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Tips About Resident Costs Involving Long-Term Care in Ontario

Source: The Care Guide

The cost of care and accommodation in long-term care home in Ontario is shared between the Ontario Ministry of Health and the resident. Basic accommodation and preferred accommodation rates are set by the Ministry of Health on a yearly basis starting July 1 of each year.

Resident Daily Cost: Monthly Cost:
Basic $55.04 $1,674.14
Semi-private (basic rate plus a maximum of $8.00 per day)
$63.04 $1,917.47
Private (basic rate plus a maximum of $18.00 per day) $73.04 $2,221.64
Private - new "A" home if admitted after July 1, 2012 $74.79 $2,274.86
Short Stay $34.53 $1,050.29
 
(Note: Subsidies are available for standard accommodation which can reduce the standard rate depending upon a person's ability to pay.)
 
Most facilities offer additional services to residents at a reasonable rate such as hairdressing, dry cleaning and some forms of transportation or non-essential services like cable television and telephone.
 
All financial business should be discussed and arranged with the facility administrator.
 
Financial Assistance
 
Financial assistance is available to all residents who, based on their yearly income, cannot afford to pay the basic accommodation rate. This is not available to residents choosing preferred accommodation (semi-private or private). Residents choosing preferred accommodation are responsible for the full cost.
 
An Application for Reduction in Long-Term Care Facility Accommodation Fees is available from the facility administrator upon admission. This application requires you to disclose your yearly income only - it does not require you to include the value of your assets.
 
You will be required to produce the current Notice of Assessment received from Revenue Canada after filing your Income Tax return. Seniors are encouraged to file tax returns in order to receive the various credits (subsidies and tax benefits) available to them that are not otherwise attainable. When a resident applies for a reduced co-payment, all attempts are made for the resident to retain $112.00 monthly from their income before the co-payment is determined.
 
Individuals can also receive assistance with the cost in long-term care homes through some of the private medical plans available, i.e. Green Shield or Liberty Mutual. Check with your group medical insurance.
 
The Department of Veterans Affairs subsidizes the residents co-payment under certain circumstances. Check with your DVA office.
 
When a Bed Becomes Available
 
CCAC will contact you or your family when there is an appropriate bed available or if you are in hospital, the discharge planner may contact you or your family about a vacancy. It is important for CCAC staff and the discharge planners to have all telephone numbers and information regarding times when your family will be away.
 
You (or your substitute) have the opportunity to accept or refuse a bed. It is necessary for you to respond to CCAC or the discharge planner with your decision within 24 hours. If you do not accept the bed it will be offered to another person the same day, therefore, a prompt decision is necessary. Clients in hospital should be prepared to accept an appropriate bed as an interim placement until a vacancy in their preferred facility becomes available.
 
You (or your substitute) should contact the facility directly to negotiate the date and time of admission. If you are in hospital, the discharge planner may assist you with arranging for transportation. If you are at home, you are responsible for making your own transfer arrangements. If there is a need for assistance, please discuss the situation with the placement coordinator before the date of admission so that alternatives can be considered.
 
If the person accepts the bed but is not able to arrange the admission to the facility that day, then they can hold the bed for up to three days before being admitted. You are responsible for the cost of the bed from the day they have accepted the bed. You don't have to pay for the day of notification by CCAC unless you move in that day.
 
The cost of holding the bed for this period is as follows:
 
- Day 1: Basic accommodation rate, plus preferred rate if applicable
- Day 2: Basic accommodation rate, plus preferred rate if applicable, plus $53.00
- Day 3: Basic accommodation rate, plus preferred rate if applicable
 
These charges are not canceled if you decide not to be admitted.

For Tips on How to Apply for Placement in a Long-Term Care Home, Click Here.



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