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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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Elser is 92, has 120K in cash with full retirement (4k month)and social security (1k month) and own house outright. He wishes to give three childern some cash before he passes
He can give a small amount away to his 3 kids, but should be prudent. He's 92 - he's got no mortgage, and it doesn't sound like he has any serious health issues, no mention of a living spouse of any dependents or debts, so why not? But, before he does so, he needs an elder law attorney to help formulate a plan for the gifting, so it's done properly and does not jeopardize his future potential Medicaid eligibility, just in case.
The hardest thing will be to convince him, he does not need to give his kids cash before he passes....it may be helpful to explain the utterly bitter ramifications of Medicaid benefit denial to him, as well as to.the kids. If any if the kids (or dad) is not wise enough to comprehend the situation, may e the poa should step in and prevent dad from jeopardizing his own future care. That is one of the jobs of the poa, after all, to safeguard the financial future of the principal.
Jeanne - yes your absolutely right that he would be based on most states 2K - 2,300K income max but often those with higher monthly income get a Miller Trust done and qualify for Medicaid by doing that. So transferring $ would be a problem.
It's just so tremendously expensive for NH. 120K is a good amount of $ to have saved & 5K a mo income is also a tidy income but really if they are on the east coast with 10-15K a month private pay costs, it will be gone in about a year. And then family will have to come up with 5 -7K to supplement his income to pay for his care. At 92, it's late to do very much "creative" for heirs planning I imagine. Dad really is going to need his funds for his care & needs. There's always something that can be done to spend-down in ways that benefit the person and a good elder law will have suggestions and should be consulted with.
Sounds like he has $5,000/month income that he could use to pay for a care center (or in-home care) if he ever needs it. Is that sufficient in your area of the world? Does he also have ltc insurance? I think it is enough to make him ineligible for Medicaid whether he gives money away now or not. So maybe that is not so much an issue. But if the $5,000/mo is not enough, he may well wish he'd kept the $120,000 to supplement it.
I don't blame him for wanting to see his children benefit from his estate before he dies, but since it is so hard to predict what his future needs might be, that may not be the smartest move.
I suggest pricing out some care centers in his area, so you have some idea of what $5,000/mo will buy. And I suggest also consulting an attorney specializing in Elder Law if he still wants to give away some of his money, so it is done in ways that would have the least impact on his future.
igloo572, isn't Dad going to be ineligible for Medicaid based on his monthly income?
You kinda have 2 different issues - the taxation issues with gifting $ which is all IRS or your states estate tax issues; & then Medicaid qualification and transfer penalty on assets gifted. IRS doesn't care as long as taxes are paid; ditto for estate taxes imposed by your state.
But Medicaid is a whole other story. At 92, that would mean he could not qualify for Medicaid to cover his care till he is 97 without a transfer penalty as Medicaid imposes a 5 year look-back on all assets. Now he could not ever need Medicaid. Could happen in theory, but I wouldn't count on it. What is likely is that he has a fall sometime in the near future, goes to the hospital and then to rehab within a skilled nursing facility/NH and then ends up staying in NH as going back home just isn't feasible. Really it could cost 250/300K to pay for the average NH stay of 2.5 years. Costs are pretty staggering. If his house is worth 200K, then it's sale and his savings could take him to private pay for care for 2.5 years.
Really try to look at what his needs may be before you start dividing out his funds. You know your parent best, what is his health like? Is he able to do for himself? Has he started having ADL issues and signs of dementia? Is his home functional for him right now and for the future? Are the costs & upkeep on the home manageable? Can you provide for 24/7 caregiving if need be? Most families end up placing the parents home for sale to be able to pay for care whether it's private pay or Medicaid paying, but if there is something about the house that makes sense for you all to keep the house, it can be done although family will need to pay for everything on the house if Dad goes onto Medicaid and then deal with MERP issues after Dad dies.
If you all get his $ now and then 2 years from now Dad needs NH care, he will be ineligible for Medicaid and someone in the family will have to take Dad into their home and become his full time caregiver OR family will have to private pay for his care @ the NH for whatever # of days the transfer penalty is set at. Really try to look at what his needs may be before you start dividing out his funds.
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.
It's just so tremendously expensive for NH. 120K is a good amount of $ to have saved & 5K a mo income is also a tidy income but really if they are on the east coast with 10-15K a month private pay costs, it will be gone in about a year. And then family will have to come up with 5 -7K to supplement his income to pay for his care. At 92, it's late to do very much "creative" for heirs planning I imagine. Dad really is going to need his funds for his care & needs. There's always something that can be done to spend-down in ways that benefit the person and a good elder law will have suggestions and should be consulted with.
I don't blame him for wanting to see his children benefit from his estate before he dies, but since it is so hard to predict what his future needs might be, that may not be the smartest move.
I suggest pricing out some care centers in his area, so you have some idea of what $5,000/mo will buy. And I suggest also consulting an attorney specializing in Elder Law if he still wants to give away some of his money, so it is done in ways that would have the least impact on his future.
igloo572, isn't Dad going to be ineligible for Medicaid based on his monthly income?
But Medicaid is a whole other story. At 92, that would mean he could not qualify for Medicaid to cover his care till he is 97 without a transfer penalty as Medicaid imposes a 5 year look-back on all assets. Now he could not ever need Medicaid. Could happen in theory, but I wouldn't count on it. What is likely is that he has a fall sometime in the near future, goes to the hospital and then to rehab within a skilled nursing facility/NH and then ends up staying in NH as going back home just isn't feasible. Really it could cost 250/300K to pay for the average NH stay of 2.5 years. Costs are pretty staggering. If his house is worth 200K, then it's sale and his savings could take him to private pay for care for 2.5 years.
Really try to look at what his needs may be before you start dividing out his funds. You know your parent best, what is his health like? Is he able to do for himself? Has he started having ADL issues and signs of dementia? Is his home functional for him right now and for the future? Are the costs & upkeep on the home manageable? Can you provide for 24/7 caregiving if need be? Most families end up placing the parents home for sale to be able to pay for care whether it's private pay or Medicaid paying, but if there is something about the house that makes sense for you all to keep the house, it can be done although family will need to pay for everything on the house if Dad goes onto Medicaid and then deal with MERP issues after Dad dies.
If you all get his $ now and then 2 years from now Dad needs NH care, he will be ineligible for Medicaid and someone in the family will have to take Dad into their home and become his full time caregiver OR family will have to private pay for his care @ the NH for whatever # of days the transfer penalty is set at. Really try to look at what his needs may be before you start dividing out his funds.