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
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.
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 …
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.
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.
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...
The answer is No. Medicare does pay for some limited benefits that are only for skilled nursing 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 qua...
Usually for a person who is not facing a long stay in a nursing home it is not advisable to give away assets.
Typically, the answer is no. It is necessary to implement the proper plan when protecting assets from nursing home costs. When determining the elig...
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...
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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 ...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
To protect a senior in a nursing home, have them set up a power of attorney with a trusted representative.
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.
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.
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 .
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.
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.
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.
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 ...
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 ...