Based Alternatives (SOURCE) Dental Services (some) Diagnostic, Screening and Preventive Services Dialysis Services Durable Medical Equipment Rental (hospital beds, wheelchairs, crutches and walkers prescribed by doctors) Emergency Ambulance Services EPSDT (Early and Periodic Screening Diagnosis and Treatment) Family Planning Georgia Better Health Care Health Insurance Premiums (Medicare: Part A and Part B, QMB, SLMB) Home health Hospice Services Inpatient and Outpatient Hospital Services Intermediate Care for the Mentally Retarded Facility Services Laboratory/ X-ray Services Medicare Crossovers Mental Health Clinic Services Non-emergency transportation (12 doctors visits per year unless more medically justified) Nurse Practitioner Services Nursing Home Services Oral Surgery Orthotic and Prosthetic Pharmacy Services: NOTE: MEDICARE eligible recipients must be enrolled in a Medicare Prescription Drug Plan \r\n4 \r\n \r\n MEDICAID SERVICES (continued) \r\nPhysician Service Physician's Assistant Services Podiatric Services Pre-Admission Screening/Annual Resident Review Pregnancy Related Services Psychological Services Retroactive Medicaid (3 months) Rural Health Clinic/Community Health Center Services Swing Bed Services Targeted Case Management Services \r\no Adults w/Aids o Chronically Mentally Ill o Early Intervention o Perinatal o Therapeutic Residential Intervention Vision Care Services Waiver Services o Community Care o Independent Care o Mental Retardation o Community Habilitation and Support o Traumatic Brain Injury \r\n5 \r\n \r\n Transfer of Assets for Long-Term Care Medicaid: In Medicaid for longterm care, which includes nursing home and the community care services program, where assets are transferred for less than the Fair Market Value within 60 months before application for Medicaid is filed; a person may be disqualified for a period equal to the value transferred. \r\n(Contact the Division of Aging Services for more information about this subject in our publication, \"Medicaid Information for Long-Term Care.\") \r\nCOMMUNITY CARE SERVICES PROGRAM \r\nThis program assists eligible Medicaid beneficiaries to live in the community and delay or avoid institutionalization. It provides Medicaid Coverage and in-home services for persons who meet the same medical, functional, and financial criteria for placement as residents of a nursing facility, but choose to stay in their own homes. If a person's income level exceeds the Federal Benefit Rate for Supplemental Security Income (SSI) recipients, there is a cost share to participate in the program. $2,130 is the cap for eligibility. Income exceeding this amount will require a Qualified Income Trust or Miller Trust for eligibility. Cost share is based upon the amount of income over the SSI amount. Some of the services available include Personal Care Aide, Adult Day Health, Emergency Response System, Nursing Services, etc. \r\nFor more information, contact the Community Care Services Program Office for your area through the Area Agency on Aging. \r\n6 \r\n \r\n NURSING HOME MEDICAID \r\nThis is a program that enables people, aged, blind or disabled who need nursing home care but are unable to afford it a means by which to receive care through the Medicaid program. Income exceeding the amount below will require a Qualified Income Trust or Miller Trust in order to ensure eligibility. \r\nIncome limit: up to $2,130 per month  per person Resources limit: $2,000 individual; $3,000 couple \r\nSPOUSAL IMPOVERISHMENT \r\nThis is a program that can prevent a married couple from having to spend down all of their resources. The program allows the spouse who remains at home, the Community Spouse, who is not receiving Medicaid, to keep up to $2,898.00 of the couple's income and $115,920.00 of the couple's resources. \r\nAllowable Resources: the home, a $10,000.00 limit for burial exclusions for the applicant/recipient and for the spouse, including accounts, life insurance and preneeds contracts, $2,000.00 savings for the applicant/recipient, household furnishings, certain automobiles, and some other items. \r\nExample: For a Nursing Home (NH) bill of $2,000/month, where the community spouse has $1,000.00 income and the nursing home resident has $1,200 income; the calculations will be as follows: \r\nStep 1: The NH Resident receives income in the amount of $1,200: \r\n$1,200 income (-) $50.00 Personal Needs Allowance (-) $130.00 in excess medical expenses (=) $1,020.00 available income \r\n7 \r\n \r\n Step 2: The Community Spouse receives $1,000.00 income: \r\n$1,000.00 income (+) $1,020.00 from NH resident (=) $2020.00 total income which is less than $2,898.00, therefore community spouse keeps $2,020.00 income, leaving $0.00 for the resident's contribution to the nursing home bill and the Medicaid payment is $2,000. \r\nIncurred excess medical expenses not covered by Medicaid, (i.e. dentures, some medications and chiropractic care) may be deducted from the NH resident's income. Most medications should be covered by the NH resident's Medicare Prescription Drug Plan for those on Medicare and NH Medicaid. The County DFCS office must be notified. \r\n \r\nSUPPLEMENTAL SECURITY INCOME (SSI) \r\n \r\nFor: Those age 65 or older, blind or disabled with income as provided below. Apply at Social Security. \r\n \r\nJanuary 2013 \r\n \r\nIndividual: $710.00 per month \r\n \r\nCouple: \r\n \r\n$1,066.00 per month \r\n \r\nThere is a resource limit of $2,000.00 for an individual and $3,000.00 for a couple. Resources include things like cash, savings, certificates of deposit (CDs), etc. Certain things are excluded from resources. \r\n \r\nExamples of things excluded from resources are: home, car up to $4,500, prepaid burial plots, caskets, vaults etc. and up to $1,500 in a burial account, household goods up to $2,000, trade/business, and life insurance face value up to $1,500. \r\n8 \r\n \r\n Appeal Time: 60 days. Pickle People: If you received Social Security or Supplemental Security Income in the same month and Supplemental Security Income was canceled due to a cost of living increase, you may be eligible for continued Medicaid if you are eligible but for the cost of the living increase. Apply at the County DFCS office. \r\nAdult Medically Needy \"Spend Down\" \r\nEligible persons are those who are aged 65 or older, blind or disabled with high medical bills and income too high for other categories of Medicaid. Total unpaid bills must bring income below the required limits. Apply at the County DFCS office. \r\nJanuary 2013 $337.00 $395.00 \r\nResources: $2,000 individual; $4,000 couple Appeal Time: 30 days \r\n9 \r\n \r\n MEDICARE BUY-IN PROGRAMS \r\n \r\nThere are programs that enable a person with limited income to assist with paying for the cost of having Medicare. Income limits change every year when the Federal Poverty Levels change. Apply at the County DFCS office. \r\n \r\n1. Qualified Medicare Beneficiary (QMB) Covers part B premium, co-insurance and part A \u0026 B deductibles; does not pay for