Protect Your Home and Life Savings From Nursing Home Expenses
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- เผยแพร่เมื่อ 11 ก.ค. 2024
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0:00 How To Protect Home and Savings From Nursing Home Expenses
1:40 No One Knows Their Future Long Term Care Needs
2:35 Medicare Doesn't Cover Long Term Care Expenses
3:21 Rules Can Vary By State
4:26 Nine Reasons Not To Engage in Medicaid Planning
6:15 Average National Monthly Nursing Home Expenses
9:16 Who Pays For the Nursing Home Expenses
10:05 Unmarried Person Medicaid Asset Rules
11:46 Transfer Assets Out of Your Name
14:00 Married Couple Medicaid Asset Rules
14:58 Community Spouse Resource Allowance
16:08 Medicaid Estate Recovery and the Home
20:30 No One Looks Forward to Nursing Home
21:25 How To Qualify for Medicaid
22:25 Getting Assets Out of Your Name
23:02 Transferring Assets to a Particular Irrevocable Trust
27:42 Q&A
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From Alabama. My mother was in the nursing home for around 2 yrs. She was on Medicaid. The state got her home with one half acre and one old car. She had less than two dollars in the bank.
I have lived in my parents home many years now. First, care taking for mom until her death. Now, dad is 83 and I am caretaking for him. I have medical history notes - dates - for all the doc appointments. I fell on this in a web article and hope it is correct:
"There is a child caregiver exemption as well. If an adult child lived in the Medicaid applicant’s home and cared for them for at least two consecutive years prior to the parent’s placement in a nursing home, then the home can be transferred to the caregiving child for a nominal value (less than fair market value). This transaction is not subject to Medicaid penalties. Note that this caregiving arrangement must be carefully documented (ideally through a formal care agreement) to prove that the requirements for the exemption have been met."
Super helpful and timely for me. I have an 85 year old dad who is just now starting to show medical issues. He doesn’t have a lot of assets but I’ll go listen to the 9 reasons not to protect what he has. He definitely doesn’t want to go to a nursing home but we can’t predict the future. Thanks for this helpful content!
Estate planning is a must regardless of our age!
I worked my tail off for this 40 acre farm , when health goes that bad , wheel me out in the pasture and give me my 44 , im not gonna give it away ,( i did this to keep it in the family and build family wealth , but no one wants it ..)to make me last 6 more months or a year , turkey buzzards are part of the farm too , they gotta eat also ..
My Dad always said that stuff too. I think we all have that vision for ourselves. Until that choice is taken away from us in a drop of a hat and suddenly every real decision is dropped into your kids lap to do it for you. It's a terrifying experience. You want to do right by your parent and balance their wants with their needs. My son is 25 and what this has made me do is get my affairs in order within 1 year. I will not put him in this position tomorrow or 50 years from now. He deserves better.
We all think that. But you better be prepared to do it sooner rather than later because once other people have to help you do the tasks of daily living you won't be allowed to cap yourself. Lots of very debating diseases like Parkinson's have long durations and are not what do you in, so in states with death with dignity laws don't apply and if you wait too long you will be too incapacitated to relieve your own suffering. It's complicated 😕
Michigan here: Yes, this is a definite concern for many of us, esp. those of us who have been divorced, lost assets and started over at mid-life. Those of us who have gone through this scenario don't have all that much to retire on in the first place. We have put our home and our assets in a Family Trust done in 2018 when my husband was first diagnosed with cognitive decline so I think we have beat the five year look back issue) to try to preserve them but there is no way to raise and educate four children between us and still be able to purchase long term care insurance. We did focus on paying down my husbands IRA first. I don't think I can plan ahead for Medicaid or not....we are really not in control of inflation and the costs of living. My friend has his wife in a care center her is paying $6,600 per month in Holland, MI. This is not for memory care.
