Name: Triple-R Club Refresh at Woodlake School

Website: www.cityofsacramento.org/parksandrec/recreation/older-adult-

services/programs/tripler

Address: 700 Southgate Rd Sacramento, CA 95815

Phone: 916-808-6475

Hours: Monday to Thursday 9:00 am – 2:00 pm

Cost: $45/Day

Name: Triple-R Midtown at Hart Senior Center

Website: http://www.cityofsacramento.org/parksandrec/recreation/older-adult-services/programs/tripler

Address: 915 27th St Sacramento, CA 95816

Phone: 916-808-8375

Hours: Monday through Friday 8:00 am – 5:00 pm

Cost: $80 Full Day, $60 Half Day

Name: Triple-R South Land Park

Website: http://www.cityofsacramento.org/parksandrec/recreation/older-adult-services/programs/tripler

Address: 5962 S Land Park Dr Sacramento, CA 95822

Phone: 916-808-4003

Hours: Monday through Friday 8:00 am – 5:00 pm

Cost: $80 Full Day, $60 Half Day

Name: St. Francis Adult Day Care

Website: N/A

Address: 6254 66th Ave Sacramento, CA 95823

Phone: 916-393-2324

Hours: Monday through Friday 7:00 am – 6:00 pm

Cost: $150 One-time assessment fee
$50/Full day (8hrs)
$25/Half day (4hrs)
$100/Overnight stay

Name: Revere Court Day Club

Website: www.reverecourt.com/life-at-our-community/adult-day-program

Address: 7707 Rush River Dr Sacramento, CA 95831

Phone: 916-392-3510

Hours: Monday through Friday 8:30 am – 5:30 pm 

Cost: $80+ Day

Families without Medi-Cal can use day programs with Medi-Cal Community- Based Adult Services (CBAS). Their private pay option is usually at $70-80 per day. Please call following locations for more information.

• Altamedix Adult Day Health Center
  4234 North Freeway Blvd. #500, Sacramento, CA 95834
  916-648-3999
• Rancho Cordova Adult Day Health Care Center
  10086 Mills Station Road, Sacramento, CA 95827
  916-368-7728
• Kingdom Living ADHC
  620 Bercut Drive, Sacramento, CA 95811
  916-444-7700
• Love Joy Adult Day Health Care Center
  10293 Rockingham Drive, Sacramento, CA 95827
  916-661-6194

PACE also provides day program for the participating seniors. Please see page 20 for more information.

APS program is run by the Sacramento County Health and Human Services department to maintain the health and safety of elders (age 60+) and dependent adults (age 18-59). Anyone who has concerns about the wellbeing of vulnerable people can call to report and ask for help. The types of abuse to be reported are:

• Physical/Sexual Abuse
• Neglect/Self-Neglect
• Financial Abuse
• Abandonment
• Isolation
• Abduction
• Psychological/Verbal Abuse

Call 916-874-9377 to report and submit a written report within two days. A copy of report can be obtained at the website below: www.dcfas.saccounty.net/SAS/Pages/Adult-Protective-Services/SP-Adult-Protective-Services.aspx

AAA4 is one of Area Agencies created to provide home and community-based services for older adults and their caregiving families under the Older American Act (1965). AAA4 develops and monitors various support services for older adults and their informal caregivers residing in seven counties of Nevada, Placer, Sacramento, Sierra, Sutter, Yolo and Yuba.

To learn more about the services available through AAA4, call 916-486-1876 or review their current service directory at agencyonaging4.org/sacramento-county/

Name: ACC Senior Services Family Caregiver Support Groups

Website: www.accsv.org/services/bridge-to-healthy-families/

*Due to COVID, all meetings are held via zoom.

Phone #: 916-503-5386

Location: 7334 Park City Drive Sacramento, CA 95831

Schedule: Every 2nd Wednesday Noon – 1:30 pm
Every 4th Thursday
6:30 – 8:00 pm

Name: Alzheimer’s Association Support Groups

Website: www.alz.org/help-support/community/support-groups 

*Due to COVID, all support groups are hosted via phone or video conference for the time being.

Phone #: 800-272-3900

Location: Multiple locations

Schedule: Multiple schedules

Name: Revere Court Support Groups

Website: https://www.reverecourt.com/PDFS/Coffee.pdf

*Due to COVID, all support groups are held via zoom.

Phone #: 916-392-3510

Location:  7707 Rush River Drive, Sacramento, CA 95831

Schedule: Every Wednesday 10am

Name: Eskaton Support Groups

Website: www.eskaton.org/support-groups.html

*Due to COVID, all support groups are held virtually.

Phone #: 916-334-1072 or 866-375-2866

Location: Multiple locations

Schedule: Multiple schedules

Name: Senior Care Solutions Men’s Support Group

Website: www.seniorcs.com/calendar-of-events/

*Due to COVID, all meetings are held via zoom.

Phone #: 916-965-5565

Location: 8910 Sunset Ave Suite B
Fair Oaks, CA 95628

Schedule: Every 3rd Tuesday (family at home) and Thursday (family at care facility)
2:00 – 3:30pm

Name: Parkinson’s Association of Northern California Support Group

Website: www.panctoday.org/support-groups.html

*Due to COVID, call or email the support leader to be sure your meeting is being held. Meetings open to all via zoom.

Phone #: 916-357-6641

Location: Multiple locations

Schedule: Multiple Schedules

Name: Alzheimer's Aid Society

Website: https://www.alzaid.org/events-calendar/

Phone #: (916) 483-2002

Location: Multiple Locations

Schedule: Every Tuesday - 9:30AM - 11AM, Every Wednesday - 7PM - 8:30PM, Every Thursday - 10:30AM - 11:30AM

The following two non-profit agencies provide various support services for family caregivers at no cost. Client contribution is gladly accepted to support the programs.

