u/GenJonesRockRider

To Spousal IRA or not?

We were hit harder with taxes for 2025 than previous years and the accountant asked if I had an IRA, suggesting contributions would lower our tax burden. I do not have one and I am retired. My spouse works and makes enough money for me to fund a spousal IRA, but should I? I'm not sure that makes sense in our case, since the money funding the IRA would not be pre-taxed.

EDIT: The way I see it is that we will not get a tax break for contributions to a spousal Traditional IRA, but opening a spousal Roth IRA will lessen future taxes. The Roth IRA earnings will not be taxed once eligible to withdraw. Correct?

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u/GenJonesRockRider — 16 days ago

Soaking through his overnight incontinence underwear

Good morning, fellow caregivers. May you amass huge amounts of good karma for what you are doing.

My dad has been soaking through his overnight briefs, creating much more laundry.

We use chux pads and stop fluid intake a few hours before bedtime, but it still happens.

ISO possible solutions to at least keep the bedding dry. Have any of you tried placing a chux pad on top of your loved one? Any other ideas?

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u/GenJonesRockRider — 29 days ago

Father has Dementia. How to get through the look back period for assets?

My father and I are in Texas, but before moving in with me just over a year ago, he was in Florida. He has severe Alzheimer's and at some point will need to be placed in a long term care facility. The problem is that I have no idea of his accounts prior to living with me. His deceased wife took care of all finances while they were in Florida and I have nobody to ask.

Any ideas to help us get through the Medicaid look back period?

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u/GenJonesRockRider — 30 days ago

The Medicare GUIDE program (Guiding an Improved Dementia Experience) pays for respite in a nursing home or other facility, offering up to $2,500–$2,563 annually per eligible beneficiary to cover temporary, short-term care. These funds, aimed at relieving unpaid caregivers, can be used for overnight facility-based respite, in-home care, or adult day centers.

Key Details About GUIDE Respite Care:

Eligibility: The program serves people with dementia living in their homes, independent living, or assisted living, not those already permanently in a nursing home.Coverage: It is a free Medicare Part B program, meaning there are no out-of-pocket costs for the caregiver or beneficiary.

The Medicare GUIDE program for dementia has no income qualifications or financial asset limits. Eligibility is based on having a dementia diagnosis, being enrolled in Traditional Medicare (Parts A & B), and living in the community rather than a nursing home. It is designed as a free, covered service to support care partners, including $2,500 annually for respite care.

Key Eligibility Criteria:Coverage: Must be enrolled in Traditional Medicare (Parts A and B).

Excluded Plans: Not eligible if enrolled in Medicare Advantage, Medicare Special Needs Plans (SNPs), or PACE programs.

Diagnosis: Must have a clinician-confirmed diagnosis of dementia (e.g., Alzheimer’s, LBD, FTD).

Living Situation: Must live in the community (private home, assisted living) and not in a long-term nursing home.

Other: Cannot be enrolled in Medicare hospice.

Program Benefits:

No Cost: There are no copays or financial responsibilities for GUIDE services.

Support: Access to a care navigator, 24/7 support line, and caregiver education.

Respite Care: Up to $2,500 annually for respite services.

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u/GenJonesRockRider — 1 month ago