Medicare Blog

what is the least amount my mother can sell her house to me and not be penalized by medicare

by Dr. Camille Witting Published 2 years ago Updated 1 year ago

Full Answer

Will I lose Medicaid if I Sell my Mom’s house?

Yes, if you sell your mom’s house, she most likely will lose her Medicaid coverage. This is because in order to qualify for Medicaid, there is an asset limit.

What happens if I Sell my Mom’s house?

If you sell your mom’s house, you are basically taking an exempt asset and turning it into a countable asset. Stated differently, the money from the sale of the home will count towards Medicaid’s asset limit.

Can I Sell my Mother's House to avoid Medicare lien?

One other matter, if the attempt to sell the property is to avoid a lien of medicare or medical lien, then you need to know the government agency can claw that money back from you to satisfy any expenses they may incur in the care of your mother; her assets are for her care, not your inheritance.

Can I Sell my House to my child for any price?

You can sell property to anyone you like at any price if you own it. But do you really want to? The Internal Revenue Service (IRS) takes the position that you're making a $199,999 gift if you sell for $1 and the home's fair market value is $200,000, even if you sell to your child. 1 You could owe a federal gift tax on that amount.

Does selling property affect Medicare?

Selling your home will not cause you to lose your Medicare benefits. However, if you have a Medicare plan and move to a new address, you may need to change your plan.

What assets are exempt from Medicare?

Other exempt assets include pre-paid burial and funeral expenses, an automobile, term life insurance, life insurance policies with a combined cash value limited to $1,500, household furnishings / appliances, and personal items, such as clothing and engagement / wedding rings.

How much assets can you have on Medicare?

4. How to Qualify. To find out if you qualify for one of Medi-Cal's programs, look at your countable asset levels. As of July 1, 2022, you may have up to $130,000 in assets as an individual, up to $195,000 in assets as a couple, and an additional $65,000 for each family member.

Will capital gains affect my Medicare premiums?

Income from your assets whether through IRA withdrawals or by dividends, interest and capital gains from non-IRA assets can make your social security taxable or increase your Medicare premiums.

Does inheritance count as income for Medicare?

Medicare eligibility is based on age, illness and/or disability status rather than income. Inheriting money or receiving any other windfall, such as a lottery payout, does not bar you in any way from receiving Medicare benefits.

What is the highest income to qualify for Medicaid?

Federal Poverty Level thresholds to qualify for Medicaid The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. For example, in 2022 it is $13,590 for a single adult person, $27,750 for a family of four and $46,630 for a family of eight.

How do you qualify to get $144 back from Medicare?

How do I qualify for the giveback?Are enrolled in Part A and Part B.Do not rely on government or other assistance for your Part B premium.Live in the zip code service area of a plan that offers this program.Enroll in an MA plan that provides a giveback benefit.

What are asset limits?

There is a limit to the amount of total assets an applicant household may have and still remain eligible for affordable housing. Household assets include financial assets such as savings accounts, checking accounts, trusts, investment assets (stocks, bonds, etc.), cash savings, miscellaneous investment holdings, etc.

Are assets considered income?

Assets themselves are not counted as income. But any income that an asset produces is normally counted when determining a household's income eligibility.

Will I lose my Social Security if I sell my house?

WHAT HAPPENS AFTER I SELL MY REAL AND/OR PERSONAL PROPERTY? You will have to pay back some or all of the SSI benefits you received while trying to sell the property. You may continue to get SSI benefits. Contact your local Social Security office to find out if your SSI benefits will continue after the sale.

What will Medicare cost in 2021?

The Centers for Medicare & Medicaid Services (CMS) has announced that the standard monthly Part B premium will be $148.50 in 2021, an increase of $3.90 from $144.60 in 2020.

What are the income limits for Medicare 2021?

In 2021, the adjustments will kick in for individuals with modified adjusted gross income above $88,000; for married couples who file a joint tax return, that amount is $176,000. For Part D prescription drug coverage, the additional amounts range from $12.30 to $77.10 with the same income thresholds applied.

3 attorney answers

The transfer to you would be considered a gift for tax purposes since you are not paying fair market value for the property. Depending on the value and the amount of remaining gift tax exclusion that your mother has, your mother may have to pay gift tax. At the least she will have to file a gift tax return.