Del Oro Caregiver Resource Center

www.deloro.org/services

• Specialized Information
• Family Consultation/Case Management
• Respite Care
• Short-Term Counseling
• Legal/Financial Consultation
• Education and Training

Who is eligible?

To be eligible for services, a client must be caring for an adult with a cognitive impairing condition that occurred after the age of 18 (for example: dementia, Alzheimer’s disease, stroke, traumatic brain injury, Parkinson’s disease) or caring for someone age 60 and older regardless of diagnosis and requiring assistance with two or more activities of daily living. Services are for residents of the 13- County service area—Alpine, Amador, Calaveras, Colusa, El Dorado, Nevada, Placer, Sacramento, San Joaquin, Sierra, Sutter, Yolo and Yuba counties.

Contact info: 8421 Auburn Blvd #265, Citrus Heights, CA 95610, 916-728-9333

ACC Family Caregiver Support Program – Bridge to Healthy Families

www.accsv.org/services/bridge-to-healthy-families/

• Care Assessment and Home Safety Check
• Care Consultation and Management
• Benefits Check Up
• Educational Workshop and Support Group
• In-Language Service available for Families with Limited English Proficiency (Cantonese, Mandarin, Japanese, Korean, Vietnamese, Hmong, Tagalog, Spanish, etc)

Who is eligible?

To be eligible for services, a client must be a family member or a primary unpaid informal caregiver caring for an older adult (age 60 years or older) or an individual of any age with Alzheimer’s disease, dementia, or a related disorder. Both caregiver and care receiver must reside in Sacramento County.

Contact info: 7334 Park City Dr, Sacramento, CA 95831, 916-503-5386

Statistics show that 1 in 3 seniors falls every year. Injuries caused by falls often lead to severe impairment of their mobility and independence.

Factors to be assessed and modified to ensure safety of seniors are their medical conditions, level of balance/mobility, and home environment. Check the following resources to prevent falls and ensure safety at home for your loved one.

Home Fall Prevention Checklist for Older Adults by Centers for Disease Control and Prevention

www.cdc.gov/HomeandRecreationalSafety/pubs/English/booklet_Eng_desktop-a.pdf

Easy to read checklist to assess fall risks and recognize possible modification needs.

California Fall Prevention Center of Excellence

Factsheets and checklists are available in English, Spanish, Chinese, and Korean.

National Council on Aging (NCOA)

https://www.ncoa.org/older-adults/health/prevention/falls-prevention

NCOA’s National Falls Prevention Center provides fall prevention resources for seniors/caregivers and information on evidence-based programs proven to reduce the fall risk in senior population.

Rebuilding Together Sacramento

rebuildingtogethersacramento.org

A non-profit organization specialized in home safety assessment and modification services. Any household with safety/accessibility concerns can use services, and free service is available for low-moderate income families. 916-455-1880

National Center on Caregiving-Family Caregiver Alliance

Toll-free caregiver help line: 1-800-445-8106

Useful tips and factsheets in different languages (English, Spanish, Chinese, Korean, and Vietnamese) are available at http://www.caregiver.org/caregiver-resources/all-resources/

Alzheimer’s Association 

www.alz.org

24/7 Helpline: 1-800-272-3900

Website is available in different languages. For Spanish, click ‘En Español’ in the main menu. For other languages, click ‘Select Languages’ in the bottom right corner of main page.

Parkinson’s Association of Northern California

www.panctoday.org

Contact by calling 916-357-6641 (office hours vary) or emailing: panc@panctoday.org

American Society on Aging

www.asaging.org/web-seminars

Free webinars are available for older adults and caregivers.

National Institute on Aging

www.nia.nih.gov/health

Spanish: www.nia.nih.gov/health/espanol/temas

AARP Caregiving

www.aarp.org/home-family/caregiving

Benefits Check Up by National Council on Aging (NCOA)

www.benefitscheckup.org

Free online service to check your eligibility for benefits to pay for food, medicine, rent, and other daily expenses.

Growing number of older adults and their caregiving families hire in-home care services to make their goal of aging-in-place possible.

Some families choose to hire help from in-home care agencies licensed and regulated by state government. According to the data from CA Department of Social Services, there are 61 agencies currently operating in the Sacramento County (July 2021). Check the website below for the list of agencies and their contact information:

http://www.cdss.ca.gov/inforesources/community-care-licensing/facility-search-welcome (Select Home Care Organization)

Basic information on these providers is:

• Non-medical care (assistance with activities of - daily living, meal preparation, transportation, light housekeeping, companionship, etc.) is provided.
• Hourly rate is $27-$40.
• Minimum number of hours required in many cases.
• Paid by private-pay, some long-term care insurance policies, and VA benefit for wartime veterans and their spouses with limited income and asset.

Some families prefer hiring help privately. They find it beneficial to hire someone you know or with personal recommendation at much less cost. But, many families overlook the importance of tax and legal arrangements that need to be made with their caregivers. For more information on this issue, please check the following websites:

www.irs.gov/forms-pubs/about-publication-926

www.care.com/homepay/resource-center/seniorcare

www.caregiver.org/hiring-home-help

Also, there are programs available to provide companionship for homebound and isolated seniors. Please note that these programs do not provide personal care or assistance with housework.

• Sacramento County Senior Companions Program 916-875-3631 *Contact host sites in the link below for more information and service availability

www.dcfas.saccounty.net/SAS/Pages/Senior-Volunteer-Services/Senior-Volunteer-Services1218-7543.aspx

• ACC Senior Services Friendly Visitor Program 916-503-5386

www.accsv.org/services/senior-companionship-program/

Families with older adults need to consider having the following documents ready and keep them up-to-date by reviewing them regularly.