Charges are dependent on a few factors. Room and Board and Levels of Care. Levels of Care include Medication Management and Living Care. At my Dad's Assistant Living Home they have several levels of care. He will eventually be going into full blown Memory Care Unit. They also have full blown Skilled Care. I chose this facility so I wouldn't have to pull him out as his condition worsened mentally and physically. They also accept limited Medicaid patients. BUT! You have to been there as a self pay patient for a minimum of 3 years before they will allow you to apply for Medicaid. You can't just walk in there off the street as a Medicaid Patient. That is a huge caveat to look for when choosing a home for your parent. If you think you are going to run out of money before their minimum time limit and you don't want to have to move them, don't pick that private pay facility. His current fees in Cincinnati at just were raised to $3715 for Room and Board $860 for All Living Care $600 for Medication Management = $5715 per month. Studio apartment single but he has Stage 3 Dementia that is progressing and isn't quite ready for memory care unit yet but is close. Right now his SS and VA pension and son and I can pay cash but when he hits memory care we will run out of money if I can't get him into a VA home. This is the biggest shell game of my life. I have made some mistakes along the way and if I could shout them from the rooftops to warn others I would. May the odds be in your favor my friends. None of this was in the elderly parenting manual.
IMO, It's a shame that "Medicaid planning" doesn't allow for a small amount to be set aside as an inheritance. I think the idea that they are so greedy that they take basically EVERYTHING and even come after your house in the end is traumatizing and being able to leave even a small amount to heirs would reduce people's panic about protecting assets.
That’s not part of the design 😟🇺🇸
I think it's part of repaying everyone else's children who had to pay for your care. It may sound harsh, but it's a reality.
So many issues. When our father passed, we only let our mom share the annual gift amount with us. We didn’t realize, at the time, that we really weren’t protecting the long-term legacy of the estate. Three years has already passed, and we’re just beginning to learn the type of information you share. I recently ran numbers on the drag/drain caused by minimum withdrawals and taxation, absolutely staggering! Especially since we can’t talk our mom into spending a fraction of what she’s “required” to take out and she doesn’t reinvest it.
Ya know, I don’t really see myself ever being happy in a nursing home. I’m an introvert and would loose my mind if I had to live that close to strangers. And let’s face it, what kind of horrible life is left to endure in a nursing home on a lousy mattress. My plan? Walk out on the ice. Saves money. The planet. Maybe healthcare in some ways. I just don’t get the upside of keeping me alive indefinitely. It sounds cruel and disgusting.
Thanks ! very helpful video,
Thank you and I always forward your videos they are so helpful. And thank you for your first hand invite and I love the jokes. But most of all I can tell in your tone that sometimes it's very hard for you to do some of those videos. But I'm glad that you do
God bless you!
Wait a minute ..I do tree jobs at a nursing home sometimes , and they all come out and watch me perform off a rope, the oohs and aahhs are funny as hell as im swing big tree leads down safely they applaud me ..kinda cool ...I always say I'm looking forward to going back to the old folks care center to trim and remove trees ..🤣🤑😎
When my step dad went in nursing home it was 6k a month. He died in Jan 22. In 3 years The bill worked itself up to 12k a month. It totally depends on care needed.
Sorry for your loss.
As of 2019 it was around $2750 for a shared room (Alzheimers wing) plus a one-time fee of $500. That's the last time I called to check costs. So it looks like it goes up $50 every year. This is at a church-affliated, assisted living nursing home in a small town (central San Joaquin valley) in California. It also has a skilled nursing wing under the same roof. I had asked my mom prior to her Alzheimers diagnosis if she ever wanted to enter an assisted- living facility and she said no so she has been at home for the last 11+ years. Her former hospice doctor said no patient has ever told him they don't want to stay in their home and that she was lucky to have me. That was really good to hear.
My person’s bill was $10, 230 per month
Father in law had a 3 year LTC plan. Most people don't know about the benefits paid on LTC policy are taxable the same as income.
Wow NO wonder it's not available anymore
Watching from NY
New Jersey a nursing home in Plainfield just told my friend it would cost $14,000 a month for a size private room
My mom was also in this situation. 10,000$ month +. What I would like to know is where all this money goes. The people that are actually working to take care of the people make peanuts!! They would even ask for donations to give them as a tip for Christmas!! What!!
The board members of the corporation 🇺🇸
Wonder if you could utilize an LLC or C corp with bearer shares as an asset protection measure.
I was told you can apply for Medicaid exemption if you prove family provided care that delayed person’s admission to nursing home? Are you familiar with anything like this.
I can’t find that link that was talked about which is a video on 9 reasons you may not want to protect assets from the nursing home. Can someone show me the link?
semi private in glastonbury ct was $14,000.00 per month in 2018
The caregivers certainly aren't getting the big bucks. Where is all the money going?
