In this news article we will briefly explain the difference between custodial care versus skilled care.  Typically, either service is for a recipient who needs someone to help them with their physical and/or emotional needs for an extended period of time.  These services can take place at home, assisted living, or in a skilled nursing facility.

Custodial care consists of any non-medical care that can reasonably and safely be provided by a caregiver.  Individuals that need custodial care most likely have a chronic condition where a full recovery is not expected.  It involves help with daily activities such as bathing, dressing, feeding, and may also include help with household duties such as cooking and laundry.  In a skilled nursing facility, custodial care is provided by certified nursing assistants and/or licensed staff.

Skilled care is for patients who need services that are recovering from a short-term medical issue, receiving end-of-life care or palliative care.  These services are provided by or under the supervision of medically trained licensed professionals.  Certified nursing assistants, registered nurses, and rehabilitation therapists are a few of the types of caregivers that are essential to provide the skilled services for wound care, physical therapy, intravenous injections, catheter care, and more.

As far as how to pay for custodial or skilled services, there are many factors to be considered.  Traditional and Medicare Advantage plans will cover skilled services for a short period of time.  Please see my news article posted on June 20, 2018, “Traditional Medicare versus Medicare Advantage Plans”, for information on these benefits.  Also, read the information provided in my news article posted on February 26, 2019, “Myths vs Facts”, under “Myth: Medicare or health insurance will pay for a long stay”.

Paying for custodial services are covered only by paying privately, having Medicaid benefits, or long-term care insurance.  As always, feel free to contact Middlebury Convalescent Home with any questions related to the topic.

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