Medicare Blog

how to protect parents home asset from medicare

by Dr. Deron Berge V Published 2 years ago Updated 1 year ago
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Transferring your property to an irrevocable trust can also protect it from Medicaid

Medicaid

Medicaid in the United States is a federal and state program that helps with medical costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, including nursing home care and personal care services. The Health Insurance As…

. While this can be more flexible than other means of protecting your assets, it’s also more complicated. Some people decide to “deed” their home to their children. This can also trigger the five-year penalty lookback period, and leave you unable to pay for care.

How to Protect Your Assets from Nursing Home Costs
  1. Purchase Long-Term Care Insurance. ...
  2. Purchase a Medicaid-Compliant Annuity. ...
  3. Form a Life Estate. ...
  4. Put Your Assets in an Irrevocable Trust. ...
  5. Start Saving Statements and Receipts.
Jun 13, 2022

Full Answer

Do your parents have asset protection plans?

If your parents do not have an asset protection plan in place, they could end up in a situation where they end up spending their entire life savings on the costs of a nursing home. This could jeopardize their financial security and any legacy that they want to leave behind.

How to protect assets from Medicare and Medicaid?

How to Protect Assets from Medicare 1 Advanced Planning. There are ways to protect your assets, however. ... 2 Property Transfer. Transferring your property to an irrevocable trust can also protect it from Medicaid. ... 3 Asset Protection Lawyer. ...

How can I protect my assets before I need nursing home care?

Some of the strategies that can help protect your assets require advance planning—as in, at least five years before you'll need nursing home care. That's because the Medicaid system has a five-year "look-back" period that's designed to keep applicants from giving assets away or selling them at less than fair market value in order to qualify.

How can I protect my money and house from Medicaid?

Option 2 of the top ten ways to protect your money and house from Medicaid or a nursing home is using an asset protection trust – continued from above . You don’t have to give up all control over your property if you put it into a Medicaid asset protection trust. However, you do have to give up something.

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How can you protect your mother's assets?

According to AgingCare, there are several types of trusts to consider for your parents including:Testamentary Trusts. A testamentary trust doesn't take effect until after the person is deceased. ... Irrevocable Living Trusts. ... Revocable Living Trusts. ... Medical or health insurance scam. ... Telemarketing or phone scams. ... Internet Fraud.

How seniors can protect their assets?

By placing assets into an irrevocable trust, a person can qualify for Medicaid and still preserve a portion of their assets for loved ones. Medicaid imposes a five-year “look back” period, where any money transferred into a trust five years before a person applies for Medicaid may delay the benefits from kicking in.

How can I protect my family assets?

Options for asset protection include:Domestic asset protection trusts.Limited liability companies, or LLCs.Insurance, such as an umbrella policy or a malpractice policy.Alternate dispute resolution.Prenuptial agreements.Retirement plans such as a 401(k) or IRA.Homestead exemptions.Offshore trusts.

How do I protect my assets from dementia?

One way to protect your marital assets is to have your spouse create a durable power of attorney for finance. A power of attorney allows the individual to designate someone to make financial decisions for them should he or she become incapacitated. In the case of a married couple, this is usually the person's spouse.

What is the downside of an irrevocable trust?

Once you move your assets into an irrevocable trust, you lose control of them. You'll have to get permission from your beneficiaries to make any changes. If you suddenly begin experiencing financial hardship, you won't be able to change the income distribution you allotted in your irrevocable trust.

What is the best asset protection?

Trusts have gained a reputation for being the most effective asset protection tools known today. They have proven to be more effective than any other financial entity at protecting one's assets from creditor claims, lawsuits, and just about any type of legal threat.

How can I hide my assets?

How to Hide Assets from Public RecordLLCs.Land Trusts.Holding Trusts.Retirement Accounts.Business Ownership.Cars, Boats, and RVs.

What kind of trust protects your assets?

Irrevocable trustIrrevocable trust This type of trust can help protect your assets from creditors and lawsuits and reduce your estate taxes. If you file bankruptcy or default on a debt, assets in an irrevocable trust won't be included in bankruptcy or other court proceedings.

What does asset protection mean?

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.

What happened to the cabin in the nursing home after the father died?

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.

What happens if you give your assets to another person?

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.

Can you transfer money to a nursing home?

As in many of the other asset protection techniques used to protect your money or house from a nursing home, a transfer-for-value rule may apply. There are qualifying factors, but in some circumstances, you can transfer money or a house to your child and it will be protected from Medicaid or a nursing home.

Can annuities save money?

Depending on the situation and the circumstances, annuities can save a lot of a couple’s assets. However, annuities are not a magic wand. You shouldn’t just run out and purchase a bunch of annuity contracts. So, if we’re aging in place, or Preplanning Option 5, annuities probably aren’t very useful.

Do you have to give up all control of your property if you put it into a Medicaid asset protection trust?

You don’t have to give up all control over your property if you put it into a Medicaid asset protection trust. However, you do have to give up something. Losing control over your own property is not for everyone. If you are considering this option, you should consider it very carefully.

Can you protect your beneficiaries after you're gone?

This plan can also give your beneficiaries protections after you’re gone. You can protect your surviving spouse from nursing home liens. You can protect your kids and grandkids from divorce, substance abuse, bankruptcy, and lawsuits as well. But you can’ t do any of those things if you don’t make a plan.

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.

Why is the word "child" used in Medicaid?

The word "child" is used here simply because adult children of the Medicaid recipient are typically the people involved, but it could be any person or number of people.

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 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.

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 child's home a gift?

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.

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.

What happens to Medicaid after death?

