Aging Wisely

2010 Medicare Fact Sheet

admin — Thu, 12 Nov 2009 14:51:21 +0000

2010 Medicare Fact Sheet

Part A: “Hospital Insurance”, covers inpatient hospital, certain skilled nursing and skilled home health services. It does not cover long term or custodial care.

Part B: “Outpatient Services”, covers Medicare eligible physician’s services, outpatient hospital services, certain home health services or therapies, and durable medical equipment.

Part D: “Prescription Drug Coverage”, offered through stand alone plans via private insurers or as part of a Medicare Advantage Plan.

Medicare Advantage Plan (AKA Part C): Health Plans such as PPOs and HMOs that are approved by Medicare and run by private companies. They may include additional benefits not covered by regular Medicare and may require you to use networks of providers and follow other restrictions.

Medigap Plan (AKA Supplemental Policy): These policies help pay some of the costs not covered by regular Medicare (such as co-pays/deductibles).

2010 Medicare #s:

Medicare A Premium:

$0 if you or spouse has 40+ quarters of Medicare-covered employment
$254 with 30-39 quarters of Medicare-covered employment
$461 with 29 or less quarters of eligible employment

Medicare B Premium: income of $85,000 or less ($170,000 for joint filers):

$96.40 if you currently have premium withdrawn by Social Security (SSA)
$110.50 for new beneficiaries or anyone not having premium withdrawn by SSA
Income higher than $85,000 ($170,000 joint): scaled higher up to $353.60

Medicare A Co-Insurance:

$1100 deductible/$0 coinsurance for days 1-60
$275/day for days 61-90
$550/day for up to 60 additional “lifetime reserve” days after 90 days
All costs beyond 150 days, or once lifetime reserve days used past 90 days.

Medicare B Deductible:

$155/year

Medicare A Skilled Nursing Care:

pays 100% up to 20 days
$137.50/day co-pay for patient for days 21-100.

*If your income is above $85,000 for a single individual and $170,000 for a married couple, the premium will be scaled higher, up to $238.40.

This information provided by Aging Wisely, a comprehensive care management company offering medical advocacy and care management services. Our Benefits Specialist is available to help with insurance, bill paying, and benefit issues. We can assist with Medicare and Medicaid questions, insurance claims, help apply for benefits, choose facilities, make appeals, and with many related concerns.
Contact us at 727-447-5845/813-249-6507 or www.agingwisely.com.

Reference: www.medicare.gov or 1-800-MEDICARE

Initial eligibility: When you first become eligible for Medicare (age 65 or typically, 24 months after receiving Social Security Disability) your initial open enrollment for Parts B and D is a 7 month window (including the 3 months before and after month of eligibility). If you receive SS benefits, you will automatically receive a Medicare card and be signed up for Part B (follow instructions on your card if you wish to reject Part B). Part D requires active sign up. If you are covered by an employer or other plan, your benefits coordinator can provide information on how it works with Medicare. You should confirm the plan is “creditable” (the same or better than what Medicare offers) and save the letter of creditable coverage. If later, this coverage ends through no fault of the individual, you can enroll without penalty. During the first 6 months of Medicare eligibility you are also guaranteed issue for a Medigap/Supplemental policy.

Penalties: The penalty for not enrolling in a Part D plan is 1% of the national base premium multiplied by the number of months you did not enroll and were eligible (and went without creditable coverage for 63 continuous days or more), rounded to the nearest 10 cents. This amount is added to your monthly premium every month as long as you are enrolled. In most cases the only chance to enroll or switch plans after initial eligibility for Part D is the annual election period (11/15-12/31). Exceptions include moving out of a plan’s coverage area, losing creditable coverage, or being misled or not fully covered by a plan (or if a plan stops coverage). Late enrollment for Part B carries a 10%/year penalty and you can enroll annually from 1/1-3/31.

Plan Costs: Many Part D plans have what is known as a “donut hole” or coverage gap, meaning that once you received a certain amount of coverage each year, you pay all out of pocket costs until you reach “catastrophic coverage”. There are a number of plans that offer gap coverage, although it may only be for specified drugs. This, along with the varying premiums and co-pays for medications, dictates the importance of comparing plans individually and estimating which plan best fits your circumstances.