What access would I have to my assets placed in a non revocable trust?
Would I have access to funds required for living expenses?
Thank you for the valuable info. My mom is in a skilled nursing home, and has qualified for Medicaid after a long illness. However her house stands vacant, and expenses and upkeep continue to roll in. If my mothers income will be signed over to the facility- who will need to pay the expenses until my mother passes away? Neither my sister or I are interested in keeping the house, I live in a different state, have MS, disabled, married and unable to assume such responsibility. When Medicaid comes to recover, are such expenses paid to keep the house taxes, utilities, etc. deductible from the recovery. My mother has refused to even think of selling or planning even though she is terminally ill.
Thank you in advance for any information. Her home is in New York State.
It will be up to someone in the family to decide who is going to maintain and manage it. If there is no money, then it will need to be sold, like it or not. Some people have no one or their kids don't care and it just sits. Medicaid WILL come for their money and if that is the only asset she has any and all proceeds will go to them after a sale. In Ohio you have about 12-13 months to get it on the market at fair market value. If its been vacant and allowed to fall into disrepair and accumulate taxes then it won't sell much then so be it. Some states aren't as aggressive and wait until the person is deceased and then start the recovery.
Ok so it was a good discussion but I don’t understand why you actually never explained more specifically what the mechanics actually are of setting up an irrevocable trust?
My partners nursing home care (custodial) is $11,000 per month. We hae applied for Medi-Cal. We have a Revocable Living Trust, which will exclude our stock funds, (I hope) House, one car, and $200K are not countable in California 2023.
What if I have a reverse mortgage on our home?
Does donations to charity count as "uncompensated transfer" ?
I'm going through the exact thing you are speaking about. In Texas I'm told by my sister that the only way to keep my mother's house. One of us must be disabled for the possibility of keeping the house. I'm disabled and I'm told that we can fight to keep the house. I have to trust what a lawyer is telling us . I have no idea if this is going to work yet because the lawyer said he is happy and is going to file something that lets the state know about the intent to keep fighting for the house. This just took place ten days ago. I haven't heard a word yet on what's happening. I'm not in Texas and can't be there to know what is being said from the lawyer. He says it is because my sister is the one that hired him. Does anyone know what I am going through and any thoughts ?????
Are you working with an insurance agent for long term care that helps with look back period.
I live in KC MO
What if you have Long term care insurance which helps for five yrs?
How to deal with older siblings that are so closed minded and you see your parent's hard earned assets not managed right.
How much is considered a large withdrawal as far as the 5year rule is concerned.
In Rhode Island the interest on Home Equity Loans is deductible.
How can I reach out to you with a specific question related to debt of a person needing the services of a nursing home?
What if your a cosigner, in a home for 16 years and the one has to get Medicare. My dad and I shared a home. 3 years back he had to go to a home. We’re looking at getting home madicare when his funds run out. We’re in Colorado. Please help
What is your website address so that I make see your calendar and book a time with you. Thank you very much
My son lives with me , so how do I protect my house door him ? I m. 65 in ny.
Let's say someone has $20K and they go into a nursey home as a self pay patient because so they don't qualify for medicaid. In three months they run out of money. What happens to them since they have to wait 5 years before they can apply for medicaid. Do they get kicked out on the streets? BTW You explain subject matter in a way I understand it. Thank you :)
It all makes no sense
No one can predict if they will go into a nursing home in 5 years into the future
Is there a time limit on Medicare exercising their estate recovery rights?
Creditors in Florida have a 2 year statute of limitations on a probate recovery
What about s second home protection from meficare
SF nursing home private room rate was 17k per month 🤯
I don't get it. I am taking care of my mother in her home full time. No one is paying me thousands of dollars a month.
@@justwannasay5454 you are saving thousands a month. My mom is in a full nursing wing for alzheimers and she pays 11,600 per month. It will wipe everything she had out within 2 more years. So you may not be getting paid but no one is taking your money.
Minnesota 10,000 per month nursing home care.
@@justwannasay5454 You should check with your state or local Elderly Services Agency. For example: Medicaid pays family caregivers in Ohio.
There are three type of waivers that allow Medicaid recipients to direct medicaid dollars to caregiving family members rather than a medicaid-approved agency. Aug 1, 2022
You need to get paid
Shared room in Syracuse, NY $17,600 a month!!!! Is this even legal???
