Page 20 - HCN Senior Planning Guide August 2020

Elder Care
Budget Worksheet
To effectively plan and budget, one must keep accurate and up- to-date information on income and expenses. This worksheet will certainly help.
Today’s date __________________________________________ Elder’s name __________________________________________
Income and Assets Inventory
Wages/commissions ___________________________________ Savings ______________________________________________ Social Security ________________________________________ Stocks/bonds _________________________________________ IRA/Keough __________________________________________ Pensions/profit sharing _________________________________ Rental income ________________________________________ Real estate ___________________________________________ Investments __________________________________________ Other _______________________________________________
Average Monthly Expenses
Housing ______________________________________________ Home maintenance/repairs ______________________________ Taxes ________________________________________________ Insurance ____________________________________________ Food ________________________________________________ Utilities ______________________________________________ Cable TV _____________________________________________ Transportation ________________________________________ Auto maintenance _____________________________________ License/sticker fees ____________________________________ Vehicle insurance ______________________________________ Medical ______________________________________________ Dental _______________________________________________ Prescriptions __________________________________________ Long-term-care insurance _______________________________ Assisted-living services __________________________________ Adult day services _____________________________________ Eyeglasses/hearing aids _________________________________ Personal care _________________________________________ Clothing _____________________________________________ Laundry/housekeeping _________________________________ Entertainment ________________________________________ Memberships _________________________________________ Fitness ______________________________________________ Travel _______________________________________________ Gifts ________________________________________________ Donations ____________________________________________
Total Expenses ________________________ Total Income _________________________
Subtract Total Expenses ________________ Monthly Balance ______________________
KEEPING OLDER ADULTS SAFE AT HOME DURING COVID-19.
HELPING THOSE YOU CARE ABOUT
CARE FOR THEMSELVES.
Call Today: 413-538-9020
4 Valley Mill Road info@wmeldercare.org Holyoke, MA 01040 www.wmeldercare.org
Not Sure Where to Start?
We Can Help.
Our bilingual Information and Referral Specialists can answer your questions about home care, housing options, public benefits and much more. We can help you determine what you need even when you aren’t quite sure, and help you access those resources.
We offer personalized consultation and information on a wide range of topics:
· Community, state and national resources
· Support and education for caregivers
· Services for people with Alzheimer’s Disease
· Benefit programs like Medicare, Medicaid, SNAP and more
· Paying for prescription medication
We also provide educational seminars for:
· Employees caring for elderly relatives
· Business and civic organizations
· Church and support groups
· College classrooms
Call Our Information & Referral Specialists Today
413-781-8800 www.gsssi.org
28
AUGUST 2020 SENIOR PLANNING GUIDE