Spousal impoverishment / veterans affairs / assisted living

mapriam

New Member
Jurisdiction
California
I'm in a very stressful situation right now and I'd appreciate any advice you could offer.

I'm the wife of a 100% T&P SC Vietnam-era vet who also receives A&A SMC. My husband is currently hospitalized at a VA hospital because he's now in need of 24/7 supervision at home due to his dementia (also, service-connected). I have been taking care of my husband for the 3 years and have not been able to find employment because of that. Thus, our only family income is his VA disability compensation and SS retirement pay.

My husband's VA primary care doctor decided that husband could not longer be at home without 24/7 assistance and refused to refill his prescriptions. His doctor told me to take him to the ER at a VA hospital for a psych-neuro evaluation and placement. My husband is still at the hospital awaiting placement. I contacted our local VARO and the informed me that the VHA should pay for his placement because his dementia is service-connected and he's 100%T&P disabled. However, the hospital staff insists on my husband's not meeting the requirements for skilled nursing level of care which the VA would normally pay for. Instead, they're pressuring me into discharging him from the hospital and paying for a very expensive assisted living facility with memory care out of pocket using his VA disability compensation which is our only source of income. The hospital is threatening me with financial abuse allegations and neglect, an APS investigation and a VA fiduciary investigation, simply because I'm trying to explore other options for placement and protect our income. My husband has been deemed incompetent and unable to make his own medical decisions and manage his own financial affairs by the hospital staff. I'm his DPOA.

Unfortunately, if I pay for my husband's assisted living facility, I will lose our apartment and will have to go to a shelter. Is there any way to protect myself in this situation against this pressure from the VA hospistal staff? Are they right in their refusal to cover his assisted living needs (declining his need for SNF level of care) despite the fact that my husband 's VA disability pay is our only source of income? Do you think it is time to file for apportionment to protect my part of this income since my husband is incompetent and needs to be placed? I'm getting a lot of pressure and threats from the hospital and no assistance with regards to asset protection/financial planning in this tough situation. My husband is also ineligible for Medicaid/SSI to help defray assisted living costs.

I'd appreciate any advice!
 
Start by identifying and calling the Director of that VA facility and remind the Director of all the vets that died in the past couple of years due to the VA's scandalous incompetency and fraudulent behavior. If that doesn't get you anywhere, call the Director's office in DC, or the VA inspector general, or get your local senator or congressman involved.

I'm a veteran and I have found that the best way to get results at the VA is to annoy the hell out of the people in charge until they get the problem resolved.

Veterans Health Administration
 
I'm in a very stressful situation right now and I'd appreciate any advice you could offer.

I'm the wife of a 100% T&P SC Vietnam-era vet who also receives A&A SMC. My husband is currently hospitalized at a VA hospital because he's now in need of 24/7 supervision at home due to his dementia (also, service-connected). I have been taking care of my husband for the 3 years and have not been able to find employment because of that. Thus, our only family income is his VA disability compensation and SS retirement pay.

My husband's VA primary care doctor decided that husband could not longer be at home without 24/7 assistance and refused to refill his prescriptions. His doctor told me to take him to the ER at a VA hospital for a psych-neuro evaluation and placement. My husband is still at the hospital awaiting placement. I contacted our local VARO and the informed me that the VHA should pay for his placement because his dementia is service-connected and he's 100%T&P disabled. However, the hospital staff insists on my husband's not meeting the requirements for skilled nursing level of care which the VA would normally pay for. Instead, they're pressuring me into discharging him from the hospital and paying for a very expensive assisted living facility with memory care out of pocket using his VA disability compensation which is our only source of income. The hospital is threatening me with financial abuse allegations and neglect, an APS investigation and a VA fiduciary investigation, simply because I'm trying to explore other options for placement and protect our income. My husband has been deemed incompetent and unable to make his own medical decisions and manage his own financial affairs by the hospital staff. I'm his DPOA.

Unfortunately, if I pay for my husband's assisted living facility, I will lose our apartment and will have to go to a shelter. Is there any way to protect myself in this situation against this pressure from the VA hospistal staff? Are they right in their refusal to cover his assisted living needs (declining his need for SNF level of care) despite the fact that my husband 's VA disability pay is our only source of income? Do you think it is time to file for apportionment to protect my part of this income since my husband is incompetent and needs to be placed? I'm getting a lot of pressure and threats from the hospital and no assistance with regards to asset protection/financial planning in this tough situation. My husband is also ineligible for Medicaid/SSI to help defray assisted living costs.

I'd appreciate any advice!

Adjusterjack's advice s helpful.

Unfortunately, when one works with any government agency, prepare to wait months.

That means you need to get cracking TODAY to locate a home for yourself.

The VA can take months, often years to get back to you.

Unless your husband was retired, you're going to discover they're isn't much help for spouses.

That means you're pretty much on your own.

You also need to consider what's going to happen if he were to predecease you, madam.

Why?

Because, unless your hubby were retired military, only a portion of his social security would be available to you.

I suggest you start by contact social security and try to find out if SS bennies are available to you today.

You should also contact social services, churches, and other charitable agencies in your area.

If you're 62 or older, the answer is yes.

It won't be a large amount, even if hubby maxed it out.

Expect something along $2800, if maxed, average is about $1,000 or $900.

I am so sorry to hear of your issues.

May you be guided along a helpful path.

My prayers will also include your family.
 
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