Medicare Blog

how does medicare pay for family to care for family members

by Dr. Kane Keebler III Published 2 years ago Updated 1 year ago
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Medicare does not offer reimbursement for family caregivers. It also doesn’t provide payment for long-term care services like in-home care or adult day services. There are a few Medicare Advantage plans that offer coverage for services such as meal delivery or rides to medical appointments, but these are limited.

Medicare (government health insurance for people age 65 and older) does not pay for long-term care services, such as in-home care and adult day services, whether or not such services are provided by a direct care worker or a family member.

Full Answer

Does Medicare cover care for family members?

Some Medicare recipients are fortunate enough to have family members care for them and want to know if Medicare can help. Original Medicare is structured to cover costs incurred during hospital stays (Part A) and medical office visits (Part B).

Can a family member pay for care for someone on Medicaid?

In some states there are programs that pay family members to provide care to those receiving Medicaid (government health insurance for low-income people — this program may go by a different name in your state ). And in a very few states there are programs available to those who do not qualify for Medicaid.

Can a family member pay you for being a caregiver?

So if your family member can pay you, it’s reasonable to request compensation for your role as a caregiver. To go this route, it’s best to create a formal contract between you and the family member, drafted by an attorney who specializes in elder care. It should outline your work and payment schedule.

Does Medicare pay for in-home care?

Unfortunately, Medicare does not usually pay for in-home care provided by family members. Medicare may pay for short-term at-home care depending on your plan, but this care must be provided by a skilled nursing professional.

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Will Medicare cover family caregivers?

If you develop a medical condition that requires frequent or constant at-home healthcare, this can be time consuming and expensive. Often, the responsibility of becoming a caregiver for a mother, father, or parent can fall to an adult child, leaving many to wonder “does Medicare pay for family caregivers?”

When will Medicare pay for a caregiver?

For the most part, whether Medicare will cover in-home caregivers depends on exactly what type of care one is receiving. Keep in mind that to remain eligible for Medicare at-home medical care coverage, you will need to see your doctor fewer than 90 days before, or 30 days after, you begin to receive home healthcare services.

What are some other professional caregiver services that may be covered under Medicare?

Medicare does not typically cover caregivers who are solely responsible for custodial care needs, such as dressing, personal hygiene, restroom assistance, meal prep and delivery, and daily living, unless these services are provided short-term and by professionals approved by Medicare.

Through your local Area Agency on Aging

Your local Area Agency on Aging may be able to provide more detailed information on whether your state’s medicaid program will pay a family member to provide care to a Medicaid recipient.

Through additional state-sponsored support programs

As stated, it is possible to receive financial assistance for family caregiving through certain state programs. The American Elder Care Research Organization provides a detailed listing of state-sponsored Medicaid and non-Medicaid programs that you may be eligible for.

Through disease-specific organizations

Some diseases, disabilities, and conditions may also carry specific organizations, like CancerCare for example, that may offer grants or other financial assistance to those diagnosed with the disease and the family members who care for them.

Through County Veterans Service Officers

County Veterans Service Officers may provide assistance in obtaining veterans benefits and can even help you answer your questions regarding the rules and regulations that surround veterans and survivors of veterans.

How can I get my caregiver services covered through Medicare?

While Original Medicare does not usually cover custodial caregivers unless these services are short-term and provided by medical professionals, there are some circumstances where a Medicare Advantage plan can provide this much needed coverage.

What is consumer direction for Medicaid?

The American Elder Care Research Organization provides a listing of state Medicaid and non-Medicaid programs with consumer direction. (Consumer direction allows the Medicaid recipient to determine who will be paid, including a family member.) As well, you may wish to try their Paid Caregiver Program Locator to locate potential programs.

Does Medicare pay for long term care?

Medicare (government health insurance for people age 65 and older) does not pay for long-term care services, such as in-home care and adult day services, whether or not such services are provided by a direct care worker or a family member.

Can you pay for respite care?

Sometimes, however, caregi ving families may obtain financial relief for specific purposes, such as for respite care or to purchase goods and services, and in some cases, pay for caregiving. In some states there are programs that pay family members to provide care to those receiving Medicaid ...

Do caregivers get handouts?

These caregivers aren ’t asking for a handout, they are simply trying to find a way to make ends meet while dedicating their time to caregiving. Unfortunately, very few programs pay family members or friends on a regular basis to provide care.

