After over 14 years since the Nursing Home Support Scheme (NHSS) was incorporated, the statutory responsibilities and overall approach to administering the scheme have undergone a pool of changes. What started with the Nursing Home Support Scheme Act of 2009 to enhance access and affordability to nursing home care for “people with limited means" now has more defined characteristics based on the financial condition and assets of candidates. These characteristics include the following:
• The 3-year Cap
• The approach towards rental income
• Proceeds of the sale of a house
• Financial safeguards
The scheme has now come a long way with a range of new amendments and improvements, as well as challenges. If you are newly exploring the possibilities and suitability of the scheme, then go ahead and read the rest of the article.
Fair Deal Nursing Home Scheme: How It Works in 2023
Irish residents can avail of the service that involves residential care with 24-hour nursing support once they go through a comprehensive assessment of their health and financial status to ascertain their need to avail of the service and the extent of their financial contribution to that effect. The contribution is as follows:
• 80% of your income and savings
• 40% of rental income earned by renting out the principal residence while under care
• 22.5% of the value of your asset per year, paid in 7.5% amounts throughout 3years
• If you are part of a couple, you pay half the amount: 40% of your cash assets and only 11.25% of your non-cash assets like your home, farm, and business, paid in 3.75% annually for 3 years.
The balance of the expenses is borne by the state through its Health Service Executive (HSE) to the private, public, and voluntary nursing homes empanelled under the scheme. The scheme covers the expenses incurred for long-term nursing care, which include:
• Food, Accommodation and laundry expenses
• Applicable personal and nursing care
• Support appliances and aids for daily living.
However, the expenses of daycare, respite care, and convalescence are not covered under the said scheme. Hence, individuals availing of the service should check with the concerned nursing home authorities for clarity on the possible expenses that might be incurred under these heads.
The Application Process for Fair Deal
Applicants can simply go through the online process and download the application form from HSE’s website. Then send the form and the mentioned documents to the local nursing home support office. You can find offices of nursing home support schemes in Dublin, Cork, Galway, and all major cities.
• Application Submission: Once the form submission activates the care needs assessment. HSE personnel will contact you to take it further.
• Assessment for Care Needs: HSE will first conduct the Care Needs Assessment to ascertain the need for long-term nursing home care. The assessment is generally carried out by the healthcare professionals appointed by the HSE. Applicants are assessed based on their ability to perform routine activities apart from the family and community support that is available to the concerned individual. On completion of the same, the concerned healthcare professional submits their observations to the HSE concerning the need for nursing care.
• Financial Assessment: This assessment aims to evaluate the extent of financial contribution from the applicant’s end for nursing home care after a due appraisal of their income and assets. Once the weekly contribution of the applicant is decided upon, HSE pays the balance amount to the concerned care centre as a part of the state’s contribution.
• Applying for the Nursing Home Loan (optional): As a part of ancillary state support, individuals approved for nursing home care can optionally apply for the Nursing Home Loan only if they are the rightful owners of assets like land or property. If the loan is approved, the contribution of the said individual can be deferred, and HSE would pay the money and recover the same by liquidating the said assets upon the owner’s demise.
Aiming For Fair Deal Solutions in Dublin, Cork, Limerick and Galway
Individuals applying for the said process might encounter difficulties while navigating the stages of the application process. If the applicant is a patient with dementia or a similar condition that reduces their capacity to consciously consent to the scheme or the associated financial decisions, then they can appoint a care representative, who could be either of the following:
• A care representative (a person appointed by the Circuit Court)
• A Ward of Court (a person appointed by Office of Ward of Courts)
• A holder of a registered enduring power of attorney (chosen to act on behalf of another person)
You can find specialised professionals offering Fair Deal Solutions in Dublin, Cork, Galway, and other major cities. The professionals take on the responsibility of providing essential advisory and assistance as a service to applicants in the respective grey areas of the funding process, thereby ensuring the timely grant of the said benefits.
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