prescriptions. \r\n \r\nIncome Limit: \r\n \r\n(Thru March 2013) \r\n \r\nIndividual $ 951.00 \r\n \r\nCouple \r\n \r\n$1,281.00 \r\n \r\n2. Specified Low Income Medicare Beneficiary (SLIMB) Only covers the Part B Premium. \r\n \r\nIncome Limit: \r\n \r\n(Thru March 2013) \r\n \r\nIndividual $1,137.00 \r\n \r\nCouple \r\n \r\n$1,533.00 \r\n \r\n*Ask about the availability of benefits under the Q-1 program that pays the Part B premium. \r\n \r\nEffective January 1, 2010, the three Medicare Savings Programs began using the Part D low-income subsidy (LIS) asset amount, indexed each year according to the Consumer Price Index. \r\nResources: $6,940 individual; $10,410 couple \r\nAppeal Time: 30 days (10 days for continued benefits) \r\n \r\n10 \r\n \r\n MEDICARE PART D SUBSIDIES (\"Extra Help\") \r\nFull - Provides drug subsidy with low co-payments to Medicare beneficiaries with incomes up to 135% of federal poverty level and limited resources. With the full subsidy, there is no Part D deductible. Apply at Social Security. \r\nIncome Limit: $1,256.25 individual per month $1,702.12 couple per month \r\nPartial - Provides a partial subsidy of premium, deductible and co-insurance to Medicare beneficiaries with incomes up to 150% of poverty and limited resources. With the partial subsidy, the Part D deductible is limited to $66.00 \r\nIncome limit: $1,396.25 individual per month $1,891.25 couple per month \r\nResources: $13,070 individual; $26,120 couple \r\nHOSPICE \r\nHospice cares for the terminally ill and their families. The goal is not to cure but to provide care and counseling to make the final stages of life more comfortable. Hospice, provided by a public or private agency that is Medicare or Medicaid approved is for all ages, including children and adults. \r\nServices available: Nursing services Medical social services Physician services Counseling Homemaker services Medical equipment (such as wheelchairs, walkers, hospital beds) Medical supplies (bandages, catheters) Prescription drugs for pain \r\n11 \r\n \r\n Short term stay in the hospital for respite care Home health aide Physical and occupational therapy Speech therapy Social worker services Dietary counseling Grief counseling Services Not Covered By Hospice Treatment to cure the terminal illness Care from a hospice provider other than your approved hospice provider The same type of care that your hospice care provider is giving you Medicare Hospice You pay a possible $5.00 for each outpatient prescription drug and similar products for pain relief and symptom control and possibly a 5% of the Medicare per day payment amount for inpatient respite care. Medications for one in hospice are also covered by either Medicare Part B or Part D. Medicaid Hospice \r\nIncome limit: $2,094 per month Resources: $2,000 individual; $3,000 couple \r\n12 \r\n \r\n Food Stamps (through September 2013) \r\nFederal Program renamed \"SNAP\" (Supplemental Nutrition Assistance Program) \r\n \r\nHH Size \r\nHH=household \r\n1 2 3 4 5 6 7 8 \r\nEach additional \r\nperson \r\n \r\nGross 130% \r\n$1,211 $1,640 $2,069 $2,498 $2,927 $3,356 $3,785 $4,214 +$429 \r\n \r\n(Elderly) \r\nNet Income 100% \r\n$ 931 $1,261 $1,591 $1,921 $2,251 $2,581 $2,911 $3,241 +$330 \r\n \r\nMax Allotment \r\n$200 $367 $526 $668 $793 $952 $1,052 $1,202 +$150 \r\n \r\nAn elderly or disabled person's food stamp allotment is based upon their net income. Most households must meet the maximum gross income to even be considered eligible for the program and then meet the net income limit. Apply at the County DFCS office. Multiply the net income by .3 and subtract that figure from the maximum food stamp allotment to obtain the household allotment. \r\n \r\nResources: $3,250 elderly (60 and over); $2,000 non-elderly \r\n \r\nExempt Resources: Home and lot; household goods; cars exempt. Appeal Time: 90 days (10 days continued benefits). \r\n \r\n13 \r\n \r\n Medical expenses in excess of $35.00 can be used to increase food stamp allotments for the elderly. These would include one-time medical bills and recurring expenses such as Medicare and insurance premiums, (when paid by the recipient) and doctor visits. This now includes medical mileage defined as transportation to and from medical appointments and the pharmacy in the recipient's own vehicle. Mileage expenses should be reported on Form 840-Medical Transportation Log which is available from the County DFCS office. For transportation by taxi, bus, train, etc. use the actual cost of the trip to claim it as an expense. \r\n \r\nOther Food Stamp Budget Allowances \r\n \r\nStandard Deduction: \r\n \r\n$149.00 maximum (1-3 people) $160.00 (4+ people) \r\n \r\nShelter Deduction: $469.00 For elderly households: All shelter costs over half the household income may be deducted (i.e. rent/mortgage, taxes, interest, utilities  gas, electricity and water) \r\n \r\nA dependent care deduction for work, training or education. \r\n \r\nA 20% deduction for earned income. \r\n \r\n14 \r\n \r\n For assistance with any of the programs mentioned in this information, please contact one of the following: \r\nCounty DFCS Office \r\n(Contact the office in your county) \r\n1. Nursing Home Medicaid 2. Spousal Impoverishment 3. QMB or SLIMB 4. Adult Medically Needy \"Spend Down\" 5. SNAP Benefits (Food Stamps) 6. Georgia Senior SNAP Application Process: 1-877-423-4746 \r\nSOCIAL SECURITY ADMINISTRATION \r\n(1-800-772-1213) \r\n1. Social Security 2. Supplemental Security Income 3. Low income Subsidy or Medicare Part D \"Extra Help\" \r\nMEDICARE \r\n(1-800-MEDICARE) \"1-800-633-4227\" \r\nGEORGIA HOSPICE \u0026 PALLIATIVE CARE ORGANIZATION 404-323-9397 or 1-877-924-6073 \r\nMEDICAID \r\nGeorgia Department of Community Health Division of Medical Assistance 1-800-766-4456 or (404) 298-1228 \r\n15 \r\n \r\n GEORGIA SENIOR LEGAL HOTLINE \r\nBrief legal advice over the phone for people 60 years of age and older 1-888-257-9519 or (404) 657-9915 \r\nDIVISION OF AGING SERVICES PROGRAMS \r\n1-866-55AGING (552-4464) \r\nAGING \u0026 DISABILITY RESOURCE CONNECTION (ADRC) A \"one-stop-shop\" for information and resources to help you stay in your home is available. \r\nCOMMUNITY CARE SERVICES PROGRAM (CCSP) Information is available from the Area Agency on Aging Office for your area. \r\nELDERLY LEGAL ASSISTANCE PROGRAM (ELAP) Legal assistance program providing civil information, education and representation at no cost to persons 60 years of age and older when brief telephone legal advice is not enough. For the program that serves your area, contact your Area Agency on Aging or the Division of Aging Services. \r\nGEORGIACARES For information on and assistance with prescription drug plans, Medicare and other health insurance options, contact a local program. \r\nLONG-TERM CARE OMBUDSMAN PROGRAM If you have someone in a personal care home or nursing home that needs an advocate or an extra voice, contact the local ombudsman. \r\n16 \r\n \r\n AREA AGENCIES ON AGING \r\n1-866-55AGING (552-4464) \r\n \r\nAtlanta Regional Commission \r\nHome Office: Atlanta \r\n(404) 463-3333 1-800-676-2433 \r\nCentral Savannah River Area \r\nHome Office: Augusta \r\n1-888-922-4464 \r\nCoastal Georgia \r\nHome Office: Brunswick \r\n1-800-580-6860 \r\nGA Mountains (Legacy Link, Inc.) \r\nHome Office: Gainesville \r\n1-800-845-5465 \r\nHeart of Georgia Altamaha \r\nHome Office: Baxley \r\n1-888-367-9913 \r\nRiver Valley \r\nHome Office: Columbus \r\n1-800-615-4379 \r\n \r\nMiddle Georgia \r\nHome Office: Macon \r\n1-888-548-1456 \r\nNortheast Georgia \r\nHome Office: Athens \r\n1-800-474-7540 \r\nNorthwest Georgia \r\nHome Office: Rome \r\n1-800-759-2963 \r\nSouthern Crescent/ Three Rivers \r\nHome Office: Franklin \r\n1-866-854-5652 \r\nSouthern Georgia Home Office: Waycross \r\n1-888-732-4464 \r\nSouthwest Georgia \r\nHome Office: Albany \r\n1-800-282-6612 \r\n \r\nFor resources in the community, please contact the Aging\u0026 Disability Resource Connection within your Area Agency on Aging. \r\n \r\n17 \r\n \r\n Notes \r\n18 \r\n \r\n Notes \r\n19 \r\n \r\n Natalie K. Thomas, Esq. State Legal Services Developer Georgia Department of Human Services \r\nDivision of Aging Services 2 Peachtree Street, NW; Suite 33.384 \r\nAtlanta, Georgia 30303-3142 (404) 657-5328 \r\nnkthomas@dhr.state.ga.us \r\n20 \r\n \r\n "},{"id":"dlg_ggpd_y-ga-bh800-pa4-bs1-bb4-b2012-belec-p-btext","title":"2012 guide to benefits programs for older Georgians [Mar. 2012]","collection_id":"dlg_ggpd","collection_title":"Georgia Government Publications","dcterms_contributor":["Georgia. Department of Human Services. Division of Aging Services"],"dcterms_spatial":["United States, Georgia, 32.75042, -83.50018"],"dcterms_creator":["Georgia. Department of Human Services. Division of Aging Services"],"dc_date":["2012-03"],"dcterms_description":["Open access; Unrestricted online access star GAGAL","It is unclear if this title was available in print after 2011 or if it was briefly published online only. It is also unclear whether the succeeding title is available in print.","Print version record.","2013 (Georgia Government Publications database, viewed July 31, 2023)."],"dc_format":["application/pdf"],"dcterms_identifier":null,"dcterms_language":["eng"],"dcterms_publisher":["Atlanta, Ga. : Georgia. Department of Human Services. Division of Aging Services"],"dc_relation":null,"dc_right":["http://rightsstatements.org/vocab/InC/1.0/"],"dcterms_is_part_of":null,"dcterms_subject":["Georgia"],"dcterms_title":["2012 guide to benefits programs for older Georgians [Mar. 2012]"],"dcterms_type":["Text"],"dcterms_provenance":["University of Georgia. Map and Government Information Library"],"edm_is_shown_by":["https://dlg.galileo.usg.edu/do:dlg_ggpd_y-ga-bh800-pa4-bs1-bb4-b2012-belec-p-btext"],"edm_is_shown_at":["https://dlg.galileo.usg.edu/id:dlg_ggpd_y-ga-bh800-pa4-bs1-bb4-b2012-belec-p-btext"],"dcterms_temporal":null,"dcterms_rights_holder":null,"dcterms_bibliographic_citation":null,"dlg_local_right":null,"dcterms_medium":["publications (documents)"],"dcterms_extent":null,"dlg_subject_personal":null,"iiif_manifest_url_ss":null,"dcterms_subject_fast":null,"fulltext":"2012 GUIDE To \r\nBENEFITS PROGRAMS \r\n \r\nFEDERAL FOOD STAMP PROGRAM \r\n \r\nSOCIAL SECURITY \r\n \r\nMEDICARE \r\n \r\nMEDICAID \r\n \r\nFOR OLDER GEORGIANS \r\nMarch 2012 \r\n \r\n MEDICARE \r\n \r\nEligible Persons: Age 65, on disability for 2 years or diagnosed with end-stage renal disease (on dialysis or in need of a transplant) Apply at Social Security. \r\n \r\nCOVERAGE: \r\nPart A -- Hospitalization through Blue Cross/Blue Shield \r\n \r\nPart B -- Medical Coverage for Doctors, Equipment and Supplies through Noridian Administrative Services \r\n \r\nDEDUCTIBLES: Part A: $1,156.00 each benefit period Part B: $140.00 annually \r\n \r\nPREMIUMS: Monthly Part A -- $451.00 for uninsured and certain disabled individuals with less than 30 quarters; $248.00 for those credited with 30-39 quarters of coverage. \r\n \r\nPart B -- Based on annual income. \r\n For higher incomes beginning in 2011, the Affordable Care Act requires Part D enrollees to pay to Medicare in addition to their Part D plan premiums, a monthly income related adjustment. That adjustment is reflected below. \r\n \r\nIf individual income is $85,000 or less \r\n \r\nPt. B Premium $99.90 \r\n \r\nPt. D Adjustment $0.00 \r\n \r\nIf individual income is $85,001 to $107,000 $107,001 to $160,000 $160,001 to $214,000 Greater than $214,000 \r\n \r\nPt. B Premium $139.90 $199.80 $259.70 $319.00 \r\n \r\nPt. D Adjustment $11.60 $29.90 $48.10 $66.40 \r\n \r\nAppeal Time: 180 days on initial appeal and 60 days for a request for reconsideration. \r\n \r\n2 \r\n \r\n MEDICARE PRESCRIPTION DRUG COVERAGE \r\nIf you have not enrolled in a Medicare Prescription Drug Plan, please go to www.Medicare.gov or call GeorgiaCares \r\nat 1-800-669-8387 \r\nHOSPITAL MEDICARE \r\nMedicare pays up to 90 days for each spell of illness. For the first 60 days, Medicare pays 100% of covered hospital services. For the 61st through the 90th day, Medicare pays all but $289.00 per day. \r\nLifetime Reserve Days: Every Medicare beneficiary has 60 days that they may use in their lifetime to cover days in the hospital that exceed the Medicare limit of 90. Once these 60 days have been used, they are not replaced. When one of these days is used, Medicare will pay everything except the first $578.00 per day. \r\nNURSING HOME MEDICARE \r\nMedicare pays for Skilled Care only. One must have been hospitalized for 3 consecutive days before entering the nursing home. For the first 20 days, Medicare pays all of the covered costs. For the 21st-100th day, there is a co-insurance payment of $144.50 per day and Medicare pays the rest. After 100 days, Medicare pays nothing. \r\nMEDICAID \r\nIf one is eligible for Supplemental Security Income (SSI) or Temporary Assistance to Needy Families (TANF), then one is eligible for Medicaid. The Georgia Department of Community Health's Division of Medical Assistance administers Georgia Medicaid: 1-800-766-4456 or (404) 298-1228, Application is made at the County DFCS office. If you lose your SSI or TANF, you do not necessarily lose Medicaid. The State must make an independent determination. \r\n3 \r\n \r\n MEDICAID COVERED SERVICES \r\nAmbulatory Surgical Services Certified Registered Nurse Anesthetists Childbirth Education Services Children's Intervention Services Community Based Alternatives (SOURCE) Dental Services (some) Diagnostic, Screening and Preventive Services Dialysis Services Durable Medical Equipment Rental (hospital beds, wheelchairs, crutches and walkers prescribed by doctors) Emergency Ambulance Services EPSDT (Early and Periodic Screening Diagnosis and Treatment) Family Planning Georgia Better Health Care Health Insurance Premiums (Medicare: Part A and Part B, QMB, SLMB) Home health Hospice Services Inpatient and Outpatient Hospital Services Intermediate Care for the Mentally Retarded Facility Services Laboratory/ X-ray Services Medicare Crossovers Mental Health Clinic Services Non-emergency