how to protect your assets from nursing homes is the form "power of attorney"

by Evans Murazik DVM 4 min read

The Elder Law Power of Attorney is a stronger form of a Power of Attorney that includes unlimited gifting powers, which allow a single person who applies for Medicaid in a nursing home to protect assets from nursing home costs by using the gift and loan strategy.

Full Answer

How can I protect my assets from a nursing home?

May 02, 2022 · Start Saving Statements and Receipts. If you want to protect assets from nursing home costs, don't wait to take action because of that Medicaid look-back period. In addition, the documentation required for spending during that period means you will need to keep bank records and receipts for large expenses, including financial gifts.

Do I need nursing home care if I don’t have any assets?

Unlike a living trust, an irrevocable trust is exempt from nursing home costs. You cannot receive principal from the irrevocable trust, but the periodic interest and dividends you receive from the trust are safe from seizure. STEP 6: Place Your Assets And Your Spouse’s Assets Into A …

Does a living trust protect assets from nursing home costs?

Protecting assets from nursing home costs is the goal for everyone. The costs can easily be around $8000/month. Some elderly seniors pay $180,000 although many individuals stay much longer which can dramatically increase the cost. Protecting assets from a nursing home may be accomplished with proper planning utilizing an elder law attorney.

How can I protect my loved one from nursing home theft?

Before going in, the father gave a power of attorney to his son. The son paid the nursing home out of his own money for a couple of months. But he couldn’t afford it and stopped paying. The father had an old run-down cabin. After several years the son used the power of attorney to transfer the cabin to himself.

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What happens to your money when you go to a nursing home?

The basic rule is that all your monthly income goes to the nursing home, and Medicaid then pays the nursing home the difference between your monthly income, and the amount that the nursing home is allowed under its Medicaid contract.

How do I protect my 401k from a nursing home?

How to Protect Your Assets from Nursing Home Costs
  1. Purchase Long-Term Care Insurance. ...
  2. Purchase a Medicaid-Compliant Annuity. ...
  3. Form a Life Estate. ...
  4. Put Your Assets in an Irrevocable Trust. ...
  5. Start Saving Statements and Receipts.
May 2, 2022

How seniors can protect their assets?

By placing assets into an irrevocable trust, a person can qualify for Medicaid and still preserve a portion of their assets for loved ones. Medicaid imposes a five-year “look back” period, where any money transferred into a trust five years before a person applies for Medicaid may delay the benefits from kicking in.

What is the difference between a revocable trust and an irrevocable trust?

A revocable trust and living trust are separate terms that describe the same thing: a trust in which the terms can be changed at any time. An irrevocable trust describes a trust that cannot be modified after it is created without the beneficiaries' consent.

What is the 5 year lookback rule?

What Is the Medicaid 5-year Lookback? The Medicaid 5-year lookback is a device used by the government to ensure that you haven't given away your money or resources. It seeks to prevent a scheme where a senior has the government pay for their care instead of using their money or other assets.Dec 8, 2021

Does putting your home in a trust protect it from Medicaid?

Uses of Revocable Living Trusts

Your assets are not protected from Medicaid in a revocable trust because you retain control of them. The primary benefit of a revocable trust is that you can name a beneficiary who will receive payouts from the trust after your death.

How can I protect my mother's assets?

6 Steps To Protecting Your Assets From Nursing Home Care Costs
  1. STEP 1: Give Monetary Gifts To Your Loved Ones Before You Get Sick. ...
  2. STEP 2: Hire An Attorney To Draft A “Life Estate” For Your Real Estate. ...
  3. STEP 3: Place Liquid Assets Into An Annuity. ...
  4. STEP 4: Transfer A Portion Of Your Monthly Income To Your Spouse.

How can I protect my elderly parents assets?

