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I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
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My aunt has no children, she has 2 accounts set up for me and a sibling. When she dies, I get $250,00 and he gets $250,00. The accounts have her name and my name on one. The other account has her name and his name.
I have a feeling that Medicaid would want your Aunt to spend down the $500k for her own care in the nursing home. The $500k would go a long ways depending on what is the monthly cost at the nursing home. And depending on what are the medical issues and the age of your Aunt.
Let's say the nursing home is $10k per month, or $120k per year. That would be around 4 years of care. Question, does your Aunt own a house? If the mortgage is paid off, your Aunt could sell the house and use the equity for her care. Did she promise the house to someone else? Does your Aunt have Long Term insurance that would pay for nursing home care?
And there could be a chance that your Aunt might never step foot in a nursing home. Or only be there for a couple of years. Too bad we don't have a crystal ball.
Mpint - with Auntie having 500k in assets in her name plus some sort of monthly income as well (like SS, other retirement income) and possibly other assets (stocks, annuity, whole lfe insurance policy), Auntie is going to have way way WAY too much assets to ever qualify for Medicaid in the near future.
Medicaid is a needs based entitlement which for NH Medicaid has eligibility at basically impoverishment with 2k max in nonexempt assets and their income under whatever her state has set for monthly income limit. Most have income under $ 2,100 mo.
FFs math is solid. Auntie would likely need over 4 years private pay at a NH before Medicaid is even on the horizon. Avg stay in a NH is under 3 years. Probability is she will die before spending down all that 500large. If her name is on the accounts, it's her assets. Medicaid tends to view all joint account as the elders assets.... You would have to prove all was your own $ & income that built that 250k.Ditto for your brother.
Upside is that Auntie will be able to pretty well afford any NH and with all sorts of amenities. She is a most fortunate elder. There is no downside for her. Now for you & bro, maybe just maybe there could be a small inheiriance.
Doing anything to gift, shift or transfer any of that 500k now means that Auntie cannot qualify for Medicaid till Feb 2022 without some sort of penalty or placing her assets into a medicaid compliant trust. If auntie is close to needing a NH, there isn't time to plan & shift assets to others. If she's still healthy & competent and not likely needing a NH for years, she should speak with an naela level elder law atty to discuss what options might be feasible to do things to benefit her & her needs & perhaps provide for heirs.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Let's say the nursing home is $10k per month, or $120k per year. That would be around 4 years of care. Question, does your Aunt own a house? If the mortgage is paid off, your Aunt could sell the house and use the equity for her care. Did she promise the house to someone else? Does your Aunt have Long Term insurance that would pay for nursing home care?
And there could be a chance that your Aunt might never step foot in a nursing home. Or only be there for a couple of years. Too bad we don't have a crystal ball.
Medicaid is a needs based entitlement which for NH Medicaid has eligibility at basically impoverishment with 2k max in nonexempt assets and their income under whatever her state has set for monthly income limit. Most have income under $ 2,100 mo.
FFs math is solid. Auntie would likely need over 4 years private pay at a NH before Medicaid is even on the horizon. Avg stay in a NH is under 3 years. Probability is she will die before spending down all that 500large. If her name is on the accounts, it's her assets. Medicaid tends to view all joint account as the elders assets.... You would have to prove all was your own $ & income that built that 250k.Ditto for your brother.
Upside is that Auntie will be able to pretty well afford any NH and with all sorts of amenities. She is a most fortunate elder. There is no downside for her. Now for you & bro, maybe just maybe there could be a small inheiriance.
Doing anything to gift, shift or transfer any of that 500k now means that Auntie cannot qualify for Medicaid till Feb 2022 without some sort of penalty or placing her assets into a medicaid compliant trust. If auntie is close to needing a NH, there isn't time to plan & shift assets to others. If she's still healthy & competent and not likely needing a NH for years, she should speak with an naela level elder law atty to discuss what options might be feasible to do things to benefit her & her needs & perhaps provide for heirs.