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Understanding Nursing Home Fees

When the time comes for you or a family member or friend to become a Resident in a Nursing Home it is very important that you understand the different fees and charges that may apply. Often this is a stressful time and it is easy to make mistakes or to under estimate the cost of care that you will end up paying. In this article I will highlight the main fees that you are likely to have to pay and explain to you what they are and what to look out for.

Understanding Nursing Home Fees

The Fees you are most likely to encounter are as follows:

• Private Nursing Home Fees
Fair Deal/Nursing Home Support Scheme Fees
Service Charges
Ancillary Services Charges

The Private Nursing Home Fee’s:

This is the rate you pay if you enter the Nursing Home as a Private Resident. These fees are payable by Residents who due to their wealth may not apply for the Fair Deal and by Residents who are applying for Fair Deal but are waiting for approval and in the meantime need to avail of long- term care facilities. The Private Fee is a premium fee and typically can be anything from €200 to €400 higher than the Fair Deal rate.

The Private fees will cover your Bed and Board, laundry and some other services you require. Usually you would be entitled to a Private room when paying these fees. Extra charges may apply depending on the Nursing Home.

Fair Deal Fees:

Residents who apply and are approved for the Fair Deal/Nursing Home Support Scheme are entitled to the Fair Deal rate for their Nursing Home care. The Fair Deal rate is less than the Private rate as it is a negotiated rate that the National Treatment Purchase Fund has on behalf of the HSE agreed with individual Nursing Homes based on their cost of care. Approximately 95% of Residents throughout the country would be on the Fair Deal rate.

The Fair Deal rate not standardised and differs across Nursing Homes throughout the Country. The Fair Deal fees can range from as low as €800 per week to as high as €1,800 for some HSE run facilities. The average Fair Deal rate is about €950 per week.

Under the Fair Deal you are entitled to a Private Room in a Nursing Home of your choice (subject to bed availability. The Fee covers your bed and board laundry and your care costs.

Service Charges:

These fees are charged by Nursing Homes mainly to Fair Deal Residents to cover items such as entertainment, activities and other items that are not covered by the Fair Deal. It is very important when choosing a Nursing Home to ask how much is their service charge fee. These can range from €25 up to €300 per week depending on the Nursing Home and its location.

Ancillary services/extras charges:

These fees cover extras that the Resident may wish to avail of which will include Hairdressing, Physiotherapy, Aromatherapy, certain medications and dressing not covered by the Medical card, Sky TV, Hospital transfers and other services that the Resident may wish to avail of that is not covered by the Fair Deal or the Private rate.

It is very important when calculating how much a Resident’s Nursing Home Fees are going to be for budgeting to consider the above as they can often represent 25-30% extra costs per week over and above the Nursing Home fees.

If you require further information, please contact Tom Murray of www.fairdealadvice.ie by phone 086 601 5042 or by email advice@fairdealadvice.ie.

Source From: https://www.linkedin.com/pulse/understanding-nursing-home-fees-tom-murray/

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Mary Collins-Smith
Mary Collins-Smith
2022-11-25
We contacted Tom for advice on my mothers care when my sister and I traveled to Ireland to visit our mother who was waiting to be discharged to a Nursing Home from CUH. His advice was thorough and he was able to assess my mothers financial needs very quickly. His expertise, follow up, and professionalism were highly evident. Tom sees things through and he takes his professional role seriously. We will continue to refer to Tom on my mothers loan application process for her care. I am relieved to have found someone like Tom to help us navigate the nursing home process. A million thanks, Tom for all your help! I am happy to know you.
Mary O'Driscoll
Mary O'Driscoll
2022-09-19
Tom is exceptional. His calm, reassuring expertise and ability cuts through the mind numbing complexity of the Fair Deal and supports when you are making difficult & heart-breaking decisions. Our Dad had died unexpectedly just days after our mother had transferred in an emergency situation into full-time care. Thus, the original Fair Deal application was null & void. We were dealing with grief, anxiety over our mother’s care and dread over how her care would be funded. After one discussion with Tom, a weight lifted off our shoulders and we had a clear approach to manage our revised Fair Deal application. If I had known of Tom’s existence, I would have persuaded my Dad to have spoken to him years ago. He would have put my Dad and all of us on the best financial pathway to not only provide the best care for my mother but would have removed the dread and fear that my Dad felt, believing he was going to lose everything trying to fund my mother’s care. My advice would be to contact Tom years in advance of needing care funding; ask him to do a Fair Deal financial assessment and create a financial plan. You will sleep better at night!
Jim Dore
Jim Dore
2022-08-26
I was directed to Tom by my attorney in July, regarding my mothers accelerated need for full time care. Living overseas and not knowing what I didn't know, Tom was a phenomenal resource to help me understand the ins & outs of the long term care options. It is by far the best investment one can make before proceeding down this path, absolutely invaluable advice & insight. Not cheap but you certainly get what you pay for - from the moment I reviewed everything with Tom, I had a huge sense of relief about the process.
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Bastable-Warren Irish-Dancers
2021-04-27
I have had the privilege of using the service on 2 separate occasions and I can honestly say that it was the most professional service I received in the area of providing advice around that fair deal System run by the HSE. The cost of the service was more than out weighed by the savings accrued as a result of Toms expertise and advice throughout (several thousand euro in savings) We were so lucky to have an expert such as Tom who provided information, expertise and most of all personal advice during the entire process and cannot thank him enough for his support and assistance.
Brian Mac manus
Brian Mac manus
2021-04-27
Tom Murray Fair Deal was a huge help to us. He guided us the whole way through. His advice is impeccable. He responds to phone calls and e mails immediately and produces documents almost in real time. I could not emphasise too strongly the help Tom provided. Worth every penny. Thanks Tom.
Bernie Walsh
Bernie Walsh
2021-04-26
I contacted Tom for advice regarding the Fair Deal Scheme as my mother required full time care in a nursing home. Tom's expertise and advice was invaluable. He made the whole daunting process very easy. He had a list of required documents (some that I didn’t know I would need). He took the pain and worry out of the whole process and put my mind at rest. I cannot recommend Tom and this service highly enough. I consider this to be money well spent. Thanks Tom.
Tracey Moloney
Tracey Moloney
2021-04-23
Once you make the first call to Tom regarding the Fair Deal Scheme , he makes it all very easy to understand and navigates you easily through the process. The thought of Fair Deal can be daunting for any family but with Tom's assistance and knowledge of the scheme it was an easy process.
Kieran Boyle
Kieran Boyle
2021-02-11
Excellent advice, very professional
Liz Lyons
Liz Lyons
2020-11-10
We contacted Tom with regard to my parents needing Nursing Home care and the Fair Deal process. Tom's advice was absolutely invaluable to us and without his help we wouldn't have been able to get through this daunting and difficult process. We can't thank him enough for his advice and support and would have no hesitation in recommending him.