Set Up a Living Trust
  1. Testamentary Trusts. A testamentary trust doesn't take effect until after the person is deceased. ...
  2. Irrevocable Living Trusts. ...
  3. Revocable Living Trusts. ...
  4. Medical or health insurance scam. ...
  5. Telemarketing or phone scams. ...
  6. Internet Fraud.

How do I protect my assets from dementia?

One way to protect your marital assets is to have your spouse create a durable power of attorney for finance. A power of attorney allows the individual to designate someone to make financial decisions for them should he or she become incapacitated. In the case of a married couple, this is usually the person's spouse.Apr 24, 2019

Should I put my house in a revocable or irrevocable trust?

Inheritance Advantages

Unlike placing assets in an revocable trust, your house is safe from creditors and from estate tax. If you use an irrevocable bypass trust, it does the same for your spouse. When you die, your share of the house goes to the trust so your spouse never takes legal ownership.

What assets Cannot be placed in a trust?

Assets That Can And Cannot Go Into Revocable Trusts
  • Real estate. ...
  • Financial accounts. ...
  • Retirement accounts. ...
  • Medical savings accounts. ...
  • Life insurance. ...
  • Questionable assets.
Jan 26, 2020

What are the disadvantages of a revocable living trust?

Drawbacks of a Living Trust
  • Paperwork. Setting up a living trust isn't difficult or expensive, but it requires some paperwork. ...
  • Record Keeping. After a revocable living trust is created, little day-to-day record keeping is required. ...
  • Transfer Taxes. ...
  • Difficulty Refinancing Trust Property. ...
  • No Cutoff of Creditors' Claims.

What is the Cost of a Nursing Home?

Protecting assets from nursing home costs is the goal for everyone. The costs can easily be around $8000/month. Some elderly seniors pay $180,000 a...

Does Medicare pay for nursing home costs?

The answer is No. Medicare does pay for some limited benefits that are only for skilled nursing care.

I am concerned about protecting assets from nursing home costs and want to know if there is a govern...

The government program that pays for most nursing home care is Medi-Cal in California also known as Medicaid in other states. Some veterans may qua...

What Can I Do to prevent becoming poor due to the high cost of nursing home care?

Usually for a person who is not facing a long stay in a nursing home it is not advisable to give away assets.

My Spouse is going into a nursing home; can they transfer all assets to me and qualify for Medi-Cal?

Typically, the answer is no. It is necessary to implement the proper plan when protecting assets from nursing home costs. When determining the elig...

When protecting assets from nursing home costs how much income can I make and still qualify for Medi...

An individual over sixty-four with a net income less than about $2200 per month can qualify. One with over $2000 may also qualify depending on thei...

Can a Nursing Home take your House?

The goal is to legally shelter assets and avoid using them to pay for the high cost of the nursing home. A person’s home for many is the most valua...

How to protect assets in a nursing home?

Another way that individuals can protect their assets is through proper planning. If you or a loved one is planning on entering a nursing home, the first thing to do is to look at what legal documents someone already has—and which ones need to be created. It is also important to act sooner rather than later.

What is a durable financial power of attorney?

A durable financial power of attorney appoints an Agent to handle financial issues and will stay in effect unless the grantor dies or revokes the document.

What can an elder law attorney do for a nursing home?

By having an experienced elder law attorney review an agreement with a nursing home, someone can prevent un wanted surprises. Otherwise, someone’s son or daughter or whoever else may be legally liable could potentially face a lawsuit for unpaid bills.

Can a guardian protect a spouse's assets?

Without taking this step, someone may be forced to have a court-appointed guardian handle these matters. There are other steps to take to help safeguard someone’s assets. For a married couple, this can include protecting a spouse’s assets or jointly held assets by placing it in the name of the other spouse.

Can long term care facilities get funds?

Many falsely believe that long-term care facilities cannot garner funds for a loved one’s care; in fact, the individual requiring care and their family can lose a significant amount of their assets if a contract is not properly vetted and reviewed.

