Most families don't start planning for a parent's care until something forces the conversation. A fall. A diagnosis. A moment when it becomes clear that things have changed. Ellipses helps families plan before that moment arrives, and supports them through it when it does.
Seven out of ten people will need long-term care in their lifetime. Most families aren't ready.
There's a big gap between what families expect and what aging really takes. Planning for long-term care is more than picking a facility. It means legal papers, money planning, care coordination, honest talks about wishes, and a clear look at what the family can and can't do. Most families need help with all of it.
"I know we need to have this conversation, but no one wants to start it. By the time something happens, it will be too late to plan."
We help families start planning before a crisis forces the conversation. That means looking at current health needs, talking about care wishes, reviewing money and finding the legal papers that need to be in place.
"My parent has three doctors, takes eight medications, and no one seems to know what the others are doing. I'm trying to keep everyone on the same page while also working full time."
We are the main point of contact for the whole care team. We manage medicines, coordinate appointments and make sure every provider understands the full health picture.
"I don't know what's available, what it costs, or whether my parent qualifies for any of it. Assisted living, in-home care, government programs. I don't even know where to start."
We know the long-term care options: in-home care, senior living, assisted living, nursing homes, Medicare, Medicaid and federal programs. We help families understand what's available, what it costs and how to pay for it.
Illustration: the kinds of things families tell us. Not quotes from specific clients.
Support at every stage of aging.
Focus: Looking at needs, talking openly and building the plan before a crisis.
Aging brings slow changes: slower healing, trouble with daily tasks, more medicines to manage and early memory changes. We help families see where their loved one is now and what may come next. That becomes the base for a plan built around their needs, not a one-size-fits-all template.
Most families put off talking about long-term care until something forces it. Waiting limits your options and can leave your loved one out of their own decisions. Planning early gives you more money options and more choices. We help families have those talks, including the hard ones about what care at home can really provide, and when assisted living or a nursing home may be needed.
Long-term care planning needs legal papers in place before they're needed: a durable power of attorney that names who can make care decisions, advance directives that spell out medical wishes, and a will or living trust. These papers should be up to date, easy to find and understood by the family.
We don't give legal advice. But we help families see what's needed, connect them with elder law lawyers and help get the legal planning done before a crisis makes it harder.
Focus: Care coordination, money planning, caregiver support and keeping daily life running.
Older adults with several conditions, like arthritis, heart disease, diabetes or memory loss, often have many providers, many medicines and no one coordinating it all. We are the main point of contact. We manage medical records, coordinate care and track medicines so the family stays on the same page. For seniors who want to stay in their own home, we help set up the right level of in-home help and coordinate home care with the medical team.
Long-term care is costly. The national median cost of assisted living is $4,807 per month (Genworth). Nursing home care can cost $127,750 or more annually (Genworth). A 65-year-old may need $172,500 in retirement health care expenses beyond Medicare coverage (Fidelity).
Most people can't count on Medicare to pay for long-term care. Medicaid covers nursing home care for eligible seniors, but the money rules are strict. Long-term care insurance can help, but you need to plan well ahead. We help families understand their money options, find government programs and benefits, and connect with a financial professional who can advise on paying for long-term care.
Family caregivers caring for aging parents spend an average of 24 hours a week on caregiving. Over 60% say it has affected their work (National Alliance for Caregiving). We connect caregivers with respite care, peer support and counseling so they can keep going without losing their own health.
Focus: Choosing senior living, handling moves between care settings and supporting the family through big changes.
When a senior can no longer safely live at home, families must choose between assisted living, memory care or a nursing home. Each has different costs, levels of care and effects on daily life. We help families understand the choices, visit and compare communities, and make sure the choice fits what their loved one really needs, not just what's familiar or easy.
Moving a parent from home to a care facility is one of the hardest changes a family faces, emotionally and practically. We help you through it. We get the new place ready, move medical records, coordinate with providers and make sure the new care team knows your loved one's health needs.
When an older adult's health is declining near the end of life, the focus turns to comfort, dignity and the care they want in their final months. Advance directives, hospice talks and choosing the right care setting should happen while the family can think them through calmly. We help families with those talks, make sure legal papers are in place and support them through one of the hardest times they'll face.
Care coordination, care mapping and family support, working together.
