Care at home · Las Vegas · EEOICPA

Before you choose a nursing home in Las Vegas

Ask one question before you tour anywhere: did he ever work at the Nevada Test Site? If the answer is yes and the Department of Labor has accepted a claim, skilled nursing and home health aide care at home is covered — at no cost to you. Families reach the facility conversation without ever being told that.

Why this happens

Nobody compares a facility to a benefit they have not heard of.

A family looking at nursing homes, assisted living or memory care is usually comparing places, prices and waiting lists. That comparison is a reasonable one, and for many families a facility is the right answer.

What changes it is a federal benefit most people outside the program have never encountered. If the patient worked at the Nevada Test Site — in any job — and has an accepted illness, the medical benefit that comes with that claim pays for care at home. It is not a subsidy against a bill. It pays the provider directly.

A facility
Paid privately, or through long-term care insurance or Medicaid once assets are spent down. Medicare does not pay for long-term custodial care.
Care at home under the White Card
Skilled nursing and home health aide services when medically appropriate and authorized, with no lifetime dollar cap and no premiums, copays or deductibles for covered care.
Who it applies to
Department of Energy employees and contractor and subcontractor employees at a covered facility, in any job, with a covered illness.
Who decides
The Department of Labor decides coverage and authorizes the care. Alara assesses, coordinates and provides it.
What it does not mean

Home is not the right answer for everyone.

Some patients need more than home health can safely provide, and a facility is the honest recommendation. An assessment is what tells you which of the two is true — not a brochure, and not this page.

What is worth knowing before you decide is whether the option exists at all. For a Test Site family it very often does, and it is very often the thing nobody mentioned.

The Department of Labor decides every claim. Alara assesses the patient, coordinates the physician documentation and the home-health authorization, and provides the authorized care. It does not file claims and nothing here is a determination of eligibility.

What happens next

Find out what his card covers before you sign anything.

A case review asks where he worked, roughly when, what a doctor has said, and whether a claim has ever been filed. A nurse reads it and tells you what is actually available — including when the answer is that a facility is the better fit.

The Nevada Test Site White Card guide → How many hours of care a White Card can authorize →

Common questions

What people ask first.

Does the White Card pay for a nursing home?

The EEOICPA medical benefit pays for care that is medically necessary for the accepted condition and authorized by the Department of Labor. In practice that most often means skilled nursing and home health aide care at home. What a specific card covers is a determination the Department of Labor makes, not something an agency can promise.

My father worked at the Test Site but never filed a claim. Is it too late?

No. A claim can be filed now. A case review can tell you whether it is likely to be worth opening before anyone fills in a form.

We already put a deposit down at a facility. Is there any point looking at this?

It is still worth knowing. Families move in both directions, and the benefit is not tied to a decision you have already made.

Start here

A nurse reads it, not a form.

A case review takes a few minutes and needs no records, no claim number and no appointment. Nothing here is a determination of eligibility.

Nevada Test Site White Card guide → How many hours of care → Start a case review →