@Cathy Berry I absolutely agree! Something doesn't sit well with me.
It shouldn't be.
@Cathy Berry It would be difficult to have the same price in each State or even within 100 miles of each facility. 10 yrs ago my acupuncturist was paying $9,000 a month to lease a small office space (about 800 sq ft)in Southern CA. My point is that the cost to lease a building in one area may cost $60,000 a month in one area and only $8,000 in another area. The cost of staff in one area might be $50/hr for an RN, $35/hr for an LVN and $20/hr for a CNA while another area/ State may be $20/hr for an RN, $16/hr for an LVN and $12/hr for a CNA. These facilities require staffing 24 hrs a day. Also, the cost of utilities may be much more in one area than another. I lived in a 146 unit condo complex and the water bill was $20,000 a month in Southern CA...to give you an example of cost of water in some places.
Ladybird deed : set up a few years back to my daughter. Coming up on 5 year lookback. Will house be safe from medicaid?
Did you find an answer? I did right of survivor as well.
Here From California
Hello, Linda from Attleboro Massachusetts
Just did Will Living Revocable trust......what is cost to change later to Irrevocable tp protect
What happens when you have money that is in a retirement account and you cannot have access to it until death and goes to children. Although I have a RMD amount sent to me once a year.
IF you have a revocable trust from 2017 can we transfer that same trust to a non revocable & still count back to 2017 or this year??
Tax identification would follow transfer revocable to irrevocable unfortunately which tracks when transfer was made.
How does someone know 5 years into the future,
I have been DNR for decades. Is there legal precedent for asking for hospice NOT nursing home care through a lawyer? Can a lawyer be charged by me to keep trying to find an MD or DO who will state I have less than 6 months? Can I be in legal limbo and out of a nursing home while the lawyer is actively searching for a hospice dr while I stay in my home or apt.?
Hospice provides their services. You will still need to pay the room and board of a nursing home.
@@thomast3570 I have volunteered at a now defunct hospice that ONLY accepted pts in their homes.....
@@tombirney7276 No problem if you don't need a more supportive setting, and the Hospice team feels that they will be able to provide adequate care. And the family or friends feel comfortable in providing the personal care issues that may arise.
I have a question. My wife has her dad in assisted living facility fairly close to our house. She takes a $250 monthly fee to handle his banking and finances, purchases for medical and personal care items, etc. Years ago, we went to an attorney and he said that it is acceptable and it won't be considered a "countable transfer." Is he correct?
Yes
My sis just went into a memory care nursing home with Alzheimer’s. $ 7500. A month. Misouri
What if you transfer your home to your child with right to lifetime occupancy?
My mother in-law did this several years ago . Signed over the farm to my husband and had written in the deed that she has lifetime occupancy. Now that only works if you trust the person and their spouse . Because should Divorce happen it could get weird. There are stories of houses sold with that person living in them. The new owners do not have to treat the occupant nicely, etc let your imagination go...
If I die in less than 4byears how does gvt treat my hime,?
😂 My son passed away this year I am the beneficiary Of his annuity is there income tax due by us
Does a survivorship deed protect you
Not entirely, there is more to it.
@@1destinySS like what if you don't mind me asking
What happens if your home was will to your 2 children? And they're not speaking and one can't sell it without the other's permission , what do you do
Semi private room
I hope all you folks that are trying to beat the system realize that most assisted living and nursing homes do not want to take Medicaid people. If you need a place it may be at the bottom of the barrel of care.
What happens if you outlive your money?
My son pissed away age47 no will no wife or children we are going to sell his house after we pay all his bills300,000.left over is there a tax due by us
Where are you supposed to get all that money???? I only get 3000 in my pension a month!!!!
🕊🇺🇲💕
Yes, it all useless to work your life and then these jokers take it all
It’s by design😟🇺🇸
@@saythankyou111You don't think you have to pay your debts? Let the taxpayers pay.
@@SandfordSmythe of course I do…..if not,I’ll have to pay some other way, I’m saying the current work force isn’t functional and that’s the deep states goal….poverty and reliance makes a good slave,you now have illegals coming in to join their militias…..gangs etc, it’s bad👽🐍👹✊🏾
Nursing homes are the worst place to be.