Living Trust

With a living trust, your assets are put into the trust during your lifetime and transferred to your beneficiaries when you die. Most people name themselves as the trustee who manages assets. This allows you to control the living trust assets during your lifetime. You also can revoke or change your living trust. One advantage of a living trust is that the assets do not go through probate, and distributing assets often takes less time. For more information on living trust in California, check: www.scscourt.org/self_help/probate/medical/living_trust.shtml

Not everyone needs a living trust. Your assets in joint accounts or with designated beneficiaries will be distributed accordingly at the time of death. If your estate is valued at $166,250 or less, it may qualify for a non-formal probate case and transferred without court process. For more information, check: www.courts.ca.gov/8865.htm

Will

A will is a legal document that dictates how your assets will be distributed after your death. Probate is required for the assets to be distributed under the supervision of the court.

You can find a simple will form at: saclaw.org/wp-content/uploads/6240-Statutory-will-form.pdf

Durable Power of Attorney for Finance

A Durable Power of Attorney for Finance is a legal document where you can name the individuals who would act in your place managing finances and business affairs when you are incapacitated. For more information, check: saclaw.org/wp-content/uploads/lrg-power-of-attorney.pdf

For Spanish information, check: www.caregiver.org/fact-sheets

For Chinese information, check: www.caregiver.org/fact-sheets

Advance Health Care Directive

An Advance Health Care Directive is a legal document where you can 1) name the individuals who would make health care decisions for you when you are incapacitated, and 2) state your end-of-life care choices. For more information, check: http://coalitionccc.org/CCCC/Resources/Advance-Care-Planning-Resources/CCCC/Resources/Advance-Care-Planning-Tools-and-Resources.aspx

For Spanish information, check: coalitionccc.org/CCCC/Resources/ACP-Tools-Recursos-Sobre-Directivas.aspx

For Chinese information, check: coalitionccc.org/wp-content/uploads/2014/01/Chinese-AHCD-fact-sheet-LH.pdf

For Korean information, check: coalitionccc.org/wp-content/uploads/2014/01/KO_Thinking-Ahead_Web.pdf

California’s easy-to-read advanced health care directive form is available in ten different languages (English, Spanish, Chinese, Armenian, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese) at: prepareforyourcare.org/advance-directive-library

POLST (Physician Orders for Life-Sustaining Treatment)

Very old or seriously ill patients need to have this form ready to control over their end-of life care, including CPR, full treatment with antibiotics, use of ventilator for breathing, and tube feeding. Both patient and doctor sign the form for it to be effective. Medical care providers need to have it filed, and seniors at home should display the completed form at places that are easily noticed (refrigerator, bed post, etc.). For more information, check: capolst.org/polst-for-patients-loved-ones/

For Spanish information, check: capolst.org/wp-content/uploads/2016/10/POLST_Consumer-Broch_Spanish.pdf

For Chinese information, check: http://www.caccc-usa.org/forms.html

POLST form is available in eleven different languages (English, Spanish, Chinese, Armenian, Farsi, Japanese, Korean, Pashto, Russian, Tagalog, Vietnamese) at: capolst.org/polst-for-healthcare-providers/forms/

Please note that translated versions are for reference only. Actual form needs to be completed and signed in English.

Medi-Cal is federal and state funded health insurance program for people with low-income. Under Medi-Cal, there are many categories that serve different populations and their needs. For seniors who are ages 65 and over, the following four programs are most commonly considered:

• SSI-linked Medi-Cal

If you get Supplemental Security Income (SSI), you get full scope Medi-Cal automatically. You do not need to fill out any additional paperwork.

• Aged and Disabled Federal Poverty Level Program (A&D FPL)

This is a full scope Medi-Cal program for people who meet all two eligibility criteria below:

65 and over or blind, or disabled

Monthly countable income less than $1,732 (individual) or $2,352 (couple)

For more detailed information on the list of exempt assets and how to calculate countable income, please check the website below:

English: www.canhr.org/factsheets/index.html

Spanish: www.canhr.org/factsheets/spanish_fs/index.html

Chinese: www.canhr.org/factsheets/chinese_fs/index.html

• Aged, Blind and Disabled – Medically Needy Program (ABD – MN)

This program is for people who meet the first two criteria of A&D FPL listed above but have higher monthly income. You can get Medi-Cal but have to pay monthly Share of Cost (SOC), which can be quite expensive depending on your income level. If you need assistance estimating your SOC or exploring ways to reduce/remove it, please contact ACC at 916-503-5386.

• 250% Working Disabled Program (250% WDP)

This is a Medi-Cal program for people who meet all three criteria below:

Meet Social Security’s definition of disability

Working with countable income less than $3,138 (individual) or $4,258 (couple)

Unearned income is less than SSI/SSP benefit amount (excluding disability income)

For more information, check:

ca.db101.org/ca/programs/health_coverage/medi_cal/program2a.htm

For more Spanish information, check:

ca-es.db101.org/ca/programs/health_coverage/medi_cal/program2a.htm

For more detailed Chinese information, check:

www.canhr.org/factsheets/chinese_fs/PDFs/cs_fs_aged_disabled_poverty.pdf

There are four ways to apply for Medi-Cal.

• In-Person

You can visit the Sacramento County office to apply in-person. Please bring necessary documents including ID, Social Security Card, immigration documents (non-citizen), documents with current address, income verification documents, resource verification documents, vehicle registration, medical bills, etc.

