Medicare Blog

how do you protect a jointly owned home from medicare

by Prof. Roger Mueller Published 2 years ago Updated 1 year ago
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Married couples can make that sure all assets are owned jointly with right of survivorship, or to purchase an annuity that transfers to the surviving spouse, when the other spouse passes away. An estate planning attorney can help create a Medicaid Asset Protection Trust, which may remove assets from being counted for eligibility.

Full Answer

How can I protect my home if I have Medicaid?

May 14, 2018 · In case the Medicaid beneficiary is incapacitated, a proper durable power of attorney that includes gifting rights must be set up in advance while the person was competent to do this. Sell the House and Use Half a Loaf Selling the house is generally only an option if a spouse or another member of the family does not need to live there.

Is your home protected from Medicaid estate recovery?

May 29, 2021 · For most Medicaid recipients, their house is the only asset available, but there are steps you can take to protect your home. Life estates. For many people, setting up a "life estate" is the simplest and most appropriate alternative for protecting the home from estate recovery.

Does jointly owned real estate count as a resource for Medicaid?

JOINT OWNERSHIP & MEDICAID. A husband is diagnosed with Alzheimer's or has a short stay in a nursing home. At the time, friends and family advise his wife to go ahead and add the children's names to her bank accounts and mutual funds as a way …

Can I keep my house if my spouse gets Medicaid?

Nov 02, 2013 · The ownership of the home is not going to prevent you from gaining Medicaid eligibility if you need long-term care, but Medicaid recovery efforts can be initiated after your passing. The Medicaid recovery team will seek to attach assets that comprise your estate as a means of reimbursement. Joint Tenancy With Right of Survivorship

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What happens to your savings when you go into 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.

Can Medicaid Take a jointly owned home in NY?

Under federal law, the Medicaid program can indeed seek to attach the portion of the home that you retained ownership of after you die. For example, if your son and your daughter were joint tenants, a third of the value of the home would be fair game for the Medicaid recovery unit.

How do I avoid Medicaid estate recovery in NC?

Trusts in North Carolina. Trust often are a preferred way of protecting the home from estate recovery, using an irrevocable trust. Trusts are more flexible and protective than life estates, but they require drafting of a comprehensive trust agreement with the right provisions.

Can Medicaid Take Your home in Florida?

The basic answer is "no." If you die and your home goes to your heirs-at-law (i.e., family members) then the state of Florida cannot take your homestead property.

Is NY A probate estate only state?

New York State has opted to follow the minimum requirement and make claims against the probate estate only. What is the probate estate? The probate estate is comprised of assets that are in the name of the decedent alone with no named beneficiary.May 23, 2012

Can a nursing home take your house in Massachusetts?

While Medicaid won't force the sale of the home if a nursing home resident intends to return to it eventually, the agency—known as MassHealth in Massachusetts—can put a lien against the house. The lien can cover all of the nursing home care that was paid for by the agency.

Can Medicaid Take your home after death?

The answer is that your home is not considered a “countable asset” when applying for Medicaid. As a result, in order to collect costs from the deceased persons estate, Medicaid can take your home after death. This is referred to as “estate recovery“.

Does NC have expanded estate recovery?

North Carolina has not done so. (Note, however, that North Carolina does apply an expanded definition of the probate estate for purposes of an estate recovery of a Medicaid recipient who received the benefits of a long-term care partnership program policy.)

What does lifetime rights to property mean in NC?

The life tenant acquires what is called a “life estate,” which generally means they can live on and make use of the property until the designated person's death. Upon the designated person's death, the remainderman acquires sole ownership of the property.

How do I protect my home from Medicaid in Florida?

Using a Florida asset protection trust Creating an irrevocable trust may be the right option if you want to preserve the value of your home without disrupting veteran's or Medicaid benefits. In addition, your heirs can get a step-up in basis after your death and avoid potential capital gains tax.Aug 28, 2018

What assets are protected from Medicaid in Florida?

Exempt AssetsHomestead: ... Certain Retirement Accounts.Trade or Business Property.Irrevocable burial contracts.$2,500 designated for burial expenses.Irrevocable burial contracts, bank accounts designated for burial by notation in the title, or life insurance policies.One burial plot per family member.More items...

Can I own a home and be on Medicaid?

It is possible to qualify for Medicaid if you own a home, but a lien can be placed on the home if it is in your direct personal possession at the time of your passing. To prevent this, you could give the home to loved ones, but you have to act well in advance so you don't violate the five-year look back rule.

What is joint ownership and medicaid?

JOINT OWNERSHIP & MEDICAID. A husband is diagnosed with Alzheimer's or has a short stay in a nursing home. At the time, friends and family advise his wife to go ahead and add the children's names to her bank accounts and mutual funds as a way to protect assets from Medicaid and avoid probate. Medicaid is the program which pays for ...

What is the advantage of joint ownership?

The main advantage of joint ownership is that it is simple to accomplish. Upon death, ownership transfers easily to the surviving joint owners. It also avoids the necessity, delay and costs of probate. Anything that is titled or registered in an individual's sole name, (with no beneficiaries listed), is subject to the probate court supervision ...

Does Medicaid have a 100% ownership?

This is because Medicaid treats all cash accounts as owned 100% by the Medicaid recipient . Additionally, married couples are treated as one person. It doesn't matter which spouse own the assets. On the other hand, joint ownership of stocks bonds, mutual funds, real estate and business property is treated differently.

Can creditors reach property in bankruptcy?

The disadvantages are that creditors of joint owners can reach the property upon a divorce, bankruptcy or in a lawsuit.

Can you add someone's name to a real estate account?

Whether it makes sense to add someone's name to real estate or financial accounts depends on the facts and circumstances of each situation. There are some exceptions to the penalty rules which many people just don't know about. That's why its important to consult an elder law attorney for advice.