transportation (12 doctors visits per year unless more medically justified) Nurse Practitioner Services Nursing Home Services Oral Surgery Orthotic and Prosthetic Pharmacy Services: NOTE: MEDICARE eligible recipients must be enrolled in a Medicare Prescription Drug Plan \r\n4 \r\n \r\n MEDICAID SERVICES (continued) \r\nPhysician Service Physician's Assistant Services Podiatric Services Pre-Admission Screening/Annual Resident Review Pregnancy Related Services Psychological Services Retroactive Medicaid (3 months) Rural Health Clinic/Community Health Center Services Swing Bed Services Targeted Case Management Services \r\no Adults w/Aids o Chronically Mentally Ill o Early Intervention o Perinatal o Therapeutic Residential Intervention Vision Care Services Waiver Services o Community Care o Independent Care o Mental Retardation o Community Habilitation and Support o Traumatic Brain Injury \r\n5 \r\n \r\n Transfer of Assets for Long-Term Care Medicaid: In Medicaid for long-term care, which includes nursing home and the community care services program, where assets are transferred for less than the Fair Market Value within 60 months before application for Medicaid is filed; a person may be disqualified for a period equal to the value transferred. \r\n(Contact the Division of Aging Services for more information about this subject in our publication, \"Medicaid for Long-Term Care.\") \r\nCOMMUNITY CARE SERVICES PROGRAM \r\nThis program assists eligible Medicaid beneficiaries to live in the community and delay or avoid institutionalization. It provides Medicaid Coverage and in-home services for persons who meet the same medical, functional, and financial criteria for placement as residents of a nursing facility, but choose to stay in their own homes. If a person's income level exceeds the Federal Benefit Rate for Supplemental Security Income (SSI) recipients, there is a cost share to participate in the program. $2,094 is the cap for eligibility. Income exceeding this amount will require a Qualified Income Trust or Miller Trust for eligibility. Cost share is based upon the amount of income over the SSI amount. Some of the services available include Personal Care Aide, Adult Day Health, Emergency Response System, Nursing Services, etc. \r\nFor more information, contact the Community Care Services Program Office for your area through the Area Agency on Aging. \r\n6 \r\n \r\n NURSING HOME MEDICAID \r\nThis is a program that enables people, aged, blind or disabled who need nursing home care but are unable to afford it a means by which to receive care through the Medicaid program. Income exceeding the amount below will require a Qualified Income Trust or Miller Trust in order to ensure eligibility. \r\nIncome limit: up to $2,094 per month  per person Resources limit: $2,000 individual; $3,000 couple \r\nSPOUSAL IMPOVERISHMENT \r\nThis is a program that can prevent a married couple from having to spend down all of their resources. The program allows the spouse who remains at home, the Community Spouse, who is not receiving Medicaid, to keep up to $2,841.00 of the couple's income and $113,640.00 of the couple's resources. \r\nAllowable Resources: the home, a $10,000.00 limit for burial exclusions for the applicant/recipient and for the spouse, including accounts, life insurance and preneeds contracts, $2,000.00 savings for the applicant/recipient, household furnishings, certain automobiles, and some other items. \r\nExample: For a Nursing Home (NH) bill of $2,000/month, where the community spouse has $1,000.00 income and the nursing home resident has $1,200 income; the calculations will be as follows: \r\nStep 1: The NH Resident receives income in the amount of $1,200: \r\n7 \r\n \r\n $1,200 income (-) $50.00 Personal Needs Allowance (-) $130.00 in excess medical expenses (=) $1,020.00 available income \r\nStep 2: The Community Spouse receives $1,000.00 income: \r\n$1,000.00 income (+) $1,020.00 from NH resident (=) $2020.00 total income which is less than $2,841.00, therefore community spouse keeps $2,020.00 income, leaving $0.00 for the resident's contribution to the nursing home bill and the Medicaid payment is $2,000. \r\nIncurred excess medical expenses not covered by Medicaid, (i.e. dentures, some medications and chiropractic care) may be deducted from the NH resident's income. Most medications should be covered by the NH resident's Medicare Prescription Drug Plan for those on Medicare and NH Medicaid. The County DFCS office must be notified. \r\nSUPPLEMENTAL SECURITY INCOME (SSI) \r\nFor: Those age 65 or older, blind or disabled with income as provided below. Apply at Social Security. \r\nJanuary 2012 \r\nIndividual: $698.00 per month Couple: $1,048.00 per month \r\nThere is a resource limit of $2,000.00 for an individual and $3,000.00 for a couple. Resources include things like cash, savings, certificates of deposit (CDs), etc. Certain things are excluded from resources. \r\n8 \r\n \r\n Examples of things excluded from resources are: home, car up to $4,500, prepaid burial plots, caskets, vaults etc. and up to $1,500 in a burial account, household goods up to $2,000, trade/business, and life insurance face value up to $1,500. \r\nAppeal Time: 60 days. \r\nPickle People: If you received Social Security or Supplemental Security Income in the same month and Supplemental Security Income was canceled due to a cost of living increase, you may be eligible for continued Medicaid if you are eligible but for the cost of the living increase. Apply at the County DFCS office. \r\nAdult Medically Needy \"Spend Down\" \r\nEligible persons are those who are aged 65 or older, blind or disabled with high medical bills and income too high for other categories of Medicaid. Total unpaid bills must bring income below the required limits. Apply at the County DFCS office. \r\nJanuary 2012 $337.00 $395.00 \r\nResources: $2,000 individual; $4,000 couple \r\nAppeal Time: 30 days \r\n9 \r\n \r\n MEDICARE BUY-IN PROGRAMS \r\n \r\nThere are programs that enable a person with limited income to assist with paying for the cost of having Medicare. Income limits change every year when the Federal Poverty Levels change. Apply at the County DFCS office. \r\n \r\n1. Qualified Medicare Beneficiary (QMB) Covers part B premium, co-insurance and part A \u0026 B deductibles; does not pay for prescriptions. \r\n \r\nIncome Limit: \r\n \r\n(Thru April 2012) \r\n \r\nIndividual $ 928.00 \r\n \r\nCouple \r\n \r\n$1,246.00 \r\n \r\n2. Specified Low Income Medicare Beneficiary (SLIMB) Only covers the Part B Premium. \r\n \r\nIncome Limit: \r\n \r\n(Thru April 2012) \r\n \r\nIndividual $1,109.00 \r\n \r\nCouple \r\n \r\n$1,491.00 \r\n \r\n*Ask about the availability of benefits under the Q-1 program that pays the Part B premium. \r\n \r\nEffective January 1, 2010, the three Medicare Savings Programs began using the Part D low-income subsidy (LIS) asset amount, indexed each year according to the Consumer Price Index. \r\nResources: $6,680 individual; $10,020 couple \r\n \r\nAppeal Time: 