Frequently Asked Questions
BIRCH HILL LIFESTYLE QUESTIONS
What is a CCRC and what are the benefits?
A Continuing Care Retirement Community (CCRC) is an insurance product that provides housing and nursing needs for its residents through a full continuum of care on the same campus. There are 1900 CCRCs across the country, and the concept has been around for 100 years.
Residents enter when they are independent and are 62 years or older, and then can transition to other levels of care if and when they need it, including assisted living and memory care. Having all levels of care within the campus makes it easy for friends and family to visit.
Having several levels of care available on campus is an incredible benefit—it provides you with the security of knowing that, if you need Assisted Living, Nursing Care or Memory Care at some point in time, it’s right on site.
Are all CCRCs the same?
No. The majority of CCRCs are non-profit, but there are three different major types: Type A ( all inclusive ) Type B ( Moderate) and Type C ( rental). Birch Hill is a Type B and offers the advantage of a lower entrance fee, as well as discounted pricing on health care.
Am I buying an apartment or a condo?
As mentioned earlier, a CCRC is an insurance product. You choose an apartment home or cottage, but it is not a real estate transaction, and there is no ownership involved. You have lifetime use of your apartment or cottage and the security of knowing you’ve planned for your future health care needs.
What types of services and amenities are offered?
- Gourmet dining equal to one main meal a day
- Complimentary continental breakfast
- Flexible dining program to be used within three dining venues
- Free (?) fitness classes and social, cultural and educational programs
- Scheduled/free transportation
- Health care services include:
- On-site physician services
- Catered living
- Resident health clinic
- Wellness programs
- Health education
- Emergency response
- On-site Respite Care
What Dining options are available at Birch Hill?
Our exceptional culinary team prepares a variety of healthy and delicious menu choices every day. A complimentary continental breakfast is available 7 days a week; lunch and dinner are served in the Cafe for casual dining, or in the Terrace Room for restaurant style service. The Courtyard Cafe offers outdoor dining during the summer months. Take out service is available, as is room service. Families are welcome to reserve the Private Dining Room for special occasions.
Is transportation available?
We offer courtesy scheduled shuttle transportation 4 days a week to all the local zip code areas in greater Manchester. Whether it’s a trip to the mall, the doctor’s office or a movie matinee, our professional and courteous staff will get you wherever you need to go.
How far is Birch Hill from Boston and the Seacoast?
Birch Hill is conveniently located less than one hour from Boston and the beautiful New Hampshire Lakes Region and only 40 miles from Hampton Beach and Portsmouth.
I don‘t want to give up any of my freedom and independence. How will I know when I’m ready?
The best time to make a move is when you are active and in good health. The admissions process includes a health assessment, so don’t wait too long. Our goal is to provide an active, stimulating maintenance free lifestyle for healthy retirement age individuals.
What is Your Guest Policy?
Birch Hill welcomes your guests to visit as often as you like. All visitors are required to sign in and out at the reception desk for your security, and Birch Hill has two furnished guest rooms for the convenience of your visitors. Reservations are required.
What Trips & Activities Does Birch Hill Offer?
Typical outings might be to restaurants, museums, wineries, the Palace Theater for a show, to the seacoast, taking in a historical tour, or perhaps to a sporting venue. Available activities often include fitness classes, concerts, lectures, socials, language club, bridge club, walking club, garden club, religious services, watercolor classes, poker games, working in the woodshop, music recitals, volunteering, swimming at the YMCA, or attending an ongoing history class taught by a resident. Resident-driven activities are what Birch Hill is all about – if you have an interest, we’ll help you find an outlet.
I don’t know anyone who lives at Birch Hill. How will I form relationships with residents?
It starts with friendly, welcoming neighbors in the hallways and common areas when you move in. You might chat with someone in the Nook over breakfast or dine with them in the evening. If you join a stretch and balance class, or try your language skills in the French Club you’ll meet people quickly. If working in the resale boutique, Terrace Treasures is your thing, you’ll meet people in no time, both buying and selling. Stop by the Tavern on Tuesdays or Fridays or better yet, be the bartender. One step leads to another, and before you know it, you’ve lots of new friends and acquaintances in your life!