Getting Paid by Medicaid to Take Care of a Loved One

If you’re caring for a senior who’s enrolled in your state Medicaid program, they may be eligible to receive funding to pay you for your services. While each state has different eligibility requirements and waivers, most states provide programs for older adults that allow them to access self-directed care.

What To Expect When Using Medicaid Self-Directed Services

Seniors and other adults who direct their own care as part of a Medicaid program described above are required to follow certain rules and regulations when selecting their caregiver and determining the services they’ll receive.

Veterans Benefits for Family Caregivers

Seniors receiving benefits from Veterans Affairs (VA) may be able to enroll in benefits to help them pay for a family caregiver. If you’re caring for someone who has served in any branch of the U.S. military, they should receive a monthly pension from the VA that can be partially used to pay for their care.

Tax Benefits for Caregivers

The IRS provides several provisions for claiming dependents, including those you’re providing care to, such as elderly parents or other relatives, on your annual income tax return. If you choose to take advantage of any of these benefits, be sure to keep detailed records and copies of receipts for any related medical expenses.

Frequently Asked Questions

Speak with your parents about benefits they may be eligible for, such as Medicaid waivers and Veterans Affairs programs that can help them pay for in-home care. Some of these programs allow elderly adults to direct their own care, which means they have the option of hiring family caregivers and using the benefits to pay for your services. 

How much of your caregiving expenses are deductible?

To qualify for caregiving-related deductions, you must be responsible for more than 50% of the costs for your loved one’s support, your loved one must be a dependent, spouse or qualifying relative (i.e. an aging parent), and they must be below a certain gross income.

What is Medicaid waiver?

Most states offer Medicaid waiver self-directed long-term services and supports (LTSS) programs, which allows Medicaid participants to maintain decision-making authority over their own care and how their Medicaid funds are spent .

What is a veteran direct care program?

This program is designed for veterans who need daily assistance and for caregivers who need extra help. Veterans or their family caregivers are given a budget to manage their care and help them age in place in their own ...

Is long term care insurance deductible?

Premiums for long-term care insurance also may be deductible, depending on your loved one’s adjusted gross income. Personal care agreements are another option to get paid for providing care to a loved one. Under these agreements, an elderly relative would enter into a contract with a family member to provide care.

Can a family member be paid to be a caregiver?

Yes, a family member can get paid to be a caregiver. Here’s how. When mom or dad gets older or gets sick, you want to do everything possible to care for them. But even with the best of intentions, being a family caregiver is extraordinarily hard work. The emotional and financial tolls associated with being a family caregiver are well-documented: ...

Does Medicaid pay for care if you don't live in the same house?

Others will pay care providers only if they do not live in the same house as the care recipient . Medicaid, which targets low-income Americans, seniors, people with disabilities and a few select other groups, has certain income requirements.

Can a family caregiver be paid for Medicaid?

Family caregivers can be paid through this program if their loved one is a Medicaid recipient. Benefits, coverage, eligibility and rules differ from state to state, according to AARP. Some programs pay family caregivers but exclude spouses and legal guardians. Others will pay care providers only if they do not live in the same house as ...

Learn various ways you can get paid to take care of family members

Jessica Walrack is a personal finance writer who has written hundreds of articles about loans, insurance, banking, mortgages, credit cards, budgeting, and general personal finance over the past five years. Her work has appeared on The Simple Dollar, Bankrate, and Supermoney, among other publications.

What Programs Pay Caretakers?

Below, you’ll find various programs and other routes that can potentially help you get paid as a caregiver.

How To Apply for Caretaker Pay

Now that you know many of the ways you can get paid, how do you apply?

What Happens After You Become a Caregiver?

After you become a paid caregiver, you’ll receive regular compensation for the care you provide your family member. What happens next depends on the way you are getting paid.

What do caretakers do?

When individuals can’t handle the basic activities of daily life on their own, caretakers help them on an ongoing basis. The tasks can include housekeeping, transportation, bathing, getting dressed, using the bathroom, preparing food, and more.

How do you find a live-in caregiver for an elderly family member?

If you can’t care for an elderly family member, and you don’t want to send them to a long-term care facility, you can look for a live-in caregiver by contacting a home-care agency near you. Ask your doctor, their staff, friends, and family for recommendations.

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