Sacramento County Department of Human Assistance

2700 Fulton Ave, Sacramento, CA 95821

1725 28th St, Sacramento,CA 95816

3960 Research Dr, Sacramento,CA 95838

5747 Watt Ave, North Highlands, CA 95660

2450 Florin Road, Sacramento, CA 95822

210 North Lincoln Way Galt, CA 95632

• By Mail

Download and print application at the link below according to your language need. Form is available in 11 different languages. Make sure to use the application WITH financial assistance to apply for Medi-Cal.

www.coveredca.com/apply/paper-applications/

Return the competed form to the address below:

Covered California
P.O. Box 989725, West Sacramento, CA 95798-9725

• By Phone

Call Sacramento County Dept. of Human Assistance at 1-800-560-0976 to apply.

• Online

You can submit an online application at the link below:

https://benefitscal.com/

Qualifying seniors can benefit from many long term care services that are paid by Medi-Cal. This is one of the major differences between Medicare and Medi-Cal. Medicare rarely pays for long term care services except short-term rehab at skilled nursing facility, limited home health and physical therapy, hospice care, etc.

• In Home Supportive Services (IHSS)

www.dcfas.saccounty.net/SAS/Pages/In-Home-Supportive-Services/SP-In-Home-Supportive-Services.aspx

This program pays for the services people need to safely stay at home, including house cleaning, meal preparation, laundry, grocery shopping, personal care services, accompaniment to medical appointments, and protective supervision for the mentally impaired.

Seniors or anyone who knows the need of seniors can apply by calling Sacramento County IHSS at 916-874-9471. Heath Care Certification (SOC873) will be sent by mail, which need to be signed by doctor and returned to County before due date. Then, case worker will visit home for assessment. When assessment is authorized, you will be notified of the number of hours for service and asked to find a provider for you. Assistance is available if you cannot find a provider. Whole application process and provider registration can take up to 90 days.

If you are a family member who plans to become IHSS provider, visit Sacramento County IHSS Public Authority website and review necessary information:

pubauth.saccounty.net/Pages/Home.aspx

• Community-Based Adult Services (CBAS) previously known as Adult Day Health Care (ADHC)

www.aging.ca.gov/Programs_and_Services/Community-Based_Adult_Services/

Seniors and adults with chronic medical, cognitive, or mental health problems can attend day programs where they receive health care services and participate in socialization / enrichment activities. Transportation and meals are also provided. There are four locations in Sacramento County:

Altamedix Adult Day Health Center
4234 North Freeway Blvd. #500, Sacramento, CA 95834
916-648-3999

Kingdom Living ADHC
620 Bercut Drive, Sacramento, CA 95811
916-444-7700

Love Joy Adult Day Health Care Center
10293 Rockingham Drive, Sacramento, CA 95827
916-661-6194

• Multipurpose Senior Services Program(MSSP)

www.aging.ca.gov/Programs_and_Services/Multipurpose_Senior_Services_Program/

MSSP provides care coordination and case management services for frail seniors who qualify for Medi-Cal with no share of cost. The goal is to provide support for the seniors to live safely at home utilizing services and resources, including in-home care, day program, transportation, medical equipment, incontinence products, etc.

California Health Collaborative is the provider for this program in Sacramento County. Visit the website in the link below and call 916-374-7739 to apply.

healthcollaborative.org/multipurpose-senior-services-program/

• Programs of All-inclusive Care for the Elderly (PACE)

PACE is Medicare/Medi-Cal funded all-inclusive care program for frail seniors who are at risk of placement at nursing home. Members receive all the benefits from Medicare and Medi-Cal and more, including medical / dental / vision care, acute hospital care, nursing home care, medication, physical / occupational / speech therapy, medical equipment, ongoing case management, adult day health program, home health, in home care, etc.

There are two providers for this program in Sacramento County. Please visit the websites below for more information;

www.sutterhealth.org/lp/pace/

www.innovage.com/locations/ca-sacramento

• Assisted Living Waiver (ALW)

www.dhcs.ca.gov/services/ltc/Pages/AssistedLivingWaiver.aspx

Medi-Cal pays for assisted living care for qualified aged and disabled residents of Sacramento County under ALW. Seniors with Medi-Cal (no share of cost) who need nursing facility level of care but want to live at assisted living setting can contact one of Coordination Agencies to start application process.

Blossom Ridge Care Coordinating Agency (800-991-6147)

Elder Options, Inc. (530-626-6939)

Guidant Care Management (844-494-6303)

Home and Health Care Management (530-343-0727)

NorCal Care Coordinator Agency (916-385-2784)

Senior Care Solutions Inc. (916-965-5565)

Star Nursing Inc. (916-542-1445)

• Institutional Long Term Care

www.canhr.org/publications/PDFs/MEB_Eng.pdf

Care cost to stay as a long-term resident at skilled nursing facility is very high; many nursing home residents in California have part or all of their care paid by Medi-Cal. If you have income and resources that meet Medi-Cal standard, you can get assistance with nursing home cost. Refer to Medi-Cal information in this guide to see which Medi-Cal program you are qualified.

Under Spousal Impoverishment Measure, different resource and income guidelines apply when only one spouse needs care. This is to ensure provisions for the non-Medi-Cal spouse to live sufficiently in the community. For example, if one spouse is entering nursing home, and the other spouse lives at home, the couple can have up to $137,400, not including the home and other exempt assets (for example, IRAs and retirement funds). This is called Community Spouse Resource Allowance (CSRA). Also, the spouse living at home is allowed to keep a monthly income of $3,435 (with the addition of institutionalized spouse’s income) or his/her own individual income, whichever is greater. This Measure also applies to the couple who are in need of Medi-Cal Home and Community Based Services. 

www.canhr.org/factsheets/medi-cal_fs/PDFs/FS_Spousal_Impoverishment_HCBS.pdf

For more detailed Spanish information, check:

www.canhr.org/publications/PDFs/Spanish/MEB_Sp.pdf

For more detailed Chinese information, check:

www.canhr.org/factsheets/chinese_fs/index.html

Medicare is health insurance for seniors, people with disability, and people with permanent kidney failure who need dialysis or a kidney transplant. It is run by Center for Medicare and Medicaid Services (CMS) and most people sign up through Social Security Administration.