Medicaid/Financial Assistance: People who are “Dual Eligibles”, eligible for both Medicaid and Medicare, will be automatically enrolled by Medicare into a Part D plan, but can chose another plan if they would like (from amongst certain “low cost” plans). Individuals will have co-pays on their medications through Part D, unless they are “institutionalized”, i.e. in a nursing home. There are several different types of Medicaid programs available with varying levels of benefits, as well as additional help through Social Security for those with limited income and assets.

Analyzing Plans: Medicare offers a plan compare tool online. To use this tool, the individual should have available their Medicare #, effective date for Medicare (both are found on the Medicare card), last name, date of birth, and zip code, as well as a list of all medications including dosages and frequency. In addition to showing cost projections for the plan, you can review the plan’s performance and see details regarding customer service.

Medicare Advantage: The Medicare Advantage Plans (AKA Part C) are privately run plans approved by Medicare, and generally combine a number of the different benefits into one plan. These include HMOs, PPOs, and Fee for Service plans. They are often able to include extra benefits such as health club memberships or vision/dental coverage. These plans may be appropriate for certain individuals, especially those looking for extra benefits at lower cost. However, many individuals who sign up do not realize the potential restrictions. The HMO and PPO plans have networks of providers, meaning the potential doctors, specialists, and rehab./nursing facility choices may be limited. The Fee for Service plans do not have networks per se and are thus marketed as having full choice, but not all providers participate due to the negotiated fees and thus in reality, choices may be limited. Typically, you get your medication coverage through the Advantage plan and won’t be able to use a Medigap plan for costs while enrolled in Medicare Advantage (however, be aware if you drop a Medigap plan you will likely not be able to repurchase and will not be guaranteed issue). Clients should review all options carefully and weigh the pros and cons of each plan. If clients find themselves in a plan they do not like, there are options for disenrolling and returning to regular Medicare coverage.

It is also wise to reevaluate your Part D choices each year during open enrollment, as the plans make modifications, more options become available, and your health status changes. Review your “Medicare and You” handbook for information on all of the Medicare programs, rules, resource #s and procedures.

Medicare generally does not cover: long term care, routine dental care, dentures, cosmetic surgery, hearing aids (some Medicare Advantage plans add extra benefits such as dental or vision).

Medication Related Problems – Are You at Risk?

admin — Mon, 05 Oct 2009 14:39:52 +0000

Americans increasingly come into contact with powerful medicines that possess great potential both to heal tend to harm. Used correctly, prescribed medications and those purchased by consumers directly can be the single best means of staying healthy, getting better, and controlling chronic health problems. The right medication, in the right amount, administered in the right way, to the right patient can produce a “medical miracle.” For older patients with multiple diseases, properly managed pharmacotherapy can help them live longer and live better.

More than 200,000 people die each year from a Medication Related Problem and another 2.2 million are injured each year. Adverse drug reactions alone are between the fourth and sixth leading cause of death. Because of this, it is now believed that we have a “Silent Epidemic” in America.

So, what is a Medication Related Problem (MRP)? A MRP is an event or situation involving drug therapy that actually or potentially interferes with an optimum outcome for a specific person.

Medication Related Problems occur most often in older people and are generally more severe. Primarily because the physiological changes of aging increase the risk in the elderly population. Secondly, as a group, older people are more likely to suffer from multiple chronic diseases, requiring several different medications at one time. Other factors that place the elderly at risk include cognitive impairments that make it difficult or impossible to follow appropriately prescribed medication regimens, lack of a primary care-giver to help with meds, financial issues, problems with vision and comprehension of medication information. If you factor in that older people are more likely to suffer from hospitalization, or psychiatric problems, memory loss, hip fractures, automobile related injuries, cognitive impairment, combined with psychological, social, and care-giving needs, this results in a recipe for disaster! The Journal for the American Medical Association has stated that adverse drug events are among the top five greatest and most preventable threats to the elderly.

What can cause a MRP?

Not receiving medication for a medical problem.
Taking the wrong medication.
Taking an inadequate dose – underdosing.
Unintentional, detrimental adverse drug effect.
Treated with too much or incorrect drug – overdosing.
Differences in generic drugs.
Taking a drug without a valid medical reason.