Can you use assets in a nursing home to qualify for Medicaid?

Assets can be protected from a nursing home and not preclude Medicaid eligibility if they are converted to a Medicaid Qualifying Trust or the assets are spent down on home repairs, pre-paid funeral trusts, or other approved expenses.

How to know if you need nursing home care?

Of course, there’s no way to know with certainty if or when you will need nursing home care , but giving gifts to your family members well ahead of time helps protect the money from creditors seeking to collect after your death. In the case of Medicaid, any assets you transfer within the five years prior to entering a care facility are subject to seizure after your death. Transferring funds before you fall ill shelters your money and ensures your family members can legally keep the gifts they receive.

What type of trust protects assets from seizure?

This type of trust protects the assets from seizure while still allowing you access to the money. Create or modify your wills to include a testamentary trust providing for the welfare of the surviving spouse. Although a portion of the funds from the original trust “pour over” into the deceased spouse’s estate, the testamentary trust included in his will protects that money from being seized to pay nursing home expenses. This provides financial protection for both you and your spouse regardless of which of you dies first.

Can you transfer an annuity to a nursing home?

Some states, such as Colorado, do not count periodic payouts from annuities when determining Medicaid eligibility. Thus, you can transfer your assets into an annuity and qualify for Medicaid-covered nursing home care without having to spend down your assets. If your state does consider annuity payouts when determining Medicaid eligibility, you can still safely transfer assets into an annuity, but you cannot use Medicaid’s services for a specific period of time following the transfer.

Who is responsible for nursing home costs?

1) One spouse has the legal responsibility for the other spouses nursing home costs which means income of both spouses are considered when the spouse in the nursing home applies for Medi-Cal nursing home benefits.

How much can a spouse keep in a nursing home?

The spouse that is not in the nursing home can keep half of the otherwise non-excludible assets, up to a maximum amount of approximately $100,000 plus the home including personal property, auto, burial and other miscellaneous assets.

How to maximize nursing home benefits?

Make sure to consult a qualified elder law attorney. Plan in advance of a nursing home admission if possible to maximize benefits. Even after the person is admitted consult with an elder law attorney immediately. The longer one waits the less planning options available which can increase financial losses.

How much does an elderly person pay for a nursing home?

Some elderly seniors pay $180,000 although many individuals stay much longer which can dramatically increase the cost. Protecting assets from a nursing home may be accomplished with proper planning utilizing an elder law attorney.

Which state pays for nursing home care?

The government program that pays for most nursing home care is Medi-Cal in California also known as Medicaid in other states. Some veterans may qualify for veterans benefits to pay for nursing home care.

Can a nursing home take your house away?

A person’s home for many is the most valuable possession. People have heard if you need nursing home care and run out of money, the nursing home will take your house away. This is not correct however your home can be lost if you did not do proper advanced planning with an elder law attorney.

Can you put your children's name on a deed to a nursing home?

It is possible to avoid Medi-Cal estate recovery and protect assets from a nursing home. Do not just put your children’s name on the deed which could be disastrous. Make sure to consult a qualified elder law attorney. Plan in advance of a nursing home admission if possible to maximize benefits. Even after the person is admitted consult with an elder law attorney immediately. The longer one waits the less planning options available which can increase financial losses.

How to protect assets from nursing home?

You can protect your assets from nursing home care by creating a trust designed for asset protection, purchasing long-term care insurance, or transferring your assets to your spouse not living in long-term care or a trusted child via an annuity. Each of these is best managed with sound legal advice.

Is an asset protection trust irrevocable?

While looking into asset-protection trusts, you need to keep in mind that the trust is irrevocable, has many regulations that need to be met, and has very particular rules regarding use of assets in the trust.

Can you get long term care insurance before a nursing home?

Instead of looking to Medicaid for payment assistance with your long-term care needs (which requires a large spend-down of personal assets before becoming available), long-term care insurance can be purchased prior to needing the coverage for the eventuality that a nursing home may be in the future. There is a 50/50 chance once a person reaches ...

