Adult Day Care Explained - What it Is, What to Expect & How to Pay For It

What It Isreimbursements.
Like adult day care, adult health care provides aMedicaid
safe, caring setting for adults who requireWhat It Covers
supervision or care during the day. Adult healthMedicaid usually covers all adult day health
programs are designed for individuals who requireservices.
a more skilled level of care. These programs offerConditions and Limitations
medical services, like rehabilitation, therapy, nursingIn some instances, Medicaid approves coverage
care and special nutrition. The programs arefor fewer days per week than an individual
structured and designed, often through therequires. If, for example, Medicaid approves only
development of a personal care plan, to coverthree days per week, but the individual requires
the daily individual needs of each participant.five days, then the individual is financially
Participants of adult care require some healthresponsible for the two additional days of
care, unlike adult day care participants.attendance. Medicaid approves the number of
What to Expectdays based on a doctor's recommendation.
Adult care is based primarily around participants'LTCI
health care needs. Most programs offer mealsWhat It Covers
and some provide transportation. The activitiesHomecare Only and Comprehensive policies pay
and programming reflect the diverse needs ofbenefits in an adult day health care facility, but the
participants and their levels of functioning.amount of coverage depends on the individual
Common activities include current events classes,policy. For information on how to determine what
arts and crafts, music, mind-stimulating games,kind of LTCI policy suits your needs, visit our
and exercise, as appropriate to each individual.Financing Long Term Care Expert Column.
Adult care centers provide many health and socialVeterans Benefits
services for a set daily fee. Many centers haveWhat It Covers
sliding scales. Medicare, Medigap and Managed CareVeterans Benefits cover adult day health care
do not cover adult day health care.services.
Read a detailed description of all types of