30 days (10 days for continued benefits) \r\n \r\n10 \r\n \r\n MEDICARE PART D SUBSIDIES (\"Extra Help\") \r\nFull - Provides drug subsidy with low co-payments to Medicare beneficiaries with incomes up to 135% of federal poverty level and limited resources. Apply at Social Security. \r\nIncome Limit: $1,225.00 individual per month $1,654.88 couple per month \r\nPartial - Provides a partial subsidy of premium, deductible and co-insurance to Medicare beneficiaries with incomes up to 150% of poverty and limited resources. \r\nIncome limit: $1,361.00 individual per month $1,838.75 couple per month \r\nResources: $12,640 individual; $25,260 couple \r\nHOSPICE \r\nHospice cares for the terminally ill and their families. The goal is not to cure but to provide care and counseling to make the final stages of life more comfortable. Hospice, provided by a public or private agency that is Medicare or Medicaid approved is for all ages, including children and adults. \r\nServices available: Nursing services Medical social services Physician services Counseling Homemaker services Medical equipment (such as wheelchairs, walkers, hospital beds) Medical supplies (bandages, catheters) \r\n11 \r\n \r\n Prescription drugs for pain Short term stay in the hospital for respite care Home health aide Physical and occupational therapy Speech therapy Social worker services Dietary counseling Grief counseling \r\nServices Not Covered By Hospice \r\nTreatment to cure the terminal illness Care from a hospice provider other than your approved hospice provider The same type of care that your hospice care provider is giving you \r\nMedicare Hospice \r\nYou pay a possible $5.00 for each outpatient prescription drug and similar products for pain relief and symptom control and possibly a 5% of the Medicare per day payment amount for inpatient respite care. Medications for one in hospice are also covered by either Medicare Part B or Part D. \r\nMedicaid Hospice \r\nIncome limit: $2,094 per month Resources: $2,000 individual; $3,000 couple \r\n12 \r\n \r\n Food Stamps (through September 2012) \r\nFederal Program renamed \"SNAP\" (Supplemental Nutrition Assistance Program) \r\n \r\nHH Size \r\nHH=household \r\n1 2 3 4 5 6 7 8 \r\nEach additional \r\nperson \r\n \r\n(Elderly) \r\n165% of Poverty \r\n$1,490 $2,004 $2,518 $3,032 $3,547 $4,061 $4,575 $5,089 +$515 \r\n \r\nGross 130% \r\n$1,180 $1,594 $2,008 $2,422 $2,836 $3,249 $3,663 $4,077 +$414 \r\n \r\nNet Income 100% \r\n$ 905 $1,226 $1,545 $1,863 $2,181 $2,500 $2,818 $3,136 +$319 \r\n \r\nMax Allotment \r\n$200 $367 $526 $668 $793 $952 $1,052 $1,202 +$150 \r\n \r\nAn elderly or disabled person's food stamp allotment is based upon their net income. Most households must meet the maximum gross income to even be considered eligible for the program and then meet the net income limit. Apply at the County DFCS office. Multiply the net income by .3 and subtract that figure from the maximum food stamp allotment to obtain the household allotment. \r\n \r\nResources: $3,250 elderly (60 and over); $2,000 non-elderly \r\n \r\nExempt Resources: Home and lot; household goods; cars exempt. Appeal Time: 90 days (10 days continued benefits). \r\n \r\n13 \r\n \r\n Medical expenses in excess of $35.00 can be used to increase food stamp allotments for the elderly. These would include one-time medical bills and recurring expenses such as Medicare and insurance premiums, (when paid by the recipient) and doctor visits. This now includes medical mileage defined as transportation to and from medical appointments and the pharmacy in the recipient's own vehicle. Mileage expenses should be reported on Form 840-Medical Transportation Log which is available from the County DFCS office. For transportation by taxi, bus, train, etc. use the actual cost of the trip to claim it as an expense. \r\nOther Food Stamp Budget Allowances \r\nStandard Deduction: $147.00 maximum (1-3 people) $155.00 (4+ people) \r\nShelter Deduction: $459.00 For elderly households: All shelter costs over half the household income may be deducted (i.e. rent/mortgage, taxes, interest, utilities  gas, electricity and water) \r\nA dependent care deduction for work, training or education. \r\nA 20% deduction for earned income. \r\n14 \r\n \r\n For assistance with any of the programs mentioned in this information, please contact one of the following: \r\nCounty DFCS Office (Contact the office in your county) 1. Nursing Home Medicaid 2. Spousal Impoverishment 3. QMB or SLIMB 4. Adult Medically Needy \"Spend Down\" 5. Food Stamps SOCIAL SECURITY ADMINISTRATION (1-800-772-1213) 1. Social Security 2. Supplemental Security Income 3. Low income Subsidy or Medicare Part D \"Extra Help\" MEDICARE (1-800-MEDICARE)\"1-800-633-4227\" \r\nGEORGIA HOSPICE \u0026 PALLIATIVE CARE ORGANIZATION 404-323-9397 or 1-877-924-6073 \r\n15 \r\n \r\n MEDICAID Georgia Department of Community Health Division of Medical Assistance 1-800-766-4456 or (404) 298-1228 \r\nGEORGIA SENIOR LEGAL HOTLINE Brief legal advice over the phone for people 60 years of age and older 1-888-257-9519 or (404) 657-9915 \r\nDIVISION OF AGING SERVICES PROGRAMS \r\n1-866-55AGING (552-4464) \r\nAGING \u0026 DISABILITY RESOURCE CONNECTION (ADRC) \r\nA \"one-stop-shop\" for information and resources to help you stay in your home is available. \r\nCOMMUNITY CARE SERVICES PROGRAM (CCSP) \r\nInformation is available from the Area Agency on Aging Office for your area. \r\nELDERLY LEGAL ASSISTANCE PROGRAM (ELAP) \r\nLegal assistance program providing civil information, education and representation at no cost to persons 60 years of age and older when brief telephone legal advice is not enough. \r\nFor the program that serves your area, contact your Area Agency on Aging or the Division of Aging Services. \r\nGEORGIACARES \r\nFor information on and assistance with prescription drug plans, Medicare and other health insurance options, contact a local program. \r\nLONG-TERM CARE OMBUDSMAN PROGRAM \r\nIf you have someone in a personal care home or nursing home that needs an advocate or an extra voice, contact the local ombudsman. \r\n16 \r\n \r\n AREA AGENCIES ON AGING \r\n1-866-55AGING (552-4464) \r\n \r\nAtlanta Regional Commission \r\nHome Office: Atlanta \r\n(404) 463-3333 1-800-676-2433 \r\nCentral Savannah River Area \r\nHome Office: Augusta \r\n1-888-922-4464 \r\nCoastal Georgia \r\nHome Office: Brunswick \r\n1-800-580-6860 \r\nGA Mountains (Legacy Link, Inc.) \r\nHome Office: Gainesville \r\n1-800-845-5465 \r\nHeart of Georgia Altamaha \r\nHome Office: Baxley \r\n1-888-367-9913 \r\n \r\nRiver Valley \r\nHome Office: Columbus \r\n1-800-615-4379 \r\nMiddle Georgia \r\nHome Office: Macon \r\n1-888-548-1456 \r\nNortheast Georgia \r\nHome Office: Athens \r\n1-800-474-7540 \r\nNorthwest Georgia \r\nHome Office: Rome \r\n1-800-759-2963 \r\nSouthern Crescent/ Three Rivers \r\nHome Office: Franklin \r\n1-866-854-5652 \r\nSouthern Georgia Home Office: Waycross \r\n1-888-732-4464 \r\n \r\nSouthwest Georgia \r\nHome Office: Albany \r\n1-800-282-6612 \r\n \r\nFor resources in the community, please contact the Aging\u0026 Disability Resource Connection within your Area Agency on Aging. \r\n17 \r\n \r\n Notes \r\n18 \r\n \r\n Notes \r\n19 \r\n \r\n Natalie K. Thomas, Esq. State Legal Services Developer Georgia Department of Human Services \r\nDivision of Aging Services 2 Peachtree Street, NW; Suite 33.384 \r\nAtlanta, Georgia 30303-3142 (404) 657-5328 \r\nnkthomas@dhr.state.ga.us \r\n20 \r\n \r\n "},{"id":"dlg_ggpd_y-ga-bh800-pa4-bs1-bb4-b2011-belec-p-btext","title":"2011 guide to benefits programs for older Georgians [Jan. 2011]","collection_id":"dlg_ggpd","collection_title":"Georgia Government Publications","dcterms_contributor":["Georgia. Department of Human Services. Division of Aging Services"],"dcterms_spatial":["United States, Georgia, 32.75042, -83.50018"],"dcterms_creator":["Georgia. Department of Human Services. Division of Aging Services"],"dc_date":["2011-01"],"dcterms_description":["Open access; Unrestricted online access star GAGAL","It is unclear if this title was available in print after 2011 or if it was briefly published online only. It is also unclear whether the succeeding title is available in print.","Print version record.","2013 (Georgia Government Publications database, viewed July 31, 2023)."],"dc_format":["application/pdf"],"dcterms_identifier":null,"dcterms_language":["eng"],"dcterms_publisher":["Atlanta, Ga. : Georgia. Department of Human Services. Division of Aging Services"],"dc_relation":null,"dc_right":["http://rightsstatements.org/vocab/InC/1.0/"],"dcterms_is_part_of":null,"dcterms_subject":["Georgia"],"dcterms_title":["2011 guide to benefits programs for older Georgians [Jan. 2011]"],"dcterms_type":["Text"],"dcterms_provenance":["University of Georgia. Map and Government Information Library"],"edm_is_shown_by":["https://dlg.galileo.usg.edu/do:dlg_ggpd_y-ga-bh800-pa4-bs1-bb4-b2011-belec-p-btext"],"edm_is_shown_at":["https://dlg.galileo.usg.edu/id:dlg_ggpd_y-ga-bh800-pa4-bs1-bb4-b2011-belec-p-btext"],"dcterms_temporal":null,"dcterms_rights_holder":null,"dcterms_bibliographic_citation":null,"dlg_local_right":null,"dcterms_medium":["publications (documents)"],"dcterms_extent":null,"dlg_subject_personal":null,"iiif_manifest_url_ss":null,"dcterms_subject_fast":null,"fulltext":"2011 GUIDE To \r\nBENEFITS PROGRAMS \r\n \r\nFEDERAL FOOD STAMP PROGRAM \r\n \r\nSOCIAL SECURITY \r\n \r\nMEDICARE \r\n \r\nMEDICAID \r\n \r\nFOR OLDER GEORGIANS \r\nJANUARY 2011 \r\n \r\n MEDICARE \r\nEligible Persons: Age 65, on disability for 2 years or diagnosed \r\nwith end-stage renal disease (on dialysis or in need of a transplant) Apply at Social Security. \r\n \r\nCOVERAGE: \r\nPart A -- Hospitalization through Blue Cross/Blue Shield \r\nPart B -- Medical Coverage for Doctors, Equipment and Supplies through Noridian Administrative Services \r\n \r\nDEDUCTIBLES: \r\nPart A: Part B: \r\n \r\n$1,132.00 each benefit period $162.00 annually \r\n \r\nPREMIUMS: Monthly \r\nPart A -- $450.00 for uninsured and certain disabled individuals with less than 30 quarters. \r\n$248.00 for those credited with 30-39 quarters of coverage. \r\n \r\nPart B-- Based on annual income. \r\n For higher incomes beginning in 2011, the Affordable Care Act requires Part D enrollees to pay to Medicare in addition to their Part D plan premiums, a monthly income related adjustment. That adjustment is reflected below. \r\n Additionally, approximately 27 percent of beneficiaries will pay $110.50 or $115.40 because they are not subject to the holdharmless provision. Those affected include new enrollees during the 2010 year, those with higher incomes (see below) and beneficiaries who do not have their Part B premiums withheld from their social security benefit payments, including those who qualify for both Medicare and Medicaid and have their Part B premiums paid on their behalf by Medicaid.++ \r\n \r\nIf individual income is Less than $85,000 \r\n \r\nPt. B Premium $96.40 (protected by hold harmless provision) \r\n \r\nPt. D Adjustment $0.00 \r\n \r\n2 \r\n \r\n If individual income is Less than $85,000 $85,000 to $107,000 $107,000 to $160,000 $160,000 to $214,000 Greater than $214,000 \r\n \r\nPt. B Premium $115.40 ++ $161.50 $230.70 $299.90 $369.10 \r\n \r\nPt. D Adjustment $0.00 $12.00 $31.10 $50.10 $69.10 \r\n \r\nAppeal Time: 180 days on initial appeal and 60 days for a request \r\nfor reconsideration. \r\n \r\nMEDICARE PRESCRIPTION DRUG COVERAGE \r\nIf you have not enrolled in a Medicare Prescription Drug Plan, please go to www.Medicare.gov or call GeorgiaCares \r\nat 1-800-669-8387 \r\nHOSPITAL MEDICARE \r\nMedicare pays up to 90 days for each spell of illness. For the first 60 days, Medicare pays 100% of covered hospital services. For the 61st through the 90th day, Medicare pays all but $283.00 per day. \r\nLifetime Reserve Days: Every Medicare beneficiary has 60 days \r\nthat they may use in their lifetime to cover days in the hospital that exceed the Medicare limit of 90. Once these 60 days have been used, they are not replaced. When one of these days is used, Medicare will pay everything except the first $566.00 per day. \r\nNURSING HOME MEDICARE \r\nMedicare pays for Skilled Care only. One must have been hospitalized for 3 consecutive days before entering the nursing home. For the first 20 days, Medicare pays all of the covered costs. For the 21st-100th day, there is a co-insurance payment of $141.50 per day and Medicare pays the rest. After 100 days, Medicare pays nothing. \r\n3 \r\n \r\n MEDICAID \r\nIf one is eligible for SSI/TANF, then one is eligible for Medicaid. The Department of Community Health's Division of Medical Assistance administers Georgia Medicaid: 1-800-766-4456 or (404) 298-1228, Application is made at DFCS. If you lose your TANF/SSI, you do not necessarily lose Medicaid. The State must make an independent determination. \r\nMEDICAID COVERED SERVICES \r\nAmbulatory Surgical Services Certified Registered Nurse Anesthetists Childbirth Education Services Children's Intervention Services Community Based Alternatives (SOURCE) Dental Services (some) Diagnostic, Screening and Preventive Services Dialysis Services Durable Medical Equipment Rental (hospital beds, \r\nwheelchairs, crutches and walkers prescribed by doctors) Emergency Ambulance Services EPSDT (Early and Periodic Screening Diagnosis and Treatment) Family Planning Georgia Better Health Care Health Insurance Premiums (Medicare: Part A and Part B, QMB, SLMB) Home health Hospice Services Inpatient and Outpatient Hospital Services \r\n4 \r\n \r\n MEDICAID SERVICES (continued) \r\nIntermediate Care for the Mentally Retarded Facility Services \r\nLaboratory/ X-ray Services Medicare Crossovers Mental Health Clinic Services Non-emergency transportation (12 doctors visits per year unless more medically justified) Nurse Practitioner Services Nursing Home Services Oral Surgery Orthotic and Prosthetic Pharmacy Services: NOTE: MEDICARE eligible recipients must be enrolled in a Medicare Prescription Drug Plan Physician Services