navigating medicaid: part2

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135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485 Phone: (317) 684-1100 NAVIGATING MEDICAID: PART 2

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Page 1: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

NAVIGATING MEDICAID: PART 2

Page 2: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

In recent decades, long-term care costs for

seniors have dramatically risen.

Page 3: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Today, the average senior can expect to

spend around $7,500 each month for a

room in one of the state’s nursing homes.

Page 4: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

When ongoing care is needed, that cost

is almost always too much for seniors

to bear on their own.

Page 5: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100 Fortunately, Medicaid can help.

Page 6: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

The Medicaid program is the result of a partnership between the federal

and state governments, and provides aid for low-income people –

including seniors, the blind, and the disabled.

Page 7: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Today, the program is the largest payment source for nursing homes

across the country.

Page 8: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Because Medicaid is a means-tested program,

however, there are strict qualification guidelines that

must be met by those who want to qualify for benefits.

Page 9: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

As a result, your assets must be below the limits provided for by law.

Page 10: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Medicaid planning can help you to ensure that

you qualify for Medicaid when you need it most.

Page 11: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Medicaid planning involves preparing your estate to ensure eligibility, while still protecting your assets from loss.

Page 12: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

For a variety of reasons, Medicaid planning

should begin as early as possible.

Page 13: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Medicaid’s five-year look-back provisions will examine all asset

transfers you make within a five-year period prior to your application for benefits, and count those assets

when calculating your estate’s actual worth.

Page 14: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

As a result, your planning should ideally begin at least five years

before you apply for the program.

Page 15: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

There is no law that says that you cannot attempt

Medicaid planning on your own.

Page 16: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

However, it is important to recognize that there are eligibility penalties attached to any asset transfers

Medicaid identifies in its five-year review.

Page 17: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

In addition, many people struggle to adequately plan in a way that

secures eligibility while still allowing them enough money to enjoy life prior to entering a nursing home.

Page 18: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

The good news is that you do not have to spend

down all of your assets.

Page 19: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

That is why Medicaid planning is such an integral part of estate

planning: it is the most effective way to actually protect many of your assets without leaving yourself barred from program benefits.

Page 20: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

If you are more than a little confused by all of this,

you’re not alone!

Page 21: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Millions of Americans rely on experienced Medicaid planning attorneys to help them navigate

through the Medicaid maze.

Page 22: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

You should too.

Page 23: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

An experienced attorney with expertise in this

area of estate planning can help you to safeguard

assets using a variety of different strategies.

Page 24: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

These strategies include the use of gifts, trusts, spending down assets,

and long-term care insurance.

Page 25: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Things like annuities and promissory notes can also be helpful, depending

on your unique circumstances.

Page 26: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Gifts are a commonly used tool in Medicaid

planning, but they must be used properly.

Page 27: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

While some people confuse the gifting limits with the annual gift limits permitted under the federal

gift tax rules for purposes of determining estate tax, the Medicaid

gifting limit is much smaller: only $1,200 in total gift value annually.

Page 28: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

The key to making any gift strategy work, therefore, is to start is as

early as you can.

Page 29: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

A Medicaid trust can be a fantastic option for

preserving the value of your estate while still

qualifying for Medicaid.

Page 30: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

When you transfer your assets into a trust in this manner, you ensure that they will still be there for your heirs when you are gone, and help to avoid having them included as wealth when Medicaid calculates

your eligibility.

Page 31: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Just be sure that those transfers take place outside of the five-year

look-back period.

Page 32: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Spending down your assets can be a tricky thing to do

when you have even a moderate amount of savings

and wealth, or income that puts you at just over the

eligibility limit.

Page 33: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

An experienced attorney can help you to determine the best strategy to use to utilize the spend down

technique properly.

Page 34: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Relatively few Americans have long-term care

insurance.

Page 35: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

In Indiana, however, the state has its own Indiana Long-Term Care

Insurance Program that involves a partnership between the

government and various private insurers who offer long-term care

coverage.

Page 36: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

The coverage can help pay a minimum benefit of $115 each day.

Page 37: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Sometimes, seniors end up being forced to

pursue long-term care before their planning is

done.

Page 38: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

In those instances, there are very few strategies left to them. One involves the promissory note.

Page 39: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

This technique basically involves a loan made by the senior to another

person right before the senior enters a nursing home, in return for monthly income payments.

Page 40: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

For many Medicaid planning efforts, the key to

making everything work is to use a variety of

these tools in a more comprehensive way.

Page 41: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Your Medicaid planning strategy should be as diverse as needed to

accomplish your goals.

Page 42: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

At the same time, it is vital to remember that even

the smallest of errors can result in costly

penalties.

Page 43: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Just missing one asset could potentially result in months of

program ineligibility – leaving you liable for those nursing home bills.

Page 44: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Careful attention must be paid to all plan details to ensure that you avoid

those penalties.

Page 45: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Need Help?

The best way to avoid those mistakes is to rely

on experienced legal experts who understand the

Medicaid planning process.

Page 46: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Your long-term care is too important to leave to chance.

Page 47: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

Page 48: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

At Frank & Kraft, Attorneys at Law, we have the expertise you need to

make sure that your Medicaid planning accomplishes all of your

long-term care goals.

Page 49: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

We can work with you to protect your estate assets while also

providing you with the assurances you need to know that your

program benefits will be available if you ever need them.

Page 50: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100

To learn more about how we can help you with all your Medicaid planning needs, call us today at

(317) 684-1100, or visit us at our website.

Page 51: Navigating Medicaid: Part2

135 N. Pennsylvania Street Suite 1100 Indianapolis, IN, 46204-2485

Phone: (317) 684-1100