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What will happen when I can no longer care for my wife at home. Will institutional care costs be borne by me?

I suggest making all bank accounts joint tenant with right of survivorship. Then you have full access. As a married spouse this should not be difficult.
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Reply to Beethoven13
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You could become your wifes payee on her SS and pension if she has one. Your POA should allow you access.

As a married couple, you need to talk to an Elder Lawyer. Your assets can be split. Your wifes going to her care. When its almost gone, you apply for Medicaid. Once on Medicaid, you remain in the home, get a car and enough of your monthly income to live on. An Elder Lawyer can go into more detail.
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Reply to JoAnn29
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AlvaDeer Jan 5, 2025
Becoming Rep Payee is difficult. You cannot use POA of any kind to do it. It is a separate process in which you need two MDs to attest to the incompetence of the spouse to do any executive functioning, you need to account then for every penny into and out of SS money, so it needs to be directed preferrably to its own account. It can also be done with spouse coming in to REQUEST this be done if she is competent to do so. But it is a process, and when my brother and I went to that last step it was difficult enough we didn't do it. His SS went into his Trust account and I was Trustee, so we didn't need to, but were that to change it would have been a rigamarole.
But I sure agree these two need now to see an elder law attorney to discuss assets, management of assets, division of assets, wills, POAs and everything else.
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If you are not her PoA, then (if she's able) she needs to assign you her PoA (or someone else, younger, local, trustworthy, willing). You then take the PoA paperwork to the bank and get yourself on her account.

The facility care will need to be paid by "someone". If you never become her PoA then the next option is guardianship, which takes time and costs money but then you will legally have full access and management capabilities.

The bar for legal "capacity" to assign a PoA is pretty low: one can have some memory impairment and some cognitive impairment -- and this is assessed by the attorney at the appointment: they will take her aside and privately interview to make the assessment and to ensure she isn't being coerced.

If you are not her PoA and you do nothing until she needs facility care... she won't be able to get it if she can't access her funds to pay for it and you aren't willing/able to pay for it, either.

Please talk to a certified elder law attorney for best guidance.
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Reply to Geaton777
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I think you need a financial advisor.
This sounds odd and complicated. I cannot quite fathom such a situation.

Good luck.
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Reply to AlvaDeer
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RhinojockeyF4 Jan 5, 2025
Unfortunately, I think it is a problem for a lot of married couples, usually due to the history they have had as a couple. It would have involved Trust, that may or may not have been shattered.
If her spouse is not her PoA, and she is not able to legally appoint one, then the hospital or facility where she is would have a legal person to advise you or refer you to one that has had a good history with patients thru the facility. If not, they can find a financial advisor as you say.
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Does she have dementia? Does she still have capacity to make decisions herself?
one way or another, you should get that account changed so that you are both joint owners on it, asap
If not, this kind of thing becomes a real hassle the longer you leave it
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Reply to strugglinson
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