My Story – Personal Interview
Understanding Continuing Care Retirement Communities
Understanding Continuing Care Retirement Communities (CCRCs)
In Southwest Florida, Continuing Care Retirement Communities (CCRCs) also known as Life plan communities are very popular. There are many quality CCRCs in this area and because of this, much is needed to increase your understanding about what is a CCRC, and if they are right for you.
These resort-style communities require a significant up-front investment and on-going monthly fee. The basic premise of a CCRC is to allow you to age in place within the community. You move to an independent living residence when you are healthy and active and should your health decline, there is a contractual commitment to provide care and services for you as your needs change. Normally, this care is provided on-site. People select a CCRC since they want the peace of the mind of knowing that they have planned for their future health care needs while enjoying a vibrant lifestyle.
Peace of Mind for your future
People move to CCRCs for the peace the mind of their future. Once all the “what-if” scenarios have been solved, residents are able to enjoy a life filled with friendships, social activities, fitness and cultural programs. Many couples choose to live in a CCRC since they know they are protecting each other should their health change. Lifelong friendships are made since the people living at a CCRC are less transient than other types of senor communities. Since the continuum of care is located either within the main building or on the campus, couples are easily able to be with each other as their needs change. There a feeling of community within a CCRC. Residents can be part of resident council committees (finance, dining, programing, health care, etc.), social groups or sporting activities. Residents also maintain an active life in the greater community as well.
There are CCRCs on large campuses or within single or multiple buildings. Floor plans range from one bedrooms up to spacious three bedrooms. There are even free-standing homes at some CCRCs in the area. Many people elect to personalize their own residences with upscale finishes and appointments similar to what they currently have in their homes.
Better to be 5 years too early rather than 5 minutes too late!
Since CCRCs are obligated to provide care for their residents, CCRCs require a medical and financial assessment for acceptance to the community. Unfortunately, there are times when someone waits for a crisis to occur before deciding and in many cases, they are not accepted to the community of their choice. As I always say, “it’s better to be five years too early rather than five minutes too late.”
Similar to applying for life insurance, the CCRC will require detailed medical information about you. In most cases, a one-one meeting is conducted with the community’s nurse to determine a risk factor. Medical criteria do differ from community to community. Again, the key is to not wait for your health to decline before applying for residency.
A financial application is also required. The CCRC wants to make sure you can sustain yourself financially for many years. The general rule is you should have at least 2 to 3 times in assets of the entrance fee and annual income of the monthly fee. Many communities have a benevolent fund established to help someone should they deplete their assets and can no longer pay the monthly fee.
CCRCs require an upfront entrance fee and an on-going monthly fee. Depending on the specific community, a percentage of the entrance fee could be refundable upon death or when the residency agreement is terminated.
The entrance and monthly fee at a CCRC are based on the residence size and the number of people under the contract. Couples pay an additional amount for the second person. Depending on the community, services and amenities included in the monthly fee vary. Typically, they include meal plan, housekeeping, social programming, transportation and maintenance services.
Office of Insurance Regulation (OIR) Oversight
CCRCs in the State of Florida are strictly regulated by the Office of Insurance Regulation (OIR) through Florida Statute Chapter 651. Within this Statute, there are requirements refund provisions, liquid reserve requirements, financial disclosure, resident rights and reporting guidelines. All residency agreements must be approved by the OIR. The OIR is the consumer watchdog to make sure the CCRC is fulfilling its obligations to its residents. For more information, go to: https://www.flsenate.gov/Laws/Statutes/2018/Chapter651
Types of Residency Agreement
There are different types of residency agreements within CCRCs. The Type A contract is most traditional type. The Type A contract stipulates that should assisted living, memory care or skilled nursing be needed, the monthly fee will remain a constant and not be increased due to the care being provided (ancillary services and products as well as two additional meals will be extra). Normally, the Type A has the strictest medical criteria to move in. The Type B contract either includes assisted living and memory care or provides a discount on care when needed. In the Type C contract, all care-related charges are out of pocket with no discount provided. The Type C has the least medical acceptance criteria to move in.
Refund provisions at the CCRCs vary as well ranging from a 0% refund up to 90 and even a 100% refund. Normally, the higher percentage refund equates to a higher entrance fee. It is important to note that a CCRC contract is not a real estate transaction, therefore you do not have equity in the community. The fees you are paying are paying for care and services over your lifetime.