What does asset protection mean?

Read the Article. Asset protection can mean different things. For instance, if you are a surgeon, or a hedge fund manager, or you just sold your business, asset protection techniques and strategies are different from someone interested in protecting from loss due to a potential future stay in a nursing home.

How long does an asset protection trust save?

Typically, a good asset protection trust Preplan can save around fifty percent of the estate immediately, and one hundred percent of the assets after the five year lookback period That is why people really interested in creating an irrevocable asset protection trust do so sooner rather than later. They want the peace of mind of a backstop. In other words, they are confident they can live for another five years outside of nursing home care. But they’re concerned they might not. So they get the clock running on that five year lookback.

What happens if you give your assets to another person?

If you give your assets to another person, then the assets are subject to their creditors. You have simply traded one risk – the cost of nursing home care, for another, the risk that your child may get divorced, or get sued, or go bankrupt, or mismanage the asset.

What happened to the cabin in the nursing home after the father died?

After several years the son used the power of attorney to transfer the cabin to himself. After his father died, the nursing home sued him, saying he misused the power of attorney improperly, and that he should return the value of the cabin to the estate to pay the nursing home.

Can you use an annuity in Mainecare?

In Mainecare asset protection planning it is far more important to know when the right time is to use an annuity than all the details surrounding Medicaid qualifying annuities. For instance, if you purchase an annuity that doesn’t pay out for a number of years, and one spouse goes into a nursing home before the payout begins – that’s a problem. If you purchase an annuity and payments go to the spouse who then needs to go into the nursing home – that’s a problem.

What percentage of people age 65 want to stay in their current home?

The National Institute on Aging has a great article on aging in place if you’re not familiar with this concept. But you probably are, because according to the AARP “ 87 percent of adults age 65+ want to stay in their current home and community as they age.

Do you have to know ahead of time who is going into a nursing home?

In the annuity plan, if you recall, it is important to know ahead of time who is going into the nursing home. Similarly, with the divorce or refusal to pay, it is important to know who needs nursing home care. Single people have lower resource and income limits.

How much does a nursing home cost?

The average cost of a nursing home ranges from $50,000 per year up to $92,000 per year (for a private room), which is simply out of reach for many older Americans. In Massachusetts the number can exceed $150,000 annually.

Can you hold your home in a life estate?

Life Estates. You can also hold your home in a life estate to shelter it’s value from MassHealth. With a life estate, someone else will own the property and you will be a tenant in the home for the rest of your life. After your death, the designated beneficiary will take possession.

Can you gift assets to someone before nursing?

There are several exempt categories where you can gift assets to others before you need nursing care including: certain pre-paid funeral expenses. In some cases, you may also be able to gift your home and retirement funds to others, but they may be liable for a gift or capital gains taxes.

What to do if your house is over $560k?

But if the house was over the $560K limit, an option would be to sell the house to the children (remember, if an asset is sold for fair-market value, it is not a Medicaid “gift” subject to the Medicaid penalty period) and then shelter the money using a number of Medicaid-planning strategies (personal services contract, special needs trust, spend down, etc..). Another option would be for the homeowner to obtain a reverse mortgage (essentially pulling equity out of the home) and then sheltering the excess cash.

Can a non-lawyer plan for Medicaid?

Elder law attorneys who engage in Medicaid planning can save their elder law clients hundreds of thousands of dollars fora very reasonable fee. Don’t be , as they say, “penny-wise and pound-foolish.”Pay a lawyer to do this correctly the first time.

Does Medicaid look at the equity in a home?

In fact, Medicaid only looks at the equity in the home – since the house has a$200,000 mortgage on it, Medicaid essentially only looks at the house as a$300,000 asset (still below the $560,000 limit). In fact, paying off a mortgage is a very productive and valuable spend down strategy.

