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Medicare, Home Care and Chili Thumbnail

Medicare, Home Care and Chili

Does Medicare pay for a Caregiver to come to my home?  

That really depends upon what the care giver is doing.   Medicare Part A (Hospital Insurance) and/or Medicare Part B (Medical Insurance) cover eligible home health services like these: 

Usually, a home health care agency coordinates the services your doctor orders for you.  These services must be considered “medically necessary” and must be ordered by your physician and part of your “plan of care.”  

This care must be considered “intermittent” and for a condition from which you will recover.  You must continue to see your doctor to determine if your condition is improving.   If the condition does not improve and becomes “long-term” Medicare may discontinue paying for it.

Medicare doesn't pay for:

  • 24-hour-a-day care at home
  • Meals delivered to your home
  • Homemaker services (like shopping, cleaning, and laundry), when this is the only care you need
  • Custodial or personal care (like bathing, dressing, or using the bathroom), when this is the only care you need.
  • This is the care most often needed and the receiving help with bathing, dressing, toileting, shopping and laundry is often the difference between staying in your own home and having to move into assisted living.


Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.

How do people pay for the costs Medicare won’t pay?

As a financial planner for these many years, it is always a challenge to factor future, potential, and unknown caregiver expenses into a financial plan.  Will you even need a caregiver?  Some of us will get lucky and “get off the planet cleanly” without needing this kind of care even though the statistics say that about two-thirds of people will require some kind of care (2).  How much will your care cost?  None of us know that.

Some people elect to buy some type of insurance to help cover the cost of care.   Others hope to pay for care from their investment portfolio.  Some plan to rely on home equity.  Other families plan for multi-generational households as a solution.  This is a question I ask every client, “will you need to either financially or physically help to care for aging parents?’

If you are would like to discuss this issue, send me an email, call the office or go my scheduling software to make an appointment.

            Schedule Here:  https://wollmanwealth.timetap.com/

Super Bowl Crockpot Chili Recipe

The rainy weekend has motivated me to get out my favorite All American Cowboy Cookbook for chili recipes.   My philosophy is that all recipes are merely a suggestion of ingredients and measurements.  Then all the best recipes are written in the margins.   Normally, my chili recipe will feed a small village for January.  However, today, I made the “crockpot version” since I didn’t feel like going to the store and only had what I could find in the pantry.


  • 2 – 3 lbs. of meat.  Half ground beef or stew meat and half pork sausage or bacon.
  • 8 tablespoons of chili powder (or substitute with something like the green chili mix I found in the back of the spice drawer).
  • Chop 2 onions and mince a whole clove of garlic.
  • One can tomato paste and three 30 oz cans of stewed, diced, or whole tomatoes
  • 1 – 2 (30 oz. ) cans of red, black, pinto, or kidney beans – whatever you have in pantry.
  • Crushed red chili, green chili, Worchester, Soy or Teriyaki sauce – if you feel like it

Brown the beef first and then the pork/ bacon in a frying pan.  I am pretty generous with salt, pepper, Tony Chachere’s, etc to the meat as it cooks.  Remove the meat to your crock pot leaving the grease in the pan.  Add the chopped onions and garlic to the grease in the frying pan to sauté the onions adding the tomato paste, chili powder, and juice from the tomato cans.  Heat the onions until soft.  Add the soft onions / garlic to the meat in the crock pot plus the rest of the tomatoes.   Let it heat through for a couple of hours.  Add your beans, heat for another hour and enjoy.  Or better yet, save it for tomorrow and it will be better.


1)  https://www.medicare.gov/coverage/home-health-services

2)  https://aspe.hhs.gov/basic-report/what-lifetime-risk-needing-and-receiving-long-term-services-and-supports


The views and opinions expressed are those of the author, and the information should not be construed as individual investment advice, or as the opinion(s) of Voya Financial Advisors.  CN1494414_0122