Physician's Assistant Services Podiatric Services Pre-Admission Screening/Annual Resident Review Pregnancy Related Services Psychological Services Retroactive Medicaid (3 mos.) Rural Health Clinic/Community Health Center Services Swing Bed Services Targeted Case Management Services \r\n Adults w/ Aids  Chronically Mentally Ill  Early Intervention  Perinatal  Therapeutic Residential Intervention Vision Care Services Waiver Services  Community Care  Independent Care  Mental Retardation  Community Habilitation and Support  Traumatic Brain Injury \r\n5 \r\n \r\n Transfer of Assets for Long Term Care Medicaid: In Medicaid for long-term care, which includes nursing home and the community care services program, where assets are transferred for less than the Fair Market Value within 60 months before application for Medicaid is filed; a person may be disqualified for a period equal to the value transferred. \r\n(Contact the Division of Aging Services for more information about this subject in our publication, \"Medicaid for Long Term Care\".) \r\nCOMMUNITY CARE SERVICES PROGRAM \r\nThis program provides Medicaid Coverage and in-home services for persons who are nursing home eligible but choose to stay in their own homes. If a person's income level exceeds the Federal Benefit Rate for Supplemental Security Income (SSI) recipients, there is a cost share to participate in the program. $2,022 is the cap for eligibility. Income exceeding this amount will require a QIT or Miller Trust for eligibility. Cost share is based upon the amount of income over the SSI amount. Some of the services available include Personal Care Aide, Adult Day Health, Emergency Response System, Nursing Services, etc. \r\nFor more information, contact the Community Care Services Program Office for your area through the Area Agency on Aging. \r\n6 \r\n \r\n NURSING HOME MEDICAID ( No Change for 2011) \r\n \r\nThis is a program that enables people, aged, blind or disabled who need nursing home care but are unable to afford it a means by which to receive care through the Medicaid program. Income exceeding the amount below will require a QIT or Miller Trust in order to ensure eligibility. \r\n \r\nIncome limit: up to $2,022 per month  per person \r\n \r\nResources limit: $2,000 individual \r\n \r\n$3,000 couple \r\n \r\nSPOUSAL IMPOVERISHMENT (No Change for 2011) \r\nThis is a program that can prevent a married couple from having to spend down all of their resources. The program allows the spouse who remains at home, the Community Spouse, who is not receiving Medicaid, to keep up to $2,739.00 of the couple's income and $109,560.00 of the couple's resources. \r\nAllowable Resources: the home, a $10,000.00 limit for burial exclusions for A/R and for the spouse, including accounts, life insurance and preneeds contracts, $2,000.00 savings for the A/R, household furnishings, certain automobiles, and some other items \r\nExample: For a Nursing Home bill of $2,000/month, where the community spouse has $1,000.00 income and the nursing home resident has $1,200 income; the calculations will be as follows: Step 1: \r\nThe Nursing Home Resident receives income in the amount of $1,200: \r\n7 \r\n \r\n $1,200 income (-) $50.00 Personal Needs Allowance (-) $130.00 in excess medical expenses (=) $1,020.00 available income Step 2: The Community Spouse receives $1,000.00 income: \r\n$1,000.00 income (+) $1,020.00 from NH resident (=) $2020.00 total income which is less than $2,739.00, therefore community spouse keeps $2,020.00 income, leaving $0.00 for the resident's contribution to the nursing home bill and the Medicaid payment is $2,000. \r\nIncurred excess medical expenses not covered by Medicaid, (i.e. dentures, some medications and chiropractic care) may be deducted from the NH resident's income. Most medications should be covered by the NH resident's Medicare Prescription Drug Plan for those on Medicare and NH Medicaid. DFCS must be notified. \r\nSUPPLEMENTAL SECURITY INCOME (SSI) \r\nFor: Those age 65 or older, blind or disabled with income as provided below. Apply at Social Security. \r\nJanuary 2011 (No Increase) \r\nIndividual: $674.00 per month Couple: $1,011.00 per month \r\nThere is a resource limit of $2,000.00 for an individual and $3,000.00 for a couple. Resources include things like cash, savings, CDs, etc. Certain things are excluded from resources. \r\n8 \r\n \r\n Examples of things excluded from resources are: home, car up to $4,500, prepaid burial plots, caskets, vaults etc. and up to $1,500 in a burial account, household goods up to $2,000, trade/business, life insurance face value up to $1,500. Appeal Time: 60 days. \r\nPickle People: If you received SS/SSI in the same month and SSI was canceled due to cost of living increase, you may be eligible for continued Medicaid if you are eligible but for the cost of the living increase. Apply at DFCS. \r\n \r\nAdult Medically Needy \"Spend Down\" \r\n \r\nEligible persons are those who are aged 65 or older, blind or disabled with high medical bills and income too high for other categories of Medicaid. Total unpaid bills must bring income below the required limits. Apply at DFCS. \r\n \r\nJanuary 2011 $337.00 $395.00 \r\n \r\nResources: $2,000 individual \r\n \r\n$4,000 couple \r\n \r\nAppeal Time: 30 days \r\n \r\n9 \r\n \r\n MEDICARE BUY-IN PROGRAMS \r\n \r\nThere are programs that enable a person with limited income to assist with paying for the cost of having Medicare. Income limits change every year when the Federal Poverty Levels change. Apply at DFCS. \r\n \r\n1. Qualified Medicare Beneficiary (QMB) Covers Part B Premium, Co-insurance and Part A \u0026 B Deductibles. (Does Not PAY for prescriptions). \r\n \r\nIncome Limit: \r\n \r\n(Thru March 2011) \r\n \r\nIndividual $ 923.00 \r\n \r\nCouple \r\n \r\n$1,235.00 \r\n \r\n2. Specified Low Income Medicare Beneficiary (SLIMB) only covers the Part B Premium. \r\n \r\nIncome Limit: \r\n \r\n(Thru March 2011) \r\n \r\nIndividual $1,103.00 \r\n \r\nCouple \r\n \r\n$1,477.00 \r\n \r\n*Ask about the availability of benefits under the Q-1 program that pays the Part B premium. \r\n \r\nEffective January 1, 2010, the three Medicare Savings Programs began using the Part D \r\n \r\nlow-income subsidy (LIS) asset amount, indexed each year according to the Consumer \r\n \r\nPrice Index. \r\n \r\nResources: $6,680 individual \r\n \r\n$10,020 couple \r\n \r\nAppeal Time: 30 days (10 days for continued benefits) \r\n \r\n10 \r\n \r\n MEDICARE PART D SUBSIDIES (\"Extra Help\") \r\nFull- Provides drug subsidy with low co-payments to Medicare beneficiaries with incomes up to 135% of federal poverty level and limited resources. Apply at Social Security. Income Limit: $1,218.00 individual per month \r\n$1,640.00 couple per month \r\nPartial- Provides a partial subsidy of premium, deductible and co-insurance to Medicare beneficiaries with incomes up to 150% of poverty and limited resources. Income limit: $1,354.00 individual per month \r\n$1,822.00 couple per month \r\nHOSPICE \r\nHospice cares for