What are the tax advantages of moving to Birch Hill?
A portion of your entrance fee and monthly service fee are deductible as a medical expense in the year paid. For calendar year 2017, 89% of the non-refundable piece of the entrance fee and 7% of the monthly service fee could be deductible. These rates change from year to year.
How do I know if I can afford Birch Hill?
Birch Hill has a confidential financial data application that must be completed prior to admission. This will help determine if you have adequate assets/income for your actuarial determined life expectancy.
What happens if I outlive my assets?
We do a comprehensive financial analysis during your application process, to ensure that your future is secure. Birch Hill has a benevolent fund that residents can apply for should they outlive their assets through no fault of their own.
How much do the monthly fees increase each year?
Rates typically increase from 3 to 4%
Do I need long-term care insurance?
Long Term Care insurance is not a requirement at Birch Hill, however depending on what your policy covers, it may reimburse you for expenses when utilizing the services in Assisted Living, Memory Care, Nursing, or Catered Living at Birch Hill.
What is the refund policy for the entry fee?
50% refundable fee to you or your estate- please elaborate
With the 50% refundable contract, if a resident terminates the Agreement the resident or estate will be entitled to a refund of 50% of the entry fee paid. The available refund declines by 2% each month for the first 25 months, after 25 months, the refund stabilizes at 50%. The second person fee is nonrefundable.
What does my monthly service fee include?
Housekeeping every other week, Utilities (sewer, water, electricity, heat and a/c), groundskeeping, local transportation on a scheduled basis, emergency call system, activities, unassigned parking, the equivalent of 1 meal per day, 30 days respite in the health center, discount to health center should they move permanently.
HEALTH CENTER QUESTIONS
What type of a health assessment is done?
Prior to admission to The Manor, we invite you to come in and meet with one of our clinical staff members to discuss your individualized concerns and care needs. We can answer any questions you may have at this time regarding the care and amenities provided at The Manor. Once you decide to The Manor to take advantage of the services offered , you will need to be seen by your Primary Care Provider to complete required medical forms. The Manor requires this paperwork to be completed and returned within 30 days prior to admission. At this time your Provider can indicate if they think that you are medically stable and an appropriate candidate for the services provided in assisted living.
Do you accept MediCare?
We do not accept MediCare for payment toward your service fee at Birch Hill. If you see a visiting medical provider, such as visiting nurse, physical or occupational therapist, or the on-site Provider at Birch Hill, Medicare is billed. Please check my answer here. …
What happens if I need skilled nursing?
Who decides if I need more care and what type of care I need?
As a resident at The Manor, you will have the opportunity to meet formally with our interdisciplinary team at least every six months, at your request, or with any significant change in your health status. Our nursing staff is available to provide care 24 hours a day, seven days a week to accurately assess and support changing needs. If care needs are increasing, we will invite you to meet with our team to discuss our observations and clinical findings related to these changes. In most cases, additional support and services can be put in place to meet individualized care needs. If memory or dementia symptoms are concerning or worsening, our Memory Care Community can accommodate and support most residents with those increased needs. If long term care needs are greater than what can be provided for in assisted living, we also have an Intermediate Care level available to the residents of Birch Hill.
What if I am Independent, but my spouse is not?
At The Manor we recognize that the stress of being a caregiver can at times be overwhelming to a spouse, therefore we have nursing staff available 24 hours per day, seven days a week to provide for each resident’s specific needs. We encourage couples to take advantage of the services that can be provided at The Manor to minimize the alleviate the stress and worry of both caring for a spouse and being cared for by a spouse. We look forward to the opportunity of allowing couples to be free of the concern of the provision of care.
What Health Care Services do you offer?
Assisted Living at The Manor encompasses both “traditional” assisted living and Memory Care. At The Manor, we are proud to be able to offer assistance with activities of daily living, from assistance with shoes and socks to showers and mobility. We have 24 hour day, seven day a week nursing staff on-site to provide high quality resident care. The nursing staff can administer medications, communicate with your physicians and coordinate your care. Our Intermediate Care level provides for greater needs; including the progression of chronic illness, loss of mobility, and more comprehensive assistance with activities of daily living.