why do attorney discourage you to get an annunity if spouse goes into nursing home

by Prof. Cristina Schimmel 3 min read

What happens when one spouse goes into a nursing home?

Aug 14, 2014 · If you are married when you retire, you are required by law to elect a spousal annuity. If your spouse died before you, your annuity would return to what it would have been if you hadn’t elected a survivor annuity. If you marry after you retire, you can elect a spousal annuity. If you do, there will be two reductions in your annuity. One is the standard reduction to …

Will divorce affect my client’s annuity?

Feb 11, 2021 · The income of the community spouse is specifically excluded; the community spouse is allowed to keep all income payable to the community spouse. Using Annuities to Deplete Assets Purchasing an annuity converts an asset into a stream of monthly income for the community spouse, and the community spouse's income is not counted toward Medicaid ...

What do you need to know about an annuity for a spouse?

May 18, 2016 · An annuity can seem harder to split than a marriage. Strategy No. 2. Do not split the annuity. Let one spouse keep the annuity intact …

How does nursing care affect a married couple’s assets?

Nov 13, 2017 · Protecting Assets When A Spouse Enters A Nursing Home. As an Elder Law attorney, I often see the devastating toll the cost of nursing care can have on a married couple’s assets. The most upsetting cases involve healthy spouses that have essentially been impoverished as a result of the unhealthy spouse’s need for care.

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Can the nursing home take my annuity?

Annuities are of less benefit for a single individual in a nursing home because he or she would have to pay the monthly income from the annuity to the nursing home. ... Income from an annuity can be used to help pay for long-term care during the Medicaid penalty period that results from the transfer.Jan 7, 2022

Can Medicare take money from an annuity?

A qualified annuity is like an individual retirement account in that Medicaid will not take the principal balance of the annuity so long as you are receiving your required minimum distributions. A non-qualified annuity is not protected. Owning a non-qualified annuity is no different than having cash in a bank account.Nov 23, 2017

What is the best way to protect assets from nursing homes?

How to Protect Your Assets from Nursing Home CostsPurchase Long-Term Care Insurance. ... Purchase a Medicaid-Compliant Annuity. ... Form a Life Estate. ... Put Your Assets in an Irrevocable Trust. ... Start Saving Statements and Receipts.Nov 2, 2021

Can I lose my home if my husband goes into a nursing home?

Will I lose my home? No. If you, the community spouse, continue to live in your home, you will not lose it, regardless of the value. In addition to your house being exempt (a non-countable asset for Medicaid eligibility), other assets are also considered exempt.

Do annuities protect assets?

Only assets specifically invested in an annuity are protected. Owning an annuity will not protect other non-cash assets, such as real estate.

Does an annuity count as income?

When you receive payments from a qualified annuity, those payments are fully taxable as income. That's because no taxes have been paid on that money. But annuities purchased with a Roth IRA or Roth 401(k) are completely tax free if certain requirements are met.

What happens to my husband's pension if he goes into a nursing home?

If we start with the state pension, neither your husband's state pension nor yours will change when he moves into a nursing home.Sep 13, 2021

What happens to my house if my husband goes into care?

A: As long as you are living in the marital home no-one will make you sell it and the property value will not be taken into account in determining how much, if anything, your husband must contribute to his care costs. The same applies to an unmarried couple.

What is the downside of an irrevocable trust?

The main downside to an irrevocable trust is simple: It's not revocable or changeable. You no longer own the assets you've placed into the trust. In other words, if you place a million dollars in an irrevocable trust for your child and want to change your mind a few years later, you're out of luck.Aug 21, 2016

When you can no longer care for spouse?

Signs such as avoiding the loved one, anger, fatigue, depression, impaired sleep, poor health, irritability or that terrible sense that there is “no light at the end of the tunnel” are warnings that the caregiver needs time off and support with caregiving responsibilities.Jan 8, 2020

Does a wife have to pay for husbands care?

Does your spouse or partner have to pay for your care? If you're wondering whether one partner in a couple is liable for the other's care costs, generally speaking the answer is no.Oct 31, 2014

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

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

Can financial advisors work with divorce attorneys?

This situation creates an opportunity for financial advisors to build relationships with divorce attorneys and assist them in taking the best course of action for their clients who own annuities.

Is a withdrawal taxable?

A withdrawal can create the following problems: It can be taxable. While most companies I’ve talked with will automatically process the transaction as an internal exchange, some will do this only if the divorce decree stipulates that it should not be taxable.

Is divorce a difficult process?

Divorce can be a very difficult process for all parties involved. Setting aside the emotional impact, it can also be very destructive to the financial well-being of both parties. And if your client counts an annuity or two among his or her investable assets, that client’s net worth may be reduced even more than expected.

What does "spend down" mean?

