updated 4:48 PM UTC, Mar 28, 2017
Reviews:
"YEARS, that is how long they have been supporting me with financial relief assistance for my family.I run a million dollar company, you would think I could navigate this alone.Worth every penny to get correct information and save me time"Debi M I have a Masters Degree and I'm here to say I could not have succeeded in securing these benefits on my own" Meg D "Susanne has been working tirelessly to help my father and mother get Government benefits." - Diane W. "The staff at Your Estate Coach were incredible to work with!" - Fred L. "Your Estate Coach helped obtain and continue government benefits for my dad. It has been five years of back and forth paperwork and they took care of it all." - Connie I.
A+ A A-

Benefits Assessment

Submitting information this way will expedite the process, however if you would prefer to go through this over the phone, please call (714) 447-8564.

Assessment Form

Your Name(*)
Please let us know your name.

Your Email(*)
Please let us know your email address.

Home Phone
Please write a subject for your message.

Cell Phone
Please write a subject for your message.

Best time to reach you
Invalid Input

City
Invalid Input

State
Invalid Input

What is your relationship to the person you are inquiring about?
Invalid Input

How did you find out about us?
Invalid Input

Are you or your loved one paying for care now?
Invalid Input

What type of care is needed?
Invalid Input

Estimated monthly cost for care and medical expenses
Invalid Input

Who is the person needing to receive benefits?

List name(s) (first name only is fine)
Invalid Input

Enter year of birth. For two people, seperate with a comma
Invalid Input

Marital status
Invalid Input

Explain in brief why this person needs care (include any diagnosis like Alzheimer’s or Dementia)
Invalid Input

Approximate monthly income from ALL sources
Invalid Input

Invalid Input

Do they own a home?
Invalid Input

Approximate value of home
Invalid Input

Plan for home
Invalid Input

Total approximate assets (not including home)
Invalid Input

Invalid Input

Was the Veteran in ACTIVE duty for at least 90 days?
Invalid Input

What years did the Veteran serve?
Invalid Input

Which war(s)?
Invalid Input

Was the Veteran honorably discharged?
Invalid Input

Thank you for your time, this will help us determine eligibility more quickly.

Captcha(*)
Captcha
Invalid Input

Please write the letters in the Box.

Assisted-Living-Orange-County-1-300x199
  • How Do I Pay For Assisted Living?
  • Can I Get Government Assistance?
  • Can I Get Veterans Benefits?
  • Are There Other Benefits Assessment I Qualify For ?

Your Estate Coach can help you determine the best way to pay for Assisted Living, Senior Living Assistance, Home Care, In Home Care, Home Health Care, Hospice, & Long-Term Care costs by utilizing many resources you might not be aware of. If you’d like to see if you or a loved one can qualify for Benefits Assessment, Government Assistance, or how you can prepare and or protect assets for Long Term Care costs – fill out the form below to the best of your ability. Our office will then call you to review. We’ll let you know if you or your loved one can take advantage of Benefits Assessment, Government Benefits, or other Long Term Care options.