What is Long-Term Care?

Long-term care in Gettysburg, PA refers to a range of services and support designed to assist individuals who have difficulty performing daily activities independently due to chronic illness, disability, or cognitive impairment. These services are typically provided over an extended period, as opposed to short-term or acute care.

Long-term care can be provided in various settings, including:

Home Care

Services delivered in an individual’s own home, such as assistance with activities of daily living (ADLs) like bathing, dressing, eating, and mobility. Home care may also include skilled nursing care, therapy, and medical services.

Assisted Living Facilities

Residential facilities that provide assistance with ADLs, medication management, meals, housekeeping, and social activities. Assisted living facilities offer a level of care between independent living and nursing homes.

Nursing Homes

Facilities that provide 24-hour skilled nursing care and supervision for individuals who require a higher level of medical and personal care.

Adult Day Care Centers

Facilities that offer care and supervision during the day for individuals who need assistance or supervision but do not require 24-hour care.

Continuing Care Retirement Communities (CCRCs)

Communities that offer a continuum of care, including independent living, assisted living, and nursing home care, based on residents’ changing needs.

Long-term care services can be necessary for various reasons, including age-related conditions, chronic illnesses, disabilities, or cognitive impairments like Alzheimer’s disease. These services are intended to support individuals who may have limitations in their ability to perform essential daily activities and require ongoing assistance, supervision, or medical care.

It’s important to note that long-term care services are not typically covered by traditional health insurance or Medicare. Instead, individuals may need to rely on personal savings, long-term care insurance policies, Medicaid (for low-income individuals who qualify), or a combination of these resources to finance long-term care expenses.

Planning for long-term care is crucial, especially considering the potential financial impact on individuals and their families. Long-term care insurance, personal savings, and other financial planning strategies can help individuals prepare for and manage the costs associated with long-term care services when needed. Consulting with financial advisors or long-term care specialists can provide guidance on planning for long-term care needs.

What if I cannot afford nursing home or in-home care?

If you cannot afford nursing home or in-home care, there are alternative options and resources you can explore:

Medicaid: Medicaid is a government program that provides health coverage for low-income individuals, including coverage for long-term care services. Medicaid eligibility criteria vary by state, but it may cover nursing home care and home- and community-based services for those who meet the income and asset requirements. Contact your local Medicaid office to determine if you qualify and to understand the available long-term care options.

Home and Community-Based Services (HCBS) Waivers: Some states offer HCBS waivers as part of their Medicaid programs. These waivers allow individuals to receive long-term care services in their own homes or community settings instead of nursing homes. HCBS waivers often cover services like personal care, home health aides, adult day care, and respite care. Check with your local Medicaid office to inquire about HCBS waiver programs in your state.

State and Local Programs: Some states and local organizations provide assistance and support for individuals who cannot afford nursing homes or in-home care. These programs may offer sliding-scale payment options, subsidies, or assistance in finding affordable care options. Research programs specific to your state or locality, or contact your Area Agency on Aging for guidance and information on available resources.

Veterans Benefits: If you or your loved one is a veteran, the U.S. Department of Veterans Affairs (VA) offers a range of programs and benefits, including long-term care services. The VA provides nursing home care through its own facilities and offers various programs to assist with home- and community-based care for eligible veterans. Contact the VA or a Veterans Service Organization to explore the available options.

Family and Caregiver Support: Depending on your circumstances, you may be able to rely on family members or informal caregivers to provide support and assistance. This could involve arranging for family members to help with in-home care or exploring respite care options, which offer temporary relief for primary caregivers. Local support groups and caregiver networks can provide guidance and connections to resources.

Community-Based Organizations: Nonprofit organizations, religious institutions, and community groups may offer assistance with caregiving, respite care, transportation, and other support services. These organizations often have programs to help individuals who cannot afford traditional long-term care options.

It’s essential to conduct thorough research, reach out to relevant organizations, and explore all available resources in your specific area. Social workers, geriatric care managers, and elder law attorneys can also provide guidance and help navigate the options and resources tailored to your financial situation and care needs.

If you cannot afford nursing home or in-home care, and you are concerned about covering the costs of long-term care, long-term care insurance can be a valuable option to consider. Here are some points to help you make an informed decision:

Benefits of Long-Term Care Insurance:

Financial Protection: Long-term care insurance provides financial protection by helping to cover the costs associated with long-term care services, including nursing home care, assisted living facilities, in-home care, and other related services. It can help prevent the depletion of personal assets and savings.

Choice and Control: Long-term care insurance gives you the flexibility and freedom to choose the type of care you want and where you receive it. Depending on your needs and preferences, you can receive care at home, in an assisted living facility, or in a nursing home.

Peace of Mind: Knowing that you have long-term care insurance can provide peace of mind, both for yourself and your loved ones. It alleviates concerns about the financial burden of long-term care and allows you to focus on receiving the necessary care and support.

Considerations when Purchasing Long-Term Care Insurance:


Long-term care insurance premiums can vary depending on factors such as your age, health condition, coverage options, and the insurance provider. It’s essential to assess whether the premiums fit within your budget and consider the long-term affordability of the policy.

Health Eligibility

Long-term care insurance typically requires underwriting, which involves assessing your health and medical history. Your health status may influence the premium and coverage. It’s important to apply for coverage while you are still in good health to increase your chances of being approved and obtaining more favorable rates.

Coverage Details

Carefully review the policy’s coverage details, including the types of care covered, benefit amounts, elimination periods (waiting periods before benefits kick in), duration of coverage, and any exclusions or limitations. Ensure the policy aligns with your anticipated needs and preferences.

Alternative Funding Options

Evaluate other potential funding sources for long-term care, such as personal savings, investments, or potential access to government programs like Medicaid. Assess your financial situation and consider the availability of alternative resources to help cover long-term care costs.

Future Cost of Care

Consider your area’s projected costs of long-term care services. Research and estimate the expenses associated with different types of care settings to determine if long-term care insurance would be a cost-effective option for your circumstances.

It’s important to consult a qualified insurance professional or financial advisor specializing in long-term care insurance. They can help assess your specific needs, provide guidance on policy options, and assist in determining whether long-term care insurance is a suitable choice for you, given your financial situation and individual circumstances.