Medicare has three different components to help cover specific services. Visit Medicare website for more information:

www.medicare.gov/what-medicare-covers/your-medicare-coverage-choices/whats-medicare

Medicare Part A (Hospital Insurance)

Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.

Medicare Part B (Medical Insurance)

Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.

Medicare Part D (prescription drug coverage)

Part D is prescription drug plans offered by insurance companies and other private companies approved by Medicare.

Medicare Part C (Medicare Advantage Plans) is a type of health plan offered by a private company that contracts with Medicare to provide you with all your Part A, Part B, and usually Part D benefits.

Medicare Supplement Insurance or Medigap is optional coverage to help pay for some cost that is not covered by Original Medicare (Part A and B)

There are many different eligibility criteria for you to qualify for Medicare coverage, so it is best to review detailed program information at Medicare.gov website. Members who do not enroll when they first qualify have to pay a penalty, so it is very important to plan ahead and research options and timeline:

www.medicare.gov/sign-up-change-plans/getting-started-with-medicare

Please note that Medicare website is available in Spanish at:

es.medicare.gov/

You can find Chinese Medicare information at:

www.medicare.gov/about-us/information-in-other-languages/zhongwenchinese

You can find Korean Medicare information at:

www.medicare.gov/about-us/information-in-other-languages/hangugeokorean

If you have questions about your Medicare, call 1-800-633-4227 or your local SSA offices at the numbers listed below.

For Spanish assistance, follow the Spanish directions to be connected to an agent

For other languages, press 0 when connected. When a live representative answers, say the name of your preferred language and an interpreter will be contacted to help you communicate.

If you are calling for your loved one, you need to call with him/her present as he/she will be asked to verify personal information and give permission for you to speak.

Or, you can fill out and turn in the authorization form in the link below in advance:

www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS10106.pdf

www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS10106S.pdf(Spanish)

For in-person consultation, visit Social Security Administration office near your location. You have a right to request interpretation service at no cost. There are three Social Security Administration offices in Sacramento County.

*Due to COVID, SSA offices provide service by phone. Limited in-person assistance available by appointment.

• 8581 Folsom Blvd A, Sacramento, CA 95826
  877-274-5419
• 40 Massie Ct, Sacramento, CA 95823
  866-708-3208
• 2424 Arden Way, Sacramento, CA 95825
  855-782-9153

HICAP (Health Insurance Counseling and Advocacy Program)

For individual consultation on issues with Medicare, schedule an appointment with a HICAP counselor. Call 916-376-8915 or 1-800-434-0222 to schedule a 1-hour, free, confidential, appointment with a registered HICAP Medicare counselor to get help with your Medicare questions, choices, and rights.

https://sites.google.com/lsnc.net/hicap/contact-us

Cost Assistance Programs for Medicare Members with Low-Income

Medicare Savings Program

Four programs (QMB, SLMB, QI, QDWI) are available to help low-income families pay Medicare premiums and out-of-pocket costs. Please check the website for income and resource guideline for each program:

www.medicare.gov/your-medicare-costs/get-help-paying-costs/medicare-savings-programs

Extra Help

Low-income families can qualify for this program to help pay for Medicare prescription drug plan cost: 

www.ssa.gov/benefits/medicare/prescriptionhelp/

CalFresh (Formerly Food Stamps)

*During the pandemic, all CalFresh participants receive maximum benefit amount. The amount has been temporarily increased and extended month to month. Subject to change anytime.

Income-qualifying US Citizen or Permanent Resident families who have resided in the US for longer than 5 years can apply for this assistance to purchase the food they need. Lawful immigrant families who cannot apply for federally funded CalFresh program may still get benefits from state-funded California Food Assistance Program (CFAP). Visit their website at:

www.cdss.ca.gov/inforesources/calfresh/california-food-assistance-program

The amount of monthly benefit is decided according to the size of your household, income level, and living costs (rent, utility, medical expenses, etc).

As of June 2019, SSI recipients may also receive CalFresh benefit. Please check more information at: ssi.getcalfresh.org/

To apply, choose one of the following:

Online: www.mybenefitscalwin.org/

By Phone: Call Sacramento County Dept. of Human Assistance at 916-874-3100.

In Person: Visit Sacramento County Dept. of Human Assistance offices.

*All offices are open at a limited capacity. Services via phone or online are recommended to avoid having to wait.

2700 Fulton Ave, Sacramento, CA 95821

10013 Folsom Blvd, Rancho Cordova, CA 95827

1725 28th St, Sacramento, CA 95816

3960 Research Dr, Sacramento, CA 95838

5747 Watt Ave, North Highlands, CA 95660

2450 Florin Rd, Sacramento, CA 95822

210 North Lincoln Way Galt, CA 95632

CalFresh outreach and application assistance is available by the following agencies;

• Sacramento Food Bank and Family Services 916-925-3240

www.sacramentofoodbank.org/calfresh

• River City Food Bank 916-233-4075

rivercityfoodbank.org/gethelp/calfresh/

Meals on Wheels by ACC (MoW)

MoW helps keep seniors in their homes and communities by providing nutritious meals, safety net services, social contact, community resource information and much more.