How to protect a senior in a nursing home?

To protect a senior in a nursing home, have them set up a power of attorney with a trusted representative.

Why do nursing homes need to send bank statements electronically?

Nursing home residents will also want to receive their bank statements electronically to prevent someone from gaining access to their financial information by stealing their mail. Residents should also avoid logging into sensitive accounts from any public or shared computer, where account security could be compromised.

Why are nursing homes vulnerable to exploitation?

Given that they may not be able to feed themselves or get out of bed, let alone manage their finances, nursing home residents are especially vulnerable to exploitation. Taking steps to prevent having income stolen means avoiding not just financial losses but also emotional distress and the ultimate irony: being evicted from the facility because they can no longer pay the bill.

How to make a senior citizen a representative?

Have the senior legally appoint a trusted relative or friend to act as a representative with the authority to manage money and make financial decisions by having a lawyer draw up a power of attorney (POA) document . In fact, you can do this long before you think your loved one might ever end up in a nursing home .

What to ask about a trustworthy facility?

Also, ask about the facility’s policies on theft and what measures they take to safeguard residents’ checkbooks, ATM cards, federal benefit cards, and other sensitive documents against financial and identity theft . Finally, ask what the facility’s procedures are if they suspect a resident is being financially exploited or a victim of theft or fraud. A trustworthy facility will have clear procedures in place to prevent and detect problems.

When does a POA go into effect?

The POA can be written to go into effect only if the patient enters a facility or can no longer make their own decisions. POAs can act as a deterrent: If a sticky-fingered staffer at a facility knows John’s son has control over his finances, they might be less likely to target John.

Is a senior citizen in a nursing home vulnerable?

It's a sad fact of modern life: Senior citizens are often targeted by thieves and financial tricksters, and those residing in nursing homes can be the most vulnerable of all. If your loved one is in a facility—or will soon be entering one—how can you make sure their pension-plan payments, Social Security income, annuity income, and any other funds are protected from unscrupulous employees? Here are a few pointers.

What is a power of attorney?

A: There are two kinds of powers of attorney in general use. The first is known as a "general" power of attorney, and it is used to access bank accounts, sign checks, buy and sell real estate, and so on, in the name of the "principal" (that is, the person signing the power of attorney). The other kind is a "medical" or "health care" power ...

Can a power of attorney give access to medical records?

Thus, in most cases, the general power of attorney will not give the agent access to medical records. However, there are exceptions for family members and caregivers under the federal health care privacy act (HIPAA) that could allow the daughter access to the parent's medical records if disclosing such information is directly relevant to ...

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Asset Protection Trusts

  • A type of trust that is utilized when a person is attempting to consolidate assets to prevent them from being used in a Medicaid spend-down is an asset protection trust. These trusts are utilized in many states (though not all), and they help people to keep assets from being counted in situations where financial assets are being evaluated by entiti...
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Long-Term Care Insurance

  • If you are pre-planning for the possibility of needing nursing home level of care in the future, a long-term care insurance policy may be just the item you need to cover the costs of long-term care placement without worrying about the dent it could make in your existing assets. Instead of looking to Medicaid for payment assistance with your long-term care needs (which requires a lar…
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Spousal Or Family Asset Transfer

  • If you find yourself in need of nursing home care suddenly and haven’t pre-planned for the possibility (as many of us haven’t), utilizing the system’s loopholesfor asset transfers may be your best option for safeguarding your assets before entering long term care. If your spouse is not in need of a nursing home at the same time as you, utilizing a spousal transfer of assets may be yo…
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Which Asset Protection Plan Should I Choose?

  • While pre-planning is always the preferred method when approaching management of finances, there is no telling when and how the need for nursing home care services will arise. Knowing your options beforehand, or options to seek should the event arise suddenly, will be vital to your ability to retain your assets in the transition of living environment. No matter which route is taken, the i…
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