Situations that increase the risk of MRP’s

A new drug is added to the regime
A change in dosage (higher or lower)
A drug is discontinued
The senior uses alcohol or illicit drugs along with meds
The senior is taking multiple sedation or dizzying drugs
The senior adds OTC’s or herbal products which are unknown to the physician and/or the pharmacist
Food interactions

Conditions that Increase the Risk of MRP’s

Taking 5 or more medications
Taking 12 or more medication doses each day
The medication regime has changed 4 or more times in the past year
More than three diseases/conditions present
History of medication noncompliance
Using meds that require intense drug monitoring

Guidelines for Preventing MRP’s

Has the senior had a thorough physical examination in the past year?
Are non-pharmacological options possible in helping to treat this condition?
Does the senior understand potential drug and nutrient interactions with their meds?
Does the senior have any medical, cognitive, or psychological issues that could affect drug therapy?
What are any other barriers to compliance?
Are there physiologic parameters that are being monitored while taking meds?

What Can Be Done to Reduce Risk for MRP?

It is estimated that 50% of MRP related visits to the emergency room are related to mediation compliance issues.

Know the medication

What it is being used for
When to take it
How to take it
How to tell if it is working
What situations/effects require a call to the physician
What to do if a dose is missed
How to take it in relation to food/meals

Keep an up-to-date list of all meds, OTCs, vitamins and herbal products
Use only one pharmacy for all medications so that there is a central, complete record and make sure the pharmacy has a complete list of all meds, OTCs, vitamins and herbal products. Take the medication list to all doctors appt.’s and hospitalizations
Talk with the doctor AND pharmacist about medications
Take medications as directed
Be persistent with healthcare providers if something might be wrong

Lastly, Medicare is required by law to pay for Medication Therapy Management Reviews. How they pay for them though is undetermined. Each plan may have either a 1-800 number, a nurse, or allow a pharmacy to do the MTM review. Be aware of all the options that can keep each individual as healthy as possible. Take charge of your medications and take charge of your health!

Article provided by Laurie Hill, Lincourt Pharmacy, www.lincourtpharmacy.com, (727) 447-4248.

Medication Error Information

Now offering Nationwide Care Consultations

admin — Fri, 20 Feb 2009 17:03:38 +0000

We know many families are concerned about older family members’ wellbeing. In today’s economic climate, finding cost effective options is key. We offer the ideal solution for families through our consultation appointments.

Consultations can address concerns such as:

Choosing the right assisted living or nursing home (and how to make the transition);
What to do when Mom or Dad is resistant to care;
Help understanding what it means when the doctor says Mom should not be alone;
Advice on what to do when diagnosed with Alzheimer’s disease or concerned about memory issues;
What is available to help after surgery, a fall, or other hospitalization;
Mediating with family members over disagreements about what is best for parents;
What to do when you are concerned your parent shouldn’t be driving;
Your frustrations as a caregiver and support options;
Insurance issues-understanding Medicare, Medicaid, long term care and other insurance benefits (including pre-retirement consultation to plan for your transition).
Help planning for disabled children or young adults.
Call us today to make an appointment for a consultation:
727-447-5845 or 813-249-6507 or toll free: 888-807-2551.

Consultations can be done in our office or via telephone. Immediate appointments available to accommodate crises or time sensitive concerns.

Related posts:
1. When is it Time? Assisted Care for the Elderly
2. Florida Senior Care – Primary Care for Florida’s Seniors

When a Loved One is Resistant to Help

admin — Mon, 15 Dec 2008 12:01:54 +0000

It can be very difficult when we have concerns for an aging family member. Not only is it hard to know where to turn for help and what is best, but it is often hard to approach our family members with these concerns.and hard for them to accept that some changes may be in their best interests. A care manager can play a vital role in this process, both helping you to truly assess the needs and intervening to help find solutions that are acceptable.

We offer below some ideas to consider, based on our years of experience with families facing these struggles.

1. Understand the person’s fears. Common fears include loss of independence, losing control and dignity, and financial worries.

2. Discuss these issues before a crisis. Plan ahead and initiate conversations early. Encourage family members to execute legal documents relevant to estate planning and advance directives.

3. Consult a professional care manager, trusted friend or other professional (e.g. pastor, physician) trusted by your loved one.

4. Take advantage of opportunities in which your family member asks for or requires help (such as post-hospitalization, help with small tasks).

5. Explain all the options available and offer the person choices. For example, if you are concerned about a loved one living alone, you may need to explain to them your concerns, and talk about various options, letting them choose what type of help they are comfortable pursuing.