• Home delivered meals to homebound seniors in Sacramento County
• Community locations where seniors can dine with others (currently closed)
• Socialization and safety net services
• Nutrition education and senior resource information
• Menus are developed by a Registered Dietitian for healthy nutrition

For more information or to apply for home delivered meal service, please call 916-444-9533 or visit their website at: www.mowsac.org/

Food for Seniors

Sacramento Food Bank and Family Services provide free food to low-income seniors. For more information;

www.sacramentofoodbank.org/food-for-seniors

Food Distribution

Visit the following websites if you are looking for food distribution sites around Sacramento Area;

www.sacramentofoodbank.org/find-food

rivercityfoodbank.org/

Seniors consider their physical/mental/cognitive health, care needs, and affordability in choosing where to live that suits their needs the best.

Independent Living

Many seniors age in place independently or with help from family caregivers/paid in-home services. Their home can be at single house, mobile home, apartment (market rate/HUD subsidized low-rent*), room rental**, or senior living community according to their preference and financial ability.

How to pay: private pay, HUD housing rate (30-40% of your income), VA Pension (Aid and Attendance) to cover in-home care cost, or some long term care insurance paying for in-home care services.

*Use the link below to find affordable housing options in Sacramento County. You need to contact and submit your application to each property.

resources.hud.gov/

www.sacselfhelp.org/find-housing.html

**For AAA4 funded service, contact HomeShare American River at the website below or at 916-360-0074;

www.homeshareamericanriver.org/home

Assisted Living Facilities

This housing category, also known as Residential Care Facilities for the Elderly (RCFE), provides non-medical assistance for seniors who need care with their activities of daily living. Services provided include:

• Room and board
• Housekeeping
• Supervision
• Transportation
• Personal care (bathing/medication management/dressing, etc.)

There are varieties to choose from in terms of the size, services and amenities available. You can live at small board and care homes (6 to 15 beds), large facilities, or memory care facilities according to your care needs, preference, and financial resources. The cost also varies very much. Basic rate start at $2,000 - $3,000, and all personal care items are a la carte that add up to the monthly cost. Memory care is usually the most expensive level of care that can cost near $5,000 to $7,000 per month.

ALFs are licensed and regulated by CA Department of Social Services. You can view the list of licensed facilities and their evaluation results on the website at the link below:

www.cdss.ca.gov/inforesources/community-care-licensing/facility-search-welcome (Select Elderly Assisted Living)

How to pay: private pay, SSI/SSP Non-Medical Board and Care Rate ($1,211.77 to RCFE / $154 for Personal Allowance), Medi-Cal Assisted Living Waiver, VA Pension, or long term care insurance.

Skilled Nursing Facilities

This option is for the seniors who need 24-hour nursing care and medical supervision. It is the most expensive level of care, which can cost $10,000 and up per month.

All skilled nursing facilities in California are licensed and regulated by Department of Public Health. Visit the following links to view the list of facilities in Sacramento County and compare evaluation results and ratings:

www.cdph.ca.gov/Programs/CHCQ/LCP/calhealthfind/pages/home.aspx

www.medicare.gov/nursinghomecompare/search.html?

health.usnews.com/best-nursing-homes/search

How to pay: private pay, Medicare ($0 co-pay for first 20 days/$194.50 coinsurance for days 21-100/all costs after 100th day), Medi-Cal Long Term Care (your income will be paid toward cost except $35 Personal Allowance/Medi-Cal pays rest), VA Pension, or long term care insurance.

Many seniors rely on social security benefits as their income source. Most frequently considered programs are Social Security Retirement and Survivor Benefits, Disability Benefits, and Supplemental Security Income (SSI).

Social Security Retirement and Survivor Benefits

If you have worked at least 10 years and paid Social Security taxes, you are qualified to start receiving monthly social security benefit between the age of 62 and 70. Also, your spouse for more than 1 year of marriage is entitled to 50% of your benefit. If you are divorced, you are eligible for spousal benefit if your marriage lasted longer than 10 years and you are unmarried.

Social Security Disability Insurance (SSDI)

You are eligible for SSDI if 1) you have worked in jobs covered by Social Security and 2) you cannot work anymore due to a medical condition that meets Social Security’s definition of disability. SSDI benefits automatically change to retirement benefits when you reach full retirement age.

Supplemental Security Income (SSI)

If you are over 65, blind, or disabled with very limited income and asset, SSI provides monthly cash assistance up to $1040.21 (individual) and $1,765.64 (couple). Rates for blind beneficiaries are slightly higher.

In California, seniors who are ineligible to receive SSI due to their immigration status apply for CAPI, a state-funded Cash Assistance Program for Immigrants. Monthly CAPI amount is same as SSI.

How to receive more information on Social Security benefits and find which program you are qualified for:

• Review detailed information available from Social Security website.
  • English: ssa.gov/
  • Spanish: ssa.gov/espanol/
  • Chinese: ssa.gov/multilanguage/Chinese/chinese.htm
  • Korean: ssa.gov/multilanguage/Korean/korean.htm

If you do not have access to internet service or need assistance in obtaining this information in printed format, please call ACC at 916-503-5386.

• Call Social Security

Contact Social Security at their toll free number 1-800-772-1213 or local offices at the numbers below.

Spanish service: when connected, press 7 to speak to Spanish speaking representative.

For other languages: when connected, you will hear automation prompts for about 2 to 3 minutes and some. Remain silent until a live representative answers. Say the name of your language and an interpreter will be contacted to help you communicate.

When you call, have your social security number ready.

Please note that if you need to call for your loved one, complete and file the consent form to SSA in advance. The form is available online (SSA-3288).

www.ssa.gov/forms/ssa-3288.pdf

• Visit Social Security Administration office near your location

If you speak languages other than English, you have a right to request interpretation service at no cost to help you better communicate. Please call and ask if the office you are visiting provides language assistance.