A spend down, to an elder law attorney, merely means the conversion of a countable resource to either a non-countable resource or a new income stream, and does not necessarily mean that money needs to be spent.

Where does Ray Ray live?

A four-year-old beagle named Ray Ray lives in Norfolk. He’s had quite a lucky life in some respects, and unlucky in others. The unlucky part is that a couple of years ago he was in an accident, and had to have his back right foot amputated. That led to other problems like gait and stress issues on his remaining legs.

Does Medicaid take your home?

Medicaid does not take anyone’s home , let alone the primary residence of a community spouse. Instead, the Medicaid considers the primary residence of a community a non-countable, or exempt, resource when determining eligibility. This myth, I believe, arises from the fact that if a single individual does not reside in real property ...

How much can a spouse keep for Medicaid?

A Medicaid applicant is normally allowed to keep only between $1,500 and $2,000 held in the applicant's name, after qualifying for Medicaid. There is a much higher limit on what the healthy spouse, known as the "community spouse," can keep to pay for future living expenses.

Is life insurance a tax deferred contribution?

Life Insurance. Unlike retirement accounts, life insurance does not consist of any tax-deferred contributions, so liquidation of a life policy is a reasonable way to obtain the cash value, which can be transferred to the community spouse. Unfortunately, liquidating a life insurance policy results in a loss of the death benefit, ...

Can a spouse own a home in both names?

Married couples traditionally own their homes jointly, unless they choose to keep their property separate (when one spouse inherited the property or where the home was already in the name of one spouse prior to the marriage). When a couple owns the home in both names, it is wise to consider transferring the title to be in the sole name of the community spouse. Although the home isn't usually a countable asset for Medicaid, there are a few reasons to transfer it to the community spouse's name after qualifying for Medicaid.

Can you take money out of a retirement account?

Unfortunately, when you take money out of traditional retirement accounts, because the retirement account consists of tax-deferred contributions, taxes will usually be owed. One option that lessens the tax burden is to "annuitize" the retirement account, converting it to a stream of income payable to the owner, ...

Can you transfer assets to your spouse?

Transferring assets to your spouse can make sense once you enter a nursing home and want to get Medicaid eligibility. When a spouse faces the need for nursing home care, the couple should consider retitling assets to prepare for Medicaid eligibility. This article explores how and why assets should be retitled.

Why are nursing home discharges and transfers bad?

In fact, annually there are approximately 14,000 complaints of this sort that the LTCOP attempts to resolve. The reasons for involuntary nursing home discharges and transfers vary, but may be a result of residents requiring a higher level of care than the nursing home feels equipped to handle, and more commonly, may be due to the end of Medicare coverage.

What is an involuntary discharge in nursing home?

When it comes to nursing home discharges, there are two types; voluntary and involuntary. If the nursing home resident agrees that he / she should leave the nursing home, this is a voluntary discharge. On the other hand, if the nursing home resident does not agree he / she should be discharged, and instead thinks he / she should continue to receive nursing home care, this is an involuntary discharge. An involuntary discharge is also called an eviction. Other terminology one might hear in place of an involuntary discharge is inappropriate discharge, illegal discharge, and improper discharge.

What is nursing home medicaid?

Nursing home Medicaid, also called institutional Medicaid, is an entitlement program in all 50 states and the District of Columbia. This means that anyone who meets the eligibility requirements will receive nursing home coverage. Unlike with Medicare, coverage is not limited to a specific timeframe.

How long does a nursing home have to hold a bed?

In this situation, which is referred to as “hospital dumping”, a nursing home resident is admitted to a hospital and when it is time for discharge, the nursing home claims his / her bed is no longer available. Legally, a nursing home is required to hold a resident’s bed for a period of time upon hospitalization. (The exact timeframe varies by state, but is generally a week or two). For residents on Medicaid, despite the length of hospitalization, the nursing home must readmit the individual as soon as a Medicaid certified bed is available.

What is the NHRA?

The Nursing Home Reform Act (NHRA) of 1987 set federal guidelines to protect the rights and safety of nursing home residents, which includes protecting against illegal evictions and transfers. (For nursing homes to receive payment from Medicare and / or Medicaid, they must comply to these guidelines).

Do nursing homes have to pay for nursing home care?

2. The nursing home resident is not paying for nursing home care after “reasonable and appropriate notice” and has not applied for Medicare or Medicaid.

Can you be discharged from a nursing home for nonpayment?

For example, it is common for nursing home residents who are not ready to leave the nursing home when Medicare coverage ends to apply for nursing home Medicaid. As long as a Medicaid application is pending, the resident cannot be legally discharged from the nursing home for non-payment. Even if a Medicaid application is denied, if an appeal is in process, the resident cannot be forced to move. One exception exists, and this is if the nursing home residence does not accept Medicaid as a form of payment, but this is only the case in approximately 10% of nursing homes.

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