the terminally ill and their families. The goal is not to cure but to provide care and counseling to make the final stages of life more comfortable. Hospice, provided by a public or private agency that is Medicare or Medicaid approved is for all ages, including children and adults. \r\nServices available:  Nursing services  Medical social services  Physician services  Counseling  Homemaker services  Medical equipment (such as wheelchairs, walkers, hospital beds)  Medical supplies (bandages, catheters)  Prescription drugs for pain  Short term stay in the hospital for respite care  Home health aide \r\n11 \r\n \r\n  Physical and occupational therapy  Speech therapy  Social worker services  Dietary counseling  Grief counseling \r\n \r\nServices Not Covered By Hospice  Treatment to cure the terminal illness  Care from a hospice provider other than your hospice provider  The same type of care that your hospice care provider is giving you \r\n \r\nMedicare Hospice \r\n \r\nYou pay a possible $5.00 for each outpatient prescription drug and similar products for pain relief and symptom control and possibly a 5% of the Medicare per day payment amount for inpatient respite care. Medications for one in hospice are also covered by either Medicare Part B or Part D. \r\n \r\nMedicaid Hospice Income limit: $2,022 per month \r\n \r\nResources: $2,000 individual \r\n \r\n$3,000 couple \r\n \r\n12 \r\n \r\n Food Stamps (through September 2011) \r\nFederal Program renamed \"SNAP\" (Supplemental Nutrition Assistance Program) \r\n \r\nHH Size \r\n1 2 3 4 5 6 7 8 \r\nEach additional \r\nperson \r\n \r\n(Elderly) \r\n165% of Poverty \r\n$1,490 $2,004 $2,518 $3,032 $3,547 $4,061 $4,575 $5,089 +$515 \r\n \r\nGross 130% \r\n$1,174 $1,579 $1,984 $2,389 $2,794 $3,200 $3,605 $3,406 +$406 \r\n \r\nNet Income 100% \r\n$ 903 $1,215 $1,526 $1,838 $2,150 $2,461 $2,773 $3,085 +$312 \r\n \r\nMax Allotment \r\n$200 $367 $526 $668 $793 $952 $1,052 $1,202 +$150 \r\n \r\nAn elderly or disabled person's food stamp allotment is based upon their net income. Most households must meet the maximum gross income to even be considered eligible for the program and then meet the net income limit. Apply at DFCS. Multiply the net income by .3 and subtract that figure from the maximum food stamp allotment to obtain the HH allotment. \r\n \r\nResources: $3,000 elderly (60 and over) $2,000 non-elderly \r\n \r\nExempt Resources: Home and lot; household goods; cars with FMV under $4,650 or cars exempt because used for income production, long distance work, as home or for transporting disabled. Appeal Time: 90 days (10 days continued benefits). \r\n \r\n13 \r\n \r\n Medical expenses in excess of $35.00 can be used to increase food stamp allotments for the elderly. These would include one-time medical bills and recurring expenses such as Medicare and insurance premiums, (when paid by the recipient) and doctor visits. This now includes medical mileage defined as transportation to and from medical appointments and the pharmacy in the recipient's own vehicle. Mileage expenses should be reported on Form 840-Medical Transportation Log which is available from DFCS. For transportation by taxi, bus, train, etc. use the actual cost of the trip to claim it as an expense. \r\nOther Food Stamp Budget Allowances \r\nStandard Deduction: $142.00 maximum (1-3 people) $153.00 (4+ people) \r\nShelter Deduction: $458.00 For elderly households: all shelter costs over half the household income may be deducted (i.e. rent/mortgage, taxes, interest, utilities  gas, electricity and water) \r\nA Dependent care deduction for work, training or education \r\nA 20% deduction for earned income \r\n14 \r\n \r\n For Assistance with the Programs Discussed In This Brochure See The Following: \r\nDEPARTMENT OF FAMILY AND CHILDREN SERVICES (Contact the office in your county) \r\n1. Nursing Home Medicaid 2. Spousal Impoverishment 3. QMB or SLIMB 4. Adult Medically Needy \"Spend Down\" 5. Food Stamps \r\nSOCIAL SECURITY ADMINISTRATION (1-800-772-1213) 1. Social Security 2. Supplemental Security Income 3. Low income Subsidy or Medicare Part D \"Extra Help\" \r\nMEDICARE (1-800-MEDICARE)\"1-800-633-4227\" \r\nMEDICARE PART B CLAIMS 1-800-633-4227 \r\nMEDICARE PART A CLAIMS 1-800-633-4227 \r\nGEORGIA HOSPICE \u0026 PALLIATIVE CARE ORGANIZATION 404-323-9397 or 1-877-924-6073 \r\n15 \r\n \r\n GEORGIA CARES For information on prescription drug plans, Medicare and other health insurance options 1-800-669-8387 \r\nCOMMUNITY CARE SERVICES PROGRAM Information is available from the Area Agency on Aging Office for your area. \r\nMEDICAID Department Of Community Health Division of Medical Assistance 1-800-766-4456 or (404) 298-1228 \r\nGEORGIA SENIOR LEGAL HOTLINE Brief legal advice over the phone for people 60 years of age and older 1-888-257-9519 or (404) 657-9915 \r\nELAP (Elderly Legal Assistance Program) Legal assistance program providing civil information, education and representation at no cost to persons 60 years of age and older when brief telephone legal advice is not enough. \r\nFor the program that serves your area, contact your Area Agency on Aging Office or the Division of Aging Services at 1-866-552-4464 or (404) 657-5319 \r\nLONG TERM CARE OMBUDSMAN PROGRAM If you have someone in a personal care home or nursing home that needs an advocate or an extra voice, contact the local ombudsman. 1-888-454-5826 or (404) 463-8383 \r\n16 \r\n \r\n AREA AGENCIES ON AGING \r\n \r\nAtlanta Regional Commission \r\nHome Office: Atlanta \r\n(404) 463-3333 1-800-676-2433 \r\nCentral Savannah River Area \r\nHome Office: Augusta \r\n1-888-922-4464 \r\nCoastal Georgia \r\nHome Office: Brunswick \r\n1-800-580-6860 \r\nGA Mountains (Legacy Link, Inc.) \r\nHome Office: Gainesville \r\n1-800-845-5465 \r\n \r\nRiver Valley \r\nHome Office: Columbus \r\n1-800-615-4379 \r\nMiddle Georgia \r\nHome Office: Macon \r\n1-888-548-1456 \r\nNortheast Georgia \r\nHome Office: Athens \r\n1-800-474-7540 \r\nNorthwest Georgia \r\nHome Office: Rome \r\n1-800-759-2963 \r\nSouthern Georgia Home Office: Waycross \r\n1-888-732-4464 \r\n \r\nHeart of Georgia Altamaha \r\nHome Office: Baxley \r\n1-888-367-9913 \r\n \r\nThree Rivers/Southern Crescent \r\nHome Office: Franklin \r\n1-866-854-5652 \r\n \r\nSouthwest Georgia \r\nHome Office: Albany \r\n1-800-282-6612 \r\n \r\n17 \r\n \r\n 18 \r\n \r\n 19 \r\n \r\n Natalie K. Thomas Attorney at Law \r\nState Legal Services Developer Division of Aging Services \r\n2 Peachtree Street, NW; Suite 9.398 Atlanta, Georgia 30303-3142 1-866-55AGING or (404) 657-5328 nkthomas@dhr.state.ga.us \r\n20 \r\n \r\n "}],"pages":{"current_page":1,"next_page":null,"prev_page":null,"total_pages":1,"limit_value":10,"offset_value":0,"total_count":4,"first_page?":true,"last_page?":true},"facets":[{"name":"type_facet","items":[{"value":"Text","hits":4}],"options":{"sort":"count","limit":16,"offset":0,"prefix":null}},{"name":"creator_facet","items":[{"value":"Georgia. Department of Human Services. 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