*Due to COVID, SSA offices provide service by phone. Limited in-person assistance available by appointment.

8581 Folsom Blvd A, Sacramento, CA 95826

877-274-5419

40 Massie Ct, Sacramento, CA 95823

866-708-3208

2424 Arden Way, Sacramento, CA 95825

855-782-9153

Name: SacRT GO Paratransit

Website: www.sacrt.com/apps/sacrt-go-paratransit-services/

*For COVID updates, visit their website

www.sacrt.com/apps/sacrt-precautions-against-coronavirus/

Phone: 916-321-2877 (press 2)

Service Area: Most communities around Sacramento area served by Regional Transit

Hours of Operation: 7 days per week 5 am – 11 pm (shorter service hours on weekends and holidays)

Cost: $5 Single Ride Monthly pass available for purchase

Name: ACC Rides

Website: www.accsv.org/services/transportation/

Phone: 916-393-9026 (ext 333)

Service Area: 95811, 95814, 95816, 95817, 95818, 95820, 95822, 95823, 95824, 95828, 95831, 95832, 95758, and Delta region 

Hours of Operation: Monday through Friday 8 am – 4:30 pm

Cost: $5 Suggested Contribution

Name: Elk Grove E-Van

Website: www.elkgrovecity.org/residents/transportation/transit_e-tran/paratransit_service

Phone:  916-683-8726

Service Area: City of Elk Grove; To and From South Sacramento medical facilities

Hours of Operation: Monday through Friday 5:30 am – 10:30 pm Weekend 7 am – 6 pm

Cost: $3.50 Single Ride 10 days and monthly passes available for purchase

Name: Smart RT Ride On Demand Transit

Website: www.sacrt.com/apps/smart-ride/

*For COVID updates;

www.sacrt.com/apps/sacrt-precautions-against-coronavirus/

Phone: 916-556-0100

Service Area: Citrus Heights-Antelope-Orangevale; Franklin-South Sacramento; Rancho Cordova

Hours of Operation: Monday through Friday 6 am – 10pm (service hours vary for each zone)

Cost: $2.50 Basic Rate $1.25 Senior/Disabled Rate Free for Group of 5+

Name: Folsom Dial-A- Ride

Website: www.sacrt.com/apps/folsom/#Dial

Phone: 916-355-8347

Service Area: City of Folsom

Hours of Operation: Monday through Friday 5:25 am – 7:25 pm

Cost: $4 Single Ride

Name: GoGoGrandparent

Website: gogograndparent.com 

Service for the elderly and their caregivers to use Uber/Lyft without a smartphone. Text alerts to family members available.

Phone:  855-464-6872 

Service Area: National coverage including Sacramento

Hours of Operation: 24/7 monitored trip

Cost:Monthly membership fee plus Concierge Fee of $0.27 per minute in addition to Uber/Lyft fare

Low-Income Discount

• SMUD Energy Assistance Program Rate (EAPR) (Effective 2/1/2021)

Person In Household: 1-2

Monthly Income: $2,903

Person In Household: 3

Monthly Income: $3,660

Person In Household: Additional Members (Each)

Monthly Income: $757

Visit www.smud.org/en/Rate-Information/Low-income-and-nonprofits to apply online or print the mail-in application form (English and Spanish). Income verification is required.

• PG&E California Alternate Rates for Energy (CARE) (Until 5/31/2021)

Person in Household : 1-2

Annual Income: $34,840

Person in Household : 3

Annual Income: $43,920

Person in Household : Additional Members (Each)

Annual Income: $9,080

Visit https://www.pge.com/en_US/residential/save-energy-money/ to apply online or print the mail-in application form in multiple languages. Income verification is not requested at the time of application. Beneficiaries are subject to random income verification at any time.

Discount for Families with Medical Needs

SMUD and PG&E offer discount program for their members who need to use more electricity and gas due to their health issues. No income guidelines. Application needs to be verified by health care providers.

• SMUD Medical Equipment Discount ($15 per month)

English and Spanish application is available at:

www.smud.org/en/Rate-Information/Medical-Equipment-Discount

Or call 1-888-742-7683 (language assistance available) and request mail-in application form.

• PG&E Medical Baseline Allowance

English, Spanish, Chinese application is available at:

www.pge.com/en_US/residential/save-energy-money/help-paying-your-bill/longer-term-assistance/medical-condition-related/medical-baseline-allowance/medical-baseline-allowance.page

Or call 1-800-743-5000 (language assistance available) and request mail-in application form.

Rate Assistance for Water / Sewer / Garbage Bill

Families who are getting the SMUD low-income discount can apply for rate assistance with their water / sewer / garbage bills from either Sacramento County or City of Sacramento, according to the location of their residence.

• Sacramento Utility Rate Assistance (City of Sacramento)

Apply online (English) or print application form (English, Spanish, Russian, Hmong, Vietnamese) at:

www.cityofsacramento.org/sacramentoutilityrateassistance

Or call 916-808-5454 to request mail-in application form.

• Consolidated Utilities Rate Assistance (Sacramento County)

English application is available at:

www.sacutilities.org/Pages/RateAssistance.aspx

Or call 916-875-5555 to request mail-in application form.

Low-Income Discount for Phone Service: California LifeLine

Qualifying families with low-income or public benefit status can receive a discount on either their landline or wireless phone service.

