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Video: Will I Lose My House if I go to a Nursing Home?

Video: Will I Lose My House if I go to a Nursing Home?

December 04, 2019


Transcript:

hey guys Mike Frontera here back with

another retirement Theory video so Mike


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what happens to my home if I need

long-term care does Medicaid take it


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this is a question I get with some

regularity and like many things legal or


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financial the answer depends on a few

crucial factors so I'm gonna go over


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these factors and some things that you

can do ahead of time to protect your


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home now before we delve in a quick

caveat I'm not an attorney state laws


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vary considerably and nothing I am about

to discuss is legal advice okay and


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today we're only dealing with your

primary home I'm not addressing the


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protection of any other assets during a

long-term care need in this video so


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let's start out with some good news that

is if you are receiving Medicaid and you


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are still living your home will

typically not be sold to pay for your


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care while most of your other assets

must be spent down in order to qualify


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for Medicaid your primary residence is

an exempt asset an important little


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asterisk though is that when you enter a

nursing home you must provide them with


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a written statement that declares your

intent to return home at some point the


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neat thing is that your spouse will also

not get kicked out of your home after


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you pass away so if you have no kids and

you don't care what happens to your home


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after you're gone you can probably stop

watching but it is good cocktail party


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fodder so you might want to watch anyway

okay


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then when would Medicaid typically force

the sale of your home well if you're


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single or widowed and your receiving

assistance it would happen after you


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pass away and if you're married and

receiving assistance it is a bit more


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complicated again assuming you have

declared an intent to return home and


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either you or your spouse is still

living estate recovery typically does


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not occur once you have both passed if

your spouse hadn't


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received Medicaid assistance than a state

recovery on your home is only done


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sometimes and only in some states now if

both of you have received Medicaid


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however then recovery through a forced

sale is more likely so for people who


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want their home to pass to their heirs

someday there is then some risk of an


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eventual forced home sale should they

receive Medicaid assistance so what are


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some things that can be done to reduce

that risk okay let's start with the


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solid ones if you leave your home to

your child who's under age 21 or to a


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child who is blind or disabled States

will not go after it at least under


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current law that's something that

probably still won't help a lot of


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people the next one's a bit tougher if

you have a child who lives with you and


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has lived there at least two years prior

to you needing nursing home care and


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they can show to the state to their

satisfaction that they kept you out of a


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nursing home longer because of their

help then Medicaid may not try to


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recover the home from them after your

death for those with no children living


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at home you may want to see if your

state allows recovery from both probate


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and non-probate assets in those that do

not simply having your home passed


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outside the scope of your will in thus

outside of probate could do the trick so


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let's look at three ways to do that

because in many cases avoiding the time


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and expense of probating your assets in

your will is beneficial enough to do


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anyway so one way to have your home pass

outside your will would be placing it in


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a revocable living trust now it's

important to note that a living trust is


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one where you typically retain full

control of the asset these trusts are


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not the same as irrevocable trusts and

are often established to hide assets to


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qualify for Medicaid sooner that's an

irrevocable trust okay


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another technique that can work to move

your home outside of your estate is


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setting up something called a ladybird

deed now currently ladybird deeds are


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only allowed in five states Florida

Michigan Texas Vermont and West Virginia


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a ladybird deed basically names

beneficiaries to your home but you still


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have the right to live there and control

the property it doesn't create a five


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year look-back period for Medicaid

eligibility and it has the potential in


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keeping the home in the family in those

states that allow it a more common


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version of this is what's called a

transfer on death deed a transfer on


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death or a Tod deed can be another

relatively easy way to have your home


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passed outside of your will these Tod

deeds are available in a lot more than


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five states but not every state so the

caveat here is that just because you can


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set one up in your state does not

necessarily mean it will protect your


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home from Medicaid estate recovery some

states as I said before allow for these


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deeds but we'll go outside of your

probate estate in their recovery efforts


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finally you could consider whether it

was worth transferring your home to an


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irrevocable trust this would have the

effect of removing your home from your


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possession for Medicaid purposes in fact

many other assets could go in there as


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well like investments in cash and may

keep them from having to be spent down


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during your lifetime in order to qualify

for Medicaid but doing this could


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subject you to a five-year look-back

period for Medicaid eligibility meaning


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if you needed care within five years of

making this transfer you may have a


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period of ineligibility to satisfy

before benefits were available in fact


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there are a number of drawbacks but also

significant opportunities to these


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irrevocable trusts but that is starting

to get way out of the scope of this


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video so we'll save it for another time

now if you've been listening very


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carefully you might have noticed that

how


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many qualifier words I've said here a lot

of mights and mays and under current law


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it's because these laws are continually

in a state of flux and what worked today


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may very well not work tomorrow and

because laws and enforcement of these


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laws varies tremendously between states

so let me finish with this reminder if


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this stuff's important to you I

encourage you to visit within an estate or


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elder law attorney early on and review

your plans with them regularly if you


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want to find out more about working with

me come visit me at www.retirementtheory.com


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or give me a call at (518) 667-2022. Did you hit the subscribe button or follow me on Facebook I think that you should You'll stay up to date on my videos on all things retirement planning once again thank you for joining me see you next time