Because CCRCs are not real estate, there are no HOA dues or assessments, closing costs, or the worry about your estate selling your residence. In most cases, real estate taxes are paid by the community and not individually.
Possible Tax deduction
A portion of the entrance fee and monthly is considered a pre-paid medical expe
nse so the IRS does allow you to deduct this percentage providing you itemize your taxes. The percentage varies from community to community and year to year. Each CCRC should be willing to share with you the percentage so your accountant can plan accordingly.
As mentioned, the continuum of care is main component to a CCRC; therefore, much due diligence needs to occur to understand which health care components are available should care be needed in the future. Not all CCRCs are the same in this regard.
Demographics vary from community to community. There are CCRCs that are not for profit religiously focused and others that are managed locally or through national corporations. Finding a CCRC where you can live with ‘like-minded” people is an important part of the research process.
Senior Housing Solutions
As Senior Housing Advisors, we understand the differences and the complexities of this decision and educate you on which plan best fits your needs. For more information, go to. www.seniorhousingsolutions.net
Advice from a Senior Living Expert
ADVICE FROM A SENIOR LIVING EXPERT
Selecting a senior living community is not an easy task. These are common questions we get asked.
My children live up north, should I move to be with them?
As a son whose mom lives nearby, I truly understand the importance of having family close. Fortunately, we both live here in Southwest Florida, and we can be part of each other’s lives. The idea of moving out of state to be nearer to children is a big decision that involves many factors and changes. First and foremost, is the question of whether you are ready to give up your current lifestyle? Do you have friends or a social network in their area, or will you be depending upon your children to provide you with the socialization you need? Will you live with them, or will you find a place of your own? You will need to think about changing your primary care physician and specialists, your bank, and your church. How comfortable will you be driving during winter conditions? Will the winter weather hamper your activity level and lessen your independence? Are your children committed to continuing to live in that area, or could their careers take them to another location? What happens if they retire, will they want to stay in that location? As you can see, there are many factors involved in deciding to move closer to your children. I would recommend before making that decision, to visit the senior living communities in this area. You may be able to fulfill yours and your children’s desire for security and peace of mind without such a drastic change.
If I move to a senior living community, do I need to change doctors?
When you live at a senior living community, you can continue the relationship you have with your primary care physician and specialists. As a convenience to the residents, many communities do have relationships with physicians and these doctors maintain clinic hours at the senior living community. You are under no obligation to use these doctors; however, residents find it time saving and worthwhile to establish a relationship with a physician on site. If you decide to keep your physician, most senior living communities provide transportation to and from your medical appointments to make life a little easier for you.
I want to move to a senior living community, but my husband does not. What should we do?
It is very common for one spouse to not be on the same page as the other when considering a senior living community. Many times, it is hard for someone to think forward and contemplate scenarios when they are less independent. Most likely, your current residence will not be suitable as you advance in age. It is not sensible to believe your health will remain as it is for the rest of your life. Share with your husband that not putting a plan in place now would place the entire burden on your shoulders if something should happen to him in the future. It is easier to make the move when you are both able to select a community together, sell your home together, pack and move together, and make new friends together. Hopefully, he will recognize the importance of protecting you and creating a life which you both can continue to enjoy for many years.
There are so many senior living communities to consider in our area, where do I start?
Locating a senior living community that meets your needs and preferences is not easy, especially if you try to do it alone. As a senior housing advisor, this is exactly what we do. We get to know you and discuss which options best fit your needs and preferences. We are familiar with all the options in the area and the nuances of each. We help you narrow down the search and create a road map of places that meet your requirements. We are also familiar with the new communities on the horizon and have much insight about a community’s operational history. If desired, we can join you on your tour and ask questions you may not know to ask. We help you understand the terms of the contract and even negotiate the fees, as appropriate. Trying to do it alone is a monumental task. The last thing you want to do is move somewhere and be unaware that the community is experiencing financial or operational issues. Taping into a knowledgeable resource will help you avoid these pitfalls.
Please explain how the refund programs work at Continuing Care Retirement Communities (CCRC)/ Life Plan Communities?