• Program-Based Qualification: member of your household is enrolled in public assistance programs (SSI, Medi-Cal, CalFresh, Housing Assistance, CalWorks, etc)
• Income-Based Qualification (effective 6/1/2020-5/31/2021)

Persons in Household : 1-2

Annual Income: $28,500

Persons in Household : 3

Annual Income: $33,100

Persons in Household : Additional Members (Each)

Annual Income: $7,200

More information and online application/renewal option are available at: www.californialifeline.com/en (available in multiple languages) Or call ACC Utility Assistance Program at 916-503-5809.

Low-Income Discount for Internet Service

• Access from AT&T 

Families with at least one resident receiving CalFresh or Supplemental Security Income (SSI) can use AT&T internet service at a discounted rate.

To apply, visit www.att.com/shop/internet/access/#!/ or call ACC Utility Assistance Program at 916-503-5809.

• Comcast Internet Essentials 

Families with at least one resident receiving public benefits (SSI, Medi-Cal, CalFresh, Housing Assistance, LIHEAP, etc.) or VA pension can use Comcast internet service at $9.95 plus tax per month.

To apply, visit www.internetessentials.com/ or call ACC Utility Assistance Program at 916-503-5809.

• Emergency Broadband Benefit

Eligible households receive up to $50 discount towards broadband service and one-time discount of up to $100 to purchase a computer or tablet.

www.fcc.gov/broadbandbenefit

Home Energy Assistance Program (HEAP)

Income-eligible families receive one-time payment to cover their utility costs. Application can be made every 12 months;

www.communityresourceproject.org/Services/Energy-Programs/HEAP

ACC Utility Assistance Program

ACC provides free education and assistance with phone/internet bill and PG&E bill issues for seniors and families with limited English proficiency. If you need help, please call ACC at 916-503-5809 or send email to ssarinas@accsv.org.

Veterans and their families can receive benefits and services provided by Veterans Affairs (VA) to help them paying for their cost of living and care. Please review the website listed below to learn more about the different types of compensation and pension programs.

www.benefits.va.gov/BENEFITS/factsheets.asp (English and Spanish version of factsheets on various benefits are available)

Two most frequently considered programs are Compensation and Pension benefits.

Service-Connected Compensation (Effective 12/1/2020) 

Veterans with health conditions (physical and mental) that can be linked to their military services are entitled to a monthly income benefit. The benefit amount is decided according to the severity of the conditions and dependent status, ranging from $144.14 to $3,146.12 (veteran alone) per month. This is not a means-tested program, so your current income and asset are not considered as factors. Veterans can apply for rate increase anytime when the conditions get worse. Surviving spouses of veterans who passed away from service-connected conditions are entitled to Dependency and Indemnity Compensation (DIC). Check website for more information or contact Veteran Service Officers (VSOs) in our area to apply: www.va.gov/disability/

Non Service-Connected Pension

Wartime veterans and their survivors with limited income and assets can apply for VA pensions to help pay for their cost of living and care. To qualify, veteran must have served 1 day during designated period of war, and the asset must be less than $130,773 (effective 12/1/2020 – 11/30/2021). Please visit the VA website below or contact VSOs to check eligibility, different categories of benefits, and application process:

www.va.gov/pension/

Below is the current maximum amount of pensions for each category. Please note that even though the applicants’ income is higher than these amounts, they can still consider applying when they have expenses to be deducted to calculate benefit amount (medical bills and insurance premiums, in-home care cost, assisted and skilled nursing facility cost, etc.)

Pension Benefits for Veterans (Effective 12/1/ 2020)

Maximum Annual Pension Rate Category: Basic without dependent

Amount: $13,931

Maximum Annual Pension Rate Category: Basic with one dependent

Amount: $18,243

Maximum Annual Pension Rate Category: Housebound without dependent

Amount: $17,024

Maximum Annual Pension Rate Category: Housebound with on dependent

Amount: $21,337

Maximum Annual Pension Rate Category: Aid and Attendance without dependent

Amount: $23,238

Maximum Annual Pension Rate Category: Aid and Attendance with one dependent

Amount: $27,549

Pension Benefits for Survivors (Effective 12/1/2020)

Maximum Annual Pension Rate Category: Survivor

Amount: $9,344

Maximum Annual Pension Rate Category: Housebound Survivor

Amount: $11,420

Maximum Annual Pension Rate Category: Aid and Attendance Survivor

Amount: $14,934

Veteran Service Officers in Sacramento County

• Veterans Benefits Administration (VBA) Regional Satellite Office

3046 Prospect Park Drive, Rancho Cordova, CA 95670

*Due to COVID, this office is closed until further notice. Staff are available by phone;

1-800-827-1000

www.va.gov/find-locations/facility/vba_343f

• Sacramento County Veterans Service Office

3970 Research Drive, Sacramento, CA 95838

Walk-in consultation is available Monday through Friday, 8 am-4 pm. To make appointment, call 916-874-6811 or email DHA-VET@saccounty.net

*Due to COVID, this office is closed for in-person appointments. Service available via phone or email. For more information, visit their website;

www.saccounty.net/services/Pages/Veterans-Services.aspx

Geriatric and Extended Care for VA Health Care Members

VA provides support services for the older veterans with long-term care needs and their family caregivers under Geriatric and Extended Care. Please see more information on the services at the link below;

www.va.gov/Geriatrics/pages/Home_and_Community_Based_Services.asp?utm_source=geriatrics_home_page

VA Caregiver Support

Family members who are caring for veterans can access various support services through VA. Please visit their website listed below for more information, or call their toll free Caregiver Support Line at 1-855-260-3274.

As of 10/1/2020, Program of Comprehensive Assistance for Family Caregivers (PCAFC) has been expanded to include those Veterans who incurred or aggravated a serious injury in the line of duty in the active military, naval, or air service on or before May 7, 1975. For more information;

www.caregiver.va.gov/