6. Approach the concerns from the individual’s perspective; find out what you can do for them, what things they feel would help.

7. Don’t fight the “small battles”. Concentrate on the main issues and prioritize.

8. Be firm about issues that affect your loved one’s safety and welfare. Outline your concerns clearly with specific examples.

9. Remember that, as adults, we all have the right to make some poor choices.

10. An objective, professional assessment can serve to convince and buffer you from being the source of change.

11. Engage professionals when necessary. Options that can be sought as a last resort when safety is affected include Adult Protective Services and the process of guardianship.

No related posts.

2009 Medicare Fact Sheet

admin — Wed, 22 Oct 2008 13:53:07 +0000

2009 Medicare Fact Sheet

Part A: “Hospital Insurance”, covers inpatient hospital, certain skilled nursing and skilled home health services. It does not cover long term or custodial care.

Part B: “Outpatient Services”, covers Medicare eligible physician’s services, outpatient hospital services, certain home health services or therapies, and durable medical equipment.

Part D: “Prescription Drug Coverage”, offered through stand alone plans via private insurers or as part of a Medicare Advantage Plan.

Medigap Plan (AKA Supplemental Policy): These policies help pay some of the costs not covered by regular Medicare (such as co-pays/deductibles).

2009 Medicare #s:

Medicare A Premium:

$0 if you or spouse has 40+ quarters of Medicare-covered employment
$244 with 30-39 quarters of Medicare-covered employment
$443 with 29 or less quarters of eligible employment

Medicare B Premium:

$96.40*

Medicare A Co-Insurance:

$1068 deductible/$0 coinsurance for days 1-60
$267/day for days 61-90
$534/day for up to 60 additional “lifetime reserve” days after 90 days
All costs beyond 150 days, or once lifetime reserve days used past 90 days.

Medicare B Deductible:

$135/year

Medicare A Skilled Nursing Care:

pays 100% up to 20 days
$133.50/day co-pay for patient for days 21-100.

*If your income is above $85,000 for a single individual and $170,000 for a married couple, the premium will be scaled higher, up to $238.40.

Reference: www.medicare.gov or 1-800-MEDICARE

2009 Medicare Update

admin — Wed, 22 Oct 2008 13:48:25 +0000

We will soon be entering the annual enrollment period for Medicare D and wanted to remind you and provide some information that may be useful to your clients. Anyone who is currently enrolled in a Part D plan can switch plans from 11/15 to 12/31, with the plan becoming effective 1/1/09. Also, anyone who is eligible but has not previously enrolled may take this opportunity to enroll. There have been some changes, new plans, and of course, many people have had health changes. So, for many, it is worth at least evaluating whether they are on the best plan. If someone does not wish to change, they do not need to reapply.

When someone first becomes eligible for Medicare (age 65 or typically, 29 months after Social Security Disability application) they must make a decision to participate in Parts B and D within a 7 month window (including the 3 months before and after eligibility) or face penalties later for not applying. If someone is covered by an employer or other plan, they should confirm their plan is “creditable” (the same or better than what Medicare offers) and save their letter of creditable coverage. If later, this coverage ends through no fault of the individual, they can enroll without penalty.

The penalty for not enrolling in a Part D plan is 1% of the national base beneficiary premium (changes yearly) multiplied by the number of months you did not enroll and were eligible (and went without creditable coverage for 63 continuous days or more), rounded to the nearest 10 cents. This amount is added to your monthly premium every month as long as you are enrolled. Therefore, it is important for individuals to consider some type of coverage to avoid potentially steep penalties later.

In most cases the only chance to enroll or switch plans after initial eligibility for Part D is this annual election period. Exceptions include moving out of a plan’s coverage area, losing creditable coverage, or being misled or not fully covered by a plan (or if a plan stops coverage). Some individuals have older Medigap (supplemental) polices that included prescription drug coverage, and they may choose to keep this if it is a creditable plan (again, save proof of creditable coverage) but will face penalties if it is not creditable. One cannot have one of these older Medigap policy with drug benefits and a Part D plan. Current Medigap policies do not include drug benefits, but only serve to help with copays and deductibles and some extra benefits. These plans are all standardized and cannot be used in conjunction with a Medicare Advantage plan.