Henry Daniel Lively

Your question raises both tax and real property issues at the very least. I would think that a gift tax return in addition to all of the attendant real property transfer documentation would be required.

Jeffrey Donald Cunningham

You should consult with a local law firm that, in addition to having real estate expertise, can also advise as to the tax issues that your fact pattern raises. Good luck.

Andrew Lloyd Saraga

This can be a very complex situation. It seems to be that you are concerned with your mother qualifying for medicare. Medicare will look at when assets were transferred and in certain situations can delay benefits, or require greater contribution towards your mothers care.

Kelly Scott Davis

I assume that your mother is wanting to do something to preserve her estate instead of just spending it all down on nursing home care. Depending upon the factual situation, there may be several ways to accomplish her goal, but she will need to visit with an experienced elder law attorney to get it done right.

Phyllis E. Pearson

You can buy it from her legally, if you pay "fair market value." You need to have a certified appraiser appraise it and then buy it from your mother for the amount determined by the certified appraiser to be its fair market value.

Kayla Nicole Price

I would caution making an transfers that may be seen as fraudulent attempts at qualifying for Medicare. Also, if such a transaction does not appear to be above board, then this too can cause lots of trouble. It is important that you consult a local attorney.

Steven M Zelinger

If she gifts it to you and then applies for Medicaid it will be a prohibited transfer if the gift took place less than 60 months before application. If you buy it from her, she will have money and that will be considered an asset for Medicaid qualification purposes. In either event she will have to pay her own way for at least a while.

How much is a gift taxed in 2020?

The tax code provides for a $15,000 gift tax annual exclusion as of 2020—per person, per year—so that $199,999 gift is now reduced to $184,999. 4  You don't have to pay the tax on the fist $15,000. Now you have a choice to make.

Does selling your home to your child help avoid estate taxes?

You might think that "selling" your home to your child will help you avoid estate taxes down the road at the time of your death, but the IRS is a step ahead of you. The federal estate tax and the gift tax go hand in hand. The major difference between them is your timing.

Is paying rent included in estate?

Some folks think that paying rent is the answer, but this won’t help, either. The general rule is that when any property is transferred during your lifetime, and if you retain the income from the property or the use and occupancy of the property , the full value of the transferred property is included in your estate. 14 

What happens if you sell your mom's house?

If you sell your mom’s house, you are basically taking an exempt asset and turning it into a countable asset. Stated differently, the money from the sale of the home will count towards Medicaid’s asset limit. More often than not, this extra cash will put a Medicaid recipient over the asset limit, which is cause for Medicaid disqualification.

What happens if you give away assets on Medicaid?

This will result in a period of Medicaid disqualification.

How long is the look back period for Medicaid?

When “spending down” assets, it is critical to be aware that Medicaid has a look-back period (60-months in all states, but California, which is 30-months). Simply put, Medicaid reviews all past asset transfers during the look-back period.

Can you reapply for Medicaid if you have excess assets?

This can be done by paying off debt, purchasing an irrevocable funeral trust, buying an annuity, paying for long-term care, and even taking a vacation. Once the excess assets have been “spent down” and the individual has assets at or under Medicaid’s asset limit, he / she can reapply for Medicaid.

Is my mom's house an exempt asset?

However, there are a number of higher valued assets that are exempt (not counted) towards the asset limit. This includes one’s primary home, given the applicant (or his / her spouse) lives in the home, or the applicant expresses an “intent” to return to the home in the future. If you sell your mom’s house, you are basically taking an exempt asset ...

Can you address a power of attorney in Nevada?

You do not address the type of power of attorney, durable, general, etc. Also, you do not address if she has been adjudicated incompetent. In Nevada, I would urge you to speak with an attorney to determine if the property should be sold now, or simply allow a Medicaid lien to attach.

Can you substitute judgment for principal?

Having a power of attorney does not grant you the right to substitute your judgment for the principal unless she is now incompetent. You should discuss your plans with an attorney familiar with medical regulations as the house is an exempt asset, the sale of which cannot be forced. Report Abuse. Report Abuse.

Do you have to sell your home to qualify for medicaid?

However, you do not need to sell the home to have her qualify for Medicaid. In fact she can keep the home, however, they do not allow her to keep her income as it has to be paid to the nursing home less a $60 personal need allowance and a deduction for her health insurance.

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