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Harborscape
Professional Building
1524 Alaskan Way, Suite 200
Seattle, WA 98101-1514 |
Phone:
206 | 583.0155
Fax: 206 | 343.5759
www.faolaw.com
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Gifts / Estate Planning
Paying for Long-Term Care: Are You Eligible To Receive Medicaid?
Estate Planner July-Aug 2000
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You've worked a lifetime to build up your assets and create a legacy
for your family and you probably don't want to lose everything to
pay for long-term care costs. Giving away assets may make sense
if you or a loved one is facing the prospect of nursing home placement,
but be aware of the availability and consequences of receiving public
benefits to cover the cost of care. Long-term nursing home care
is expensive and not covered by Medicare, which forces many elderly
individuals to apply for Medicaid benefits.
Medicaid eligibility for long-term care depends on your financial
position. To prevent you from intentionally impoverishing yourself,
an ineligibility period is applied for asset transfers made before
applying for Medicaid. The rules are complex because some assets
are exempt from the determination of an applicant's financial status,
and the transfer of certain assets to certain individuals also does
not affect eligibility. Let's take a closer look at the implications
of transferring assets to qualify for Medicaid.
The
Rules of the Game
Each state has different requirements, but generally, transfers
you make within a certain period of application for Medicaid are
subject to penalties that make the transferred property includable
in your financial position for the relevant period. The period varies
depending on whether an asset was transferred to a trust (60 months)
or outright to an individual (36 months). Whether the trust was
revocable and the value of the property transferred may also affect
the ineligibility period.
What
Is Exempt?
The Medicaid system exempts certain assets from the determination
of eligibility. For example, your principal residence is exempt
if your spouse or a disabled child lives there. In addition, you
may transfer the residence without impact on Medicaid benefits to
a child who:
- Is under age 21,
- Is disabled, or
- Has provided care to you and has been residing
in your residence with you for two years before the date you enter
the nursing home.
An automobile is also exempt up to $4,500 if you are unmarried,
or up to an unlimited value if you are married. Burial and cemetery
plots of any value are exempt. Household goods of up to $2,000 in
value are exempt. Finally, up to an additional $2,000 in any form
is exempt from the determination.
To prevent impoverishment of your spouse who remains in the home,
he or she is permitted to retain a certain amount of assets and
is entitled to a monthly income allowance fixed by statute. These
amounts are adjusted annually for changes in the cost of living.
Recovering
Medicaid Expenses
Federal law requires all states to have a program that provides
for the recovery of nursing home and long-term care Medicaid expenses
from the estates of deceased applicants and from their transferees.
A state may have a claim against a person's estate for the amount
paid to a nursing home spent on behalf of that person.
The term "estate" is generally defined as all real and
personal property included within your estate. It also includes
any other real and personal property and other assets in which you
had a legal title, or interest, at the time of death. It may include
assets conveyed to a survivor or heir through joint tenancy, tenancy
in common, life estate or a revocable trust. In most states, the
claim may not be enforced until after the surviving spouse's death
and only if there is no surviving child who is under age 21 or is
disabled. The claim may be waived in some circumstances where a
hardship exists.
Plan
Now For Long-term Care Costs
Long-term care insurance that covers both nursing home and stay-at-home
care may be the solution to protecting your estate for yourself
and your loved ones. The availability and consequences of receiving
public benefits such as Medicaid to pay for long-term care can greatly
affect your estate planning strategy.
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