CCRCs/Life Plan Communities offer a variety of entrance fee refund programs – 0%, 50%, 75% and even 95% refunds. The entrance fee is typically earned by the community at a rate of 1% to 2% per month. There is usually a 2% to 4% administration fee earned during the first month. Each month that you live at a CCRC, a percentage is deducted (earned) from the entrance fee that you paid. If you select the 0% refund plan, your entrance fee refund will decline over 4 – 7 years until your refund reaches zero. On the other hand, if you select the 50%, 75% or 95% plan, your estate will have a set amount refunded. If you opt for a higher refund program, you will pay an “up charge” for these plans as compared to the 0% refund program. Basically, you pay more upfront to be guaranteed a higher refund.
Some communities will offer different refund programs based on their health care plans. For example, a community might offer a 95% refund, but you would also be responsible for paying for higher levels of care as needed. It is wise to consult with your attorney and financial advisor to determine which plan best fits your needs.
Are there resources available for low income seniors in our area?
Collier Senior Resources at the Golden Gate Senior Center has funding to provide financial assistance to low-income seniors in need. Call Maritza for more information at 239-252-4550. The Area Agency on Aging for Southwest Florida is another valuable resource. The Area Agency on Aging is committed to connecting older adults and adults with disabilities to resources and assistance for living safely with independence and dignity. They can be reached at 239-652-6900.
Are there any upcoming educational seminars for area seniors?
The Leadership Coalition on Aging (LCA) is conducting their Empowerment Series Panel Discussion on Sept. 13 from 1:00 p.m. to 3:00 p.m. at the Collier County South Regional Library. The topic will be Advanced Planning – Getting your Affairs in Order. It will feature an attorney, a physician, an accountant, and a real estate professional. The event is free. For more information, please call 239-595-0207.
To have your senior housing questions answered in a future article, please submit your questions to: [email protected]
Senior Housing Expert and Advisor Bruce Rosenblatt is the owner of Senior Housing Solutions.
www.seniorhousingsolutions.net
Locally owned and operated. What does this mean to you?
Locally Owned and Operated
Senior Housing Solutions is locally owned and operated. We have been proudly serving Lee and Collier counties since 2008. Being locally owned and operated, what does this mean to you?
Firsthand knowledge
One of the most important aspects of being locally owned and operated is our firsthand knowledge of all the senior living communities in the area. We make it our passion to get to know each community in the area so we can provide you with expert advice on which community best fits your needs, lifestyle and finances. We stay current on pricing, availability, operational and staffing issues as well as trends in the market place. Yes, you can try to do it on your own, however wouldn’t it better to make one phone call and find the right solution? Being a qualified resource to you is our core mission.
Quality reputation
Our reputation is everything to our business. Since 2008, we have established ourselves in the local community as a qualified and trusted resource. We are not a franchise and are not controlled by any outside influences. We build trust with our clients and from that relationship, we grow our business through referrals. We also partner with other quality businesses in the area and support them in their efforts. In fact, our online Eldercare Directory is a free resource for people looking for reputable businesses that we feel comfortable recommending to you.
We live here
We are residents of SWFL and are familiar with the wonderful lifestyle in our area. We dine at the same restaurants as you and play golf and tennis at similar clubs that you belong. We watch our amazing sunsets and walk on our beautiful sandy beaches. We attend the same cultural events as you and participate in local charities and religious events along with you. Our parents and our friends live in this area too. We understand why you enjoy this lifestyle and want to maintain it.
Personally, I have lived in this area since 1992 and Peggy has lived here since 1974. I am a native Floridian and a graduate of Florida State University. My dad was one of the first men to attend FSU (which was originally a college for women). I have a unique connection with our Florida history and a special appreciation for the Florida nature and ecosystem.
Community-minded
Dear to my heart is our desire to give back to the community. During Hurricane Irma, I personally volunteered with Operation BBQ Relief and served over 126,000 meals to people in need to people in our area and in Keys. We are active in our places of worship and donate either monetarily or with our time to many worthwhile causes in the local area. Being community-minded is who we are. It defines our character and provides a solid foundation with the people we serve.
Advocate for area seniors
As an advocate for local area seniors, I have served on the board of Area Agency on Aging for Southwest Florida, Jewish Family Services, Napes Interagency Council and the Retirement Housing Council for the State of Florida.
We are proud to support the many seniors and their families in the area and look forward to building even stronger ties in the greater community in the future.