Does Medicare spend down exist?
“Medicare Spend Down” is simply a misnomer. Medicare has no asset limit and therefore Medicare spend down does not exist. Not all assets held by the applicant are counted towards Medicaid’s asset limit. When determining if one is over the asset limit, it’s critical to know which assets are counted and which are not.
How much money can I put down on Medicaid?
One easy method is to use our Medicaid Spend Down Calculator. It is fairly standard that a single elderly applicant is limited to $2,000 in countable assets, but again, this figure varies based on the state in which one resides.
What is the Medicaid “spend down program?
While the “spend down program” can refer to both income and assets, it is much more common when discussing assets. Therefore, the majority of this article will focus on that subject. Income and asset limits for Medicaid do not remain consistent across the United States, nor do they remain the same even within each state.
How long does it take for Medicaid to spend down?
Once Medicaid applicants have spent their excess income (the amount over the income limit) on medical expenses, they will be Medicaid eligible for the remainder of the “spend down” period, which is between 1 and 6 months. Not all states have a medically needy pathway.
How long does it take for medicaid to pay off excess income?
Once Medicaid applicants have spent their excess income (the amount over the income limit) on medical expenses, they will be Medicaid eligible for the remainder of the “spend down” period, which is between 1 and 6 months. Not all states have a medically needy pathway.
What is a way to spend down assets?
Vehicle repairs, such as replacing the battery, getting an engine tune-up, or replacing old tires are also a way to spend down assets, as is selling an existing car at fair market value and purchasing a new one. Life Care Agreements.
What is over the asset limit for medicaid?
An applicant must have assets, also called resources, under a certain amount to qualify for Medicaid. However, being over the asset limit does not mean one cannot qualify for Medicaid benefits. When considering one’s assets, it’s important to be aware that some assets are exempt, or said another way, not counted towards the asset limit. (Further detail is below under Countable Assets and Non-Countable Assets). If one is over the asset limit after considering all non-countable assets, one will have to “spend down” assets in order to meet Medicaid’s asset limit. That said, one needs to proceed with caution when doing so. Medicaid has a look-back period in which all past transfers are reviewed. If one has gifted assets or sold them under fair market value during this timeframe, a period of Medicaid ineligibility will ensue.
What happens if you exceed the asset limit for Medicaid?
If one is over the asset limit after considering all non-countable assets, one will have to “spend down” assets in order to meet Medicaid’s asset limit. That said, one needs to proceed with caution when doing so. Medicaid has a look-back period in which all past transfers are reviewed.
What is an annuity for Medicaid?
One can purchase an annuity, which in simple terms, is a lump sum of cash converted into a monthly income stream for the Medicaid applicant or their spouse. The payments can be for a set period shorter than one’s life expectancy or equal to the beneficiary’s life expectancy. Irrevocable Funeral Trusts.
Is Medicaid spend down in California?
Names and Misnomers. Medicaid is referred to by different names in different states. So spend down in California is called “Medi-Cal Spend Down”. In Illinois and other states “Medical Assistance Spend Down”. “Medicare Spend Down” is simply a misnomer. Medicare has no asset limit and therefore Medicare spend down does not exist.
Can you spend down assets on medicaid?
Asset spend down can be complicated, and if not carefully done, can result in Medicaid ineligibility. For example, gifting assets to family members very commonly results in Medicaid ineligibility or a penalty period. Professional Medicaid planners are extremely instrumental in assisting one in the Medicaid application process, particularly if one is over the income and / or asset limit (s). As mentioned above, being over the limit (s) does not mean one cannot become Medicaid eligible. Professional Medicaid planners are able to assist one in reallocating income and / or assets, maintaining maximum assets for healthy spouses, and “spending down” assets without violating Medicaid’s look-back period. Click here for assistance in finding a Medicaid planner.
What expenses qualify for a Medicaid spend-down?
A skilled estate planning attorney can evaluate your financial situation and guide you through a strategy to preserve your assets and qualify for long term care benefits based on Medicaid guidelines. For a married couple, a skilled Medicaid attorney can often preserve 95% to 100% of your assets.
Choosing the Right Estate Planning Attorney
If you or your loved one is in a long-term care crisis or in need of long-term healthcare and financial planning, our estate planning attorneys are some of the finest in the region. We help families find solutions to preserve their assets and to manage their elder care needs.
Contact an Elder Law Estate Planning Attorney Today
If you want to learn more about spending down assets for Medicaid, the skilled elder law estate planning attorneys at Church, Langdon, Lopp, Banet Law would be glad to help. We have first-hand experience with the challenges and obstacles to preserving finances when faced with entering a nursing home.
Avoiding probate in Indiana
One of the greatest gifts you can give your loved ones is an estate plan designed specifically for your family. When you take the time to talk to our estate planning attorneys, you can proactively explore a will, power of attorney, trust and other documents that will serve your loved ones for decades. An estate plan also can be key to [...]