People who are “Dual Eligibles”, eligible for both Medicaid and Medicare, will be automatically enrolled by Medicare into a Part D plan, but can chose another plan if they would like. The Part D plan now pays for drug costs, whereas Medicaid used to pay these. Individuals will have co-pays on their medications through Part D, unless they are “institutionalized”, i.e. in a nursing home or long term care facility (note: this does not include assisted living facilities and these co-pays can become a big issue for someone in assisted living under Medicaid who receives limited personal needs allowance).

Many Part D plans have what is known as a “donut hole” or coverage gap, meaning that once you received a certain amount of coverage each year, you pay all out of pocket costs until you reach “catastrophic coverage”. There are a number of plans that offer gap coverage, although it may only be for specified drugs. This, along with the varying premiums and co-pays for medications, dictates the importance of comparing plans individually and estimating which plan best fits your circumstances. Many people did not switch plans during the last annual enrollment period, which hopefully signifies they are happy with their plan, but for many it may not be their best option. There is also special help available for those who have limited income and assets.

Medicare offers a plan compare tool that is very helpful in looking at personalized choices. To use this tool, the individual should have available their Medicare #, effective date for Medicare (both are found on the Medicare card), last name, date of birth, and zip code, as well as a list of all medications including dosages and frequency. In addition to showing cost projections for the plan, you can review the plan’s performance and see details regarding customer service.

The Medicare Advantage Plans (AKA Part C) are privately run plans approved by Medicare, and generally combine a number of the different benefits into one plan. These include HMOs, PPOs, and Fee for Service plans. Medicare pays a nice incentive to them per enrollee, so they are often able to include extra benefits such as health club memberships or vision/dental coverage. These companies do a lot of marketing and we find that clients sometimes enroll without a full understanding. They are being more carefully monitored because of some past deceptive marketing practices, but it is still easy for clients to enroll without a full understanding given the complexity of choices.

These plans may be appropriate for certain individuals, especially those looking for extra benefits at lower cost. However, many individuals who sign up do not realize the potential restrictions. The HMO and PPO plans have networks of providers, meaning the potential doctors, specialists, and rehab./nursing facility choices may be limited. The Fee for Service plans do not have networks per se and are thus marketed as having full choice, but not all providers chose to participate due to the negotiated fees and thus in reality, choices may be limited. Also, the Medicare Advantage plans do tend to more carefully monitor costs of care, and thus clients may find themselves fighting for rehab. time more than they would on standard Medicare, for example. Clients should review all options carefully and weigh the pros and cons of each plan. If clients find themselves in a plan they do not like, especially when in a crisis, there are options for disenrolling and Aging Wisely can advise on this if needed.

If you or your clients need help with this or other insurance and benefits issues, our Benefits Specialists at Aging Wisely can help. We can run comparisons for clients and help them or their families in selections, assist with paperwork, deal with customer service and appeals issues, research claims or insurance issues, and help with filing claims or reviewing explanation of benefits.

We have enclosed a 2009 Medicare Fact Sheet, with the latest copay and deductible information for the coming year, which we welcome you to reproduce for your clients or post in your office. The good news is that the Part B premium did not go up at all this year, though clients should keep in mind that the premium now varies depending on your income level, with those with higher incomes paying a higher scaled rate. Most of the deductibles were raised, and as these go up, the value of having supplemental plans to cover some of these costs, increases. Contact us if you would like additional copies or need any additional Aging Wisely brochures or information for your office.

Contact us at 727-447-5845 or 813-249-6507 or toll free at 1-888-807-2551. We can also be reached via email at admin@agingwisely.com. Visit us on the web for the latest eldercare information at www.agingwisely.com.

Aging Wisely, providing Comprehensive Care Management and Consultation for seniors, disabled individuals and their families since 1998 throughout Pinellas, Pasco & Hillsborough counties

Senior Care Facility Gives Residents the Thrill of a Lifetime

admin — Fri, 26 Sep 2008 16:39:38 +0000

On a recent sunny, while many people their age might have been finishing up lunch, or grabbing a quick afternoon nap, Mary Steeves, 85, Manuel Borba, 84, and Raymond Hawkins, 92, were fulfilling a lifelong dream.