Is Medicaid treated as joint property?

For Medicaid purposes, all joint property is not treated the same. Adding a child's name to a bank account, CD or money market does nothing to protect the asset no matter how long ago the joint account was established. This is because Medicaid treats all cash accounts as owned 100% by the Medicaid recipient.

Can a senior citizen get medicaid if they are poor?

To provide some background information, many people who were never really poor apply for Medicaid as senior citizens because Medicare will not pay for long-term care. Because the program is need-based, you have to demonstrate financial need if you want to gain eligibility.

Can you get Medicaid if you are married and your spouse is living in the home?

It should be added that if you are married and your spouse is living in the home, or if dependents are still living in the home, there would be no upper equity limit. The ownership of the home is not going to prevent you from gaining Medicaid eligibility if you need long-term care, but Medicaid recovery efforts can be initiated after your passing. ...

Can you use joint tenancy to avoid Medicaid?

Can I Use Joint Tenancy to Avoid Medicaid Recovery? If you were to apply for Medicaid to pay for long-term care you have to understand the fact that Medicaid will try to recover monies spent to pay for your care after you pass away. It is important to take steps to protect your house from Medicaid recovery if you are in fact a homeowner who will be ...

What are the two types of liens for Medicaid?

Medicaid uses two lien types: TEFRA, and estate recovery liens. Under the Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982, states may prevent Medicaid recipients from giving away the home that they leave when they go into a long-term care setting.

When did Medicaid lien on homes become common?

The Federal Government Has Pressed People to Rely on Private Funds. Medicaid liens on homes have become common since the federal Omnibus Budget Reconciliation Act (OBRA) of 1993, which forces estate recovery if the homeowner: Relied on Medicaid at age 55+. Left the home, at any age, for a permanent care setting.

Can you recover Medicaid if your spouse has an equity interest in your home?

Your home is also shielded from recovery if a spouse or sibling has an equity interest in it, and has lived in it for the legally specified time, or if it’s the home of a child who is under 21 or lives with a disability. But Medicaid may try to recover funds at a future date, before your home is conveyed to a new owner.

Does Medicare cover long term care?

Medicare, as a rule, does not cover long-term care settings. So, Medicare in general presents no challenge to your clear home title. Most people in care settings pay for care themselves. After a while, some deplete their liquid assets and qualify for Medicaid assistance. Check your state website to learn about qualifications for Medicaid.

Can you take Medicaid home?

If you are likely to return home after a period of care, or your spouse or dependents live in the home, the state generally cannot take your home in order to recover payments.

Can lady bird deeds protect your home?

Here’s how lady bird deeds can shield your home value. Medicaid has a look-back period . The government scrutinizes asset transfers in the years leading up to a Medicaid application, looking for people who gave away assets or sold them at low prices to qualify for the Medicaid asset limit.

Can a spouse sell a house with a Medicaid lien?

And the spouse may sell the home, overriding the Medicaid lien.

Is Medicaid an insurance?

It is just an insurance program for seniors. Medicaid is probably what you are referring to. Medicaid is also an insurance program, except for low income people. Often people do need to spend down to qualify for Medicaid.

Does Medicaid look at Sissy #1 as an asset?

If Sissy #1 didn't live in the house and doesn't have that as her legal address or have it on file for homestead exemption with her name on it, then Medicaid is probably going to look at it as a non-exempt asset with the value of the asset based on the annual assessor's property tax report.

Can joint tenants be protected?

Only property titled as joint-tenants with rights of survivorship can potentially be completely protected. It is important to meet with an Elder Law Attorney to discuss the details of the facts of your unique situation because the laws are complex.

Does Medicaid count as a non-countable resource?

Medicaid rules provide that for jointly owned real estate, such as a home or farm land, the entire value of the property can, in certain circumstances, be disregarded as a non-countable resource, meaning it will not count against the applicant.

How to protect your home when you are planning to live with your child?

If you are planning to live with your child, one way of protecting your home's value is by selling it and using the money towards your child's home, either by purchasing life estate in your child's home or by purchasing joint interest in your child's home. Since your child's home would be your home, you are effective spending the money on your own home and therefore the transfer of money is not a gift. And since your child becomes the sole owner after your death, the home at that point will no longer be part of your estate and therefore not subject to estate recovery.

Can you transfer your home to a child?

Transfer to a Child. In order to protect your home from estate recovery, you will need to ensure that you have no "interest in the home" (ownership under your name) at time of death. The most obvious solution to this would be an outright transfer to child, in which you simply sign over your home to one of your children.

Is a gift a gift for medicaid?

First, the transfer would be considered a " gift" for Medicaid purposes, and any gift you've given over the "lookback period" (the 5 years prior to Medicaid application) is subject to a Medicaid "penalty period," which delays your Medicaid eligibility. Second, since your child would own it, your home would be subject to any claims made ...

Can you sign a home over to a caretaker?

If your child lives with you and provides care to you, you may may be able to sign the home over to him or her without a gift penalty. This transfer of home to a caretaker child is exempt from the gift penalty only if (1) the home was the child's sole residence for the past two years and (2) the child provided care to you that otherwise would have necessitated your being in a nursing home. This can be an effective option with advanced planning and a "caregiver agreement," which documents the care service.

Is a condo a countable asset?

If you own two or more houses or condominiums, each of them beyond the first will be considered a "countable asset" and therefore will impact your Medicaid eligibility. Additionally, the home will likely be a countable asset if it is outside the state in which you are applying for Medicaid.

Is paying off a mortgage a good strategy?

In fact, paying off a mortgage is a very productive and valuable spend down strategy . If someone has $300,000 of equity in a house worth $500,000, they can then take $200,000 worth of cash and pay off their mortgage!

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.

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