After a Medicaid recipient dies, in a process called "estate recovery," the government attempts to recover the benefits it had paid out for nursing home care from the decedent's estate. Through proper estate planning, you can minimize the effects of this process on your loved one's inheritances.

What is Medicaid trust?

When created for the purpose of protecting assets from being used for nursing home or other long-term care costs, the term "Medicaid trust" may be used to describe this type of irrevocable trust. Compare this with a revocable (or living) trust, which offers no asset protection for Medicaid purposes, because the government considers ...

What happens to a life estate?

With your family home, you may choose to create a life estate so that you keep the right to live in the home until your death as a "life tenant." At your death, the property transfers to your chosen loved one. Through a life estate, you remain in control of the property until your death, at which point the person or people with the "remainder interest" take possession.

Can you get Medicaid if you transfer to a nursing home?

If a transfer was not exempt, you may become ineligible for Medicaid for a penalty period. Still, there are some ways you may be able to protect your assets from nursing home costs. That said, here are some of the most common methods:

Can you control the principal of a trust?

You cannot control the trust's principal, although you may use the assets in the trust during your lifetime. If the family home is an asset in the irrevocable trust and is sold while the Medicaid recipient is alive and in a nursing home, the proceeds will not count as a resource toward Medicaid eligibility.

Can you transfer your assets to someone else?

Some assets are exempt, which means you can transfer them to others as gifts for little or no compensation without penalty—namely, household goods, personal effects, certain prepaid funeral expenses, and income-producing property, and in some cases, your home and retirement accounts.

Does Medicaid cover nursing home costs?

The Role of Medicaid. The government-run Medicaid program steps in to cover nursing home costs for low-income individuals, but it is the "payer of last resort.". Eligibility is income-based and, by the time your income qualifies you for these benefits, your assets could be depleted.

What happens if my parents don't have an asset protection plan?

If your parents do not have an asset protection plan in place, they could end up in a situation where they end up spending their entire life savings on the costs of a nursing home. This could jeopardize their financial security and any legacy that they want to leave behind.

Why is it important to protect money from nursing home costs?

It is important to protect money from nursing home costs because if you do not take steps to ensure assets are safe, a nursing home can result in crippling financial loss.

Does Medicare cover custodial care?

In the vast majority of cases where custodial care is needed — which means help is needed for routine activities of daily living — Medicare and private insurance policies provide no coverage at all. You should be aware of the limitations of Medicare coverage if your parents are getting older.

How to know if you need nursing home care?

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.

Can you receive principal from an irrevocable trust?

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.

Can you transfer an annuity to a nursing home?

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.

What is asset protection trust?

An asset protection trust allows the assets to be distributed to the same people when you die so that your loved ones won’t have to pay capital gains tax on the amount that your assets have increased in value during your lifetime. Assets that are transferred to an asset protection trust do not belong to you.

How long does it take for Medicaid to transfer to a trust?

However, transfers to trusts that occur within five years of when you need Medicaid will be subject to the look-back period. This makes it important for you to plan well in advance of when you think that you might need care. 2. Income trusts. When you apply for Medicaid, there is a strict limit on your income.

What is pooled income trust?

A pooled income trust is another type of irrevocable account that holds excess income. This type of trust is designed for people who are disabled. The excess income is pooled with the excess income of other disabled people. The funds are disbursed to the people by a non-profit agency that manages the funds.

What happens if your income exceeds the Medicaid limit?

Income trusts. When you apply for Medicaid, there is a strict limit on your income. If your income exceeds the limits, it must be handled properly so that you can obtain and keep your eligibility for Medicaid. You can fix this problem by establishing a qualified income or pooled income trust.

What happens if you get rid of your assets during the look back period?

This can let you create a cash flow from your assets so that you can use it to pay for your nursing home care during a shorter penalty period.

What is a caregiver agreement?

Caregiver Agreement. Setting up a caregiver agreement may be a good way to obtain services that would not be covered by Medicaid. Under this type of agreement, a trusted family member or friend may leave his or her job and care for the older person.

Can you get Medicaid if you give away your assets?

If you try to give your assets and income away to try to qualify for Medicaid, Medicaid may disqualify you for benefits for a penalty period. There are several strategies that you can take to protect your assets and money, but they require advanced planning. Elder Care Direction may take the time to explain these different options to you.

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Introduction

  • Although it may be your most valuable asset, owning a home will not disqualify you from receiving Medicaid. You do not have to sell it to pay for medical care prior to receiving Medicaid. However, every state has an "estate recovery" program in which, following death, the value of your home may be used to reimburse the state for the Medicaid funds it provided. In order to protect your h…
See more on familyassets.com

How Does It Work?

  • There are several strategies for protecting your home from estate recovery. The optimal one depends on your particular circumstances and the state in which you reside. Each state determines its own estate recovery rules, and each strategy comes with its own benefits and caveats. Professional advice from a Medicaid expert is essential. Below are some potential strat…
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Who Is It for?

  • If you own a home and want your family to retain its value following death, then one of the above strategies will likely benefit you. The optimal strategy will depend largely on your state of residence. "Transfer on Death" deeds like the Lady Bird Deed are particularly useful for unmarried or widowed Medicaid applicants who have few assets aside from the home. It can be a powerfu…
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How Can I Take Advantage?

  • Protecting your home should be considered part of your overall Medicaid strategy, and must take into account your other assets and income. Consulting with a Medicaid expert is crucial, as the above strategies require knowledge of your state's rules governing estate recovery, property deeds, assets, capital gains, mortgages, taxes, and Medicaid. A M...
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