The recent article, “Flying high, fulfilling dreams,” by Denise Rockenstein, told the story of three individuals, residents of Orchard Park Retirement and Assisted Living Facility in Clearlake, California, who were asked the question: “If money, health and time were not factors, what would you like to do with the rest of your life?” Mary, Manuel and Raymond all wanted to fly.

For Mary, the idea that she’d always wanted to take to the skies came as a revelation to her family. Mary’s daughter, Donna Sage, remarked, “My mother will never ever be the same again after this experience. Never in my life had I heard anything about her dream to fly. It was very much a surprise to me. She was so giddy the day they announced it at the lunch. It was just like she turned into a teenager. She was so excited she couldn’t stop laughing.”

Manuel and Raymond (with his wife, Pearl, by his side) enjoyed their separate flights as well, especially when their pilot flew over Orchard Park, low enough for them to see their friends waving below.

These flights, a dream-come-true for three seniors, are just the beginning, according to Orchard Park community relations coordinator Jane McNight. “This absolutely the most wonderful thing and we have more dreams to fulfill.”

Does Your Local Senior Living Facility Welcome Pets?

admin — Wed, 24 Sep 2008 01:58:29 +0000

The question above may seem an odd one, but for residents of some senior living communities, they couldn’t imagine life without their furry, four-legged companions. According to the recent article, “Senior Homes Partial to Pets,” by Sharon L. Peters, the practice of welcoming cats, dogs and even rabbits into senior care communities is a growing one.

Just ask the residents of the Levindale Hebrew Geriatric Center and Hospital in Baltimore, MD, a pet-friendly provider profiled in the article. As Helene King, a communication coordinator for the center says, “People grow up with animals, have had them all their lives, and this is their home now, so why wouldn’t they have pets here?” The center offers pet therapy as a part of their “Eden Alternative” program, which also includes plants and contact with kids as a part of their daily routines.

While living with pets isn’t ideal for every senior, many locations that have attempted to integrate canine or feline companions into their staff claim a high rate of success. Levindale, for example, believes that their dogs, cats, birds and fish relax residents, offer companionship, and relieve boredom and loneliness.

Provided the pets are well cared for, it seems that the benefits of having furry therapy assistants outweigh the negatives. Says King, “We just haven’t experienced a downside.”

Celebrate National Adult Day Services Week 2008!

admin — Wed, 24 Sep 2008 01:33:54 +0000

In 1983, former President Ronald Regan dedicated the third week in September to raising awareness of the wealth of adult day programs available nationwide and improving accessibility to those programs for families in need of adult day care services. This year’s National Adult Day Services Week takes place during the week of September 21-27, 2008.

NADSA, the National Adult Day Services Association, lists several ways for families to celebrate this week of awareness at their Web site: http://www.nadsa.org/events/nadsw2008.asp.

If you’d like to get involved in this national celebration, read on for a few ways you can observe National Adult Day Services Week in your own community.

• Suggest to your local high school that they select students to partner members of local adult day care center to record oral histories. Forging connections between generations this way can be rewarding for all involved.

• Work with an area newspaper or television station to promote a human interest story about a member of a local adult day care center.

• If you or a member of your family has are familiar with using adult day care services, offer to speak at a local caregiver support meeting and share your experiences.

Country Music Star Martina McBride Announces Unique Senior Living Center

admin — Fri, 19 Sep 2008 20:03:22 +0000

Senior living in Nashville is about to get a lot more fun for retiring country music musicians. Country singer Martina McBride, member of the Crescendo Music Community Fund (CMCF), a non-profit group of professionals in the music industry, announced plans to build a brand-new kind of senior living center.

After almost a decade of planning, the CMCF is announcing its intention to build a $95 million dollar senior living facility that is a little more… rockin’ than your average home for senior care. The Crescendo will offer residents of its 180 condominiums the chance to utilize an in-house recording studio, performance hall, or even to attend one of many country music-themed workshops.

As McBride said in a recent interview with Dial-Global, “I do think that it’s gonna be the first of its kind. It places great importance on keeping people who live here involved with Music Row and feeling like they’re still involved in the music industry with things like songwriting workshops to a place to be able to perform if they want to a recording studio where they can still record music … It’s just very unique, and I think it really will fit the needs of so many people who have been involved in the music industry in such a special way.”

The senior living center, scheduled to open in 2013, will offer three levels of care and prices ranging from $300,000 to $650,000 depending on condo square footage. Financial assistance will be available for those who qualify.