Care mapping isn't one conversation. It's an ongoing process: checking needs, reviewing options, adjusting the plan as health changes and keeping the money and legal pieces up to date. On our monthly plans, we re-evaluate the Domain Assessment and Care Map every 90 days. We coordinate that process with your loved one, your family, the care team and any financial and legal professionals involved.
We also know the senior care resources: Medicare, Medicaid, federal programs, long-term care insurance, local resources and in-home care. We help families understand what's available and how to get it.
PlanCaring for an aging parent affects everyone in the family. The main caregiver carries the most, but siblings, spouses and others also feel the weight of the decisions and of watching someone they love grow older and decline.
We connect family members with counseling, peer support and practical guidance. We also help families talk openly about how they're sharing caregiving and the stress they're carrying.
HealThe Triangle's senior care network, and the programs most families never find.
Wherever you live, we help you find resources for older adults and their families: specialists in older adult care at hospitals such as Duke Health and UNC Health, senior living communities, home care agencies, elder law lawyers and Area Agencies on Aging that connect families with local programs and government help. We know these resources and how to reach them. For families outside the Triangle, we work virtually and nationwide.
Connections with specialists in older adult care, primary care doctors experienced with older adults and specialists at the hospital you choose, close to home or at a center such as Duke Health or UNC Health, with care coordination across the whole team.
Guidance on assisted living, memory care, nursing homes and in-home care providers in the Raleigh area, with help through every move.
Connections with elder law lawyers, financial professionals who focus on long-term care planning and local Area Agencies on Aging that can find government programs and benefits.
Ellipses Care Network is not affiliated with Duke Health or UNC Health.
Families who started planning before a health event are in the best position when one happens. We help families start those talks, build those plans and put the legal and money pieces in place while there's still time to do it carefully.
Long-term care options, Medicare and Medicaid, long-term care insurance, senior living costs, government programs, in-home care. We know what is available, what it costs, and how families can pay for it. Most families spend months trying to learn what we already know.
Many providers, many medicines, many specialists, and no one talking to each other. We help bring it together: one point of contact, a clear Care Map and someone who helps every provider work from the same understanding of your loved one's health needs.
Aging affects the whole family, not just the person growing older. We help family caregivers get the support they need, help the family talk openly about caregiving duties and make sure no one is doing this alone.
A starting point, not a substitute for real support.
A free service of the U.S. Administration on Aging. Connects older adults and families with local Area Agencies on Aging, which provide access to home care, transportation, meal programs, and caregiver support.
eldercare.acl.gov · 1-800-677-1116Medicare, the federal health insurance program for adults 65 and older, covers hospital care, doctor visits and some skilled nursing care. Medicare does not cover most long-term care.
medicare.gov · 1-800-633-4227Covers nursing home care and some in-home care for eligible older adults. Who qualifies depends on income and assets and varies by state. Planning means working with an elder law lawyer or financial professional ahead of time.
medicaid.govOffers information on benefits, programs and services for older adults, including a BenefitsCheckUp tool to find federal and state programs seniors may qualify for.
ncoa.orgOffers practical resources for family caregivers of aging parents, including guides on long-term care planning, legal planning and senior care decisions.
aarp.org/caregivingAs early as you can. Long-term care planning works best when it starts well before care is needed. Planning early lets your loved one take part in decisions about their own care, gives families time to put legal papers in place and opens up more money options. Waiting for a crisis narrows all of those options.
Costs vary a lot by type and location. The national median cost of assisted living is $4,807 a month (Genworth, Cost of Care Survey). Nursing home care can cost $127,750 or more a year (Genworth). A 65-year-old should plan for about $172,500 in retirement health costs beyond what Medicare covers (Fidelity). Most families need a mix of savings, insurance and government programs to pay for long-term care.
We are the main point of contact for your loved one's whole care team. We coordinate providers, manage medical records, track medicines and keep the family informed and involved. We also help families sort through long-term care options, connect with financial and legal planning help, and find government programs and local services. We work with older adults and their families across North Carolina and nationwide.
The families who reach out to us are usually dealing with a situation that has been building for a while. They have seen the changes. They have had the worry. What they haven't had is a clear plan or someone to help them build one. That is what we are here for.
Book a free 15-minute callEllipses is private pay. We do not bill Medicare, Medicaid or insurance.
Serving older adults and their families from Wake Forest, NC, by phone and video, nationwide.
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