A revocable living trust will not protect your assets from a nursing home. This is because the assets in a revocable trust are still under the control of the owner. To shield your assets from the spend-down before you qualify for Medicaid, you will need to create an irrevocable trust.
Neither the nursing home nor the government will seize your home to cover expenses while you are living in care. However, if you run out of funds to pay for the care you need, your estate's assets may be taken after your death to cover those costs.
Other states, such as California and Texas, prohibit Estate Recovery after the surviving spouse dies. The only exception is if the surviving spouse was also a Medicaid recipient.
A living trust does not protect your assets from a lawsuit. Living trusts are revocable, meaning you remain in control of the assets and you are the legal owner until your death. Because you legally still own these assets, someone who wins a verdict against you can likely gain access to these assets.
Protecting your assets from medical bills involves utilizing various legal tools designed to safeguard your financial health. Three primary instruments can be particularly effective: trusts, Health Savings Accounts (HSAs), and insurance.
Once you transfer your assets into such a trust, they are no longer under your personal control—making them inaccessible to those who might seek to seize them. This permanence provides a sturdy barrier against potential threats, ensuring that your wealth remains intact for your beneficiaries.
Homes held in an irrevocable trust are generally protected from nursing home claims because they are no longer part of your personal estate.
If you are single, need care, and are unable to return home, your home is now an available asset that the government can take to pay for your care. If you are married and your spouse goes into a nursing home, your home is protected as long as you do not need care and it is under the equity limit.
If you have existing unpaid medical bills, and go into a nursing home and receive Medicaid, the program may allow you to use some or all of your current monthly income to pay the old bills, rather than just to be paid over to the nursing home, providing you still owe these old medical bills and you meet a few other ...
and is a Certified Financial Planner. Nursing homes can't take a senior's life insurance benefits away from designated family beneficiaries to cover outstanding costs. However, nursing homes can accept payments from the resulting funds of a sold or surrendered policy.
Can Medicare take your home to cover nursing home expenses? Medicare can't take your home and doesn't cover nursing home room and board. However, a Medicaid lien can be placed on your home, and they can sell it once you pass to recover the funds.
Once assets are placed in an irrevocable trust, you no longer have control over them, and they won't be included in your Medicaid eligibility determination after five years. It's important to plan well in advance, as the 5-year look-back rule still applies.
There are several ways to stay out of a nursing home, including maintaining good physical and mental health through regular exercise, a healthy diet, and regular check-ups with a healthcare provider.
The day your assets are transferred into an irrevocable trust, they become non-countable for Medicaid purposes. Unfortunately, those assets are seen as a gift and are subject to the Medicaid look-back period.
Your home may not be counted as an asset
In California, the equity limit is currently $814,000. In all states, Medi-Cal recipients are allowed to keep their homes, with no equity limit, if their spouse or another dependent relative lives in the home.
It should be stated at the outset that nursing homes and other similar facilities do not “take” people's assets – although it can feel that way! The reality is, any person in need of a nursing home stay is required to pay for the services provided.
And so the trustee of a trust, whether it's revocable or irrevocable, can use trust funds to pay for nursing home care for a senior.
Is It Too Late To Save Assets If A Loved One Is Already In A Nursing Home? The only time it's too late to try to save resources when someone is already in a nursing home is if you have already spent every last dollar on nursing home bills.
The generally understand process is the Nursing Home gets the pension. However, if your State supports the In Home Supportive Services program, and if his monthly income and assets are below the maximum allowed, your household could be eligible to have a paid caregiver come in everyday and do specific tasks.
Asset protection trusts offer the strongest protection you can find from creditors, lawsuits, or any judgments against your estate. An APT can even help deter costly litigation before it begins, or it can influence the outcomes of settlement negotiations favorably.
The IRS and Irrevocable Trusts
When you put your assets into an irrevocable trust, they no longer belong to you, the taxpayer (this is different from a revocable trust, where they do still belong to you). This means that generally, the IRS cannot touch your assets in an irrevocable trust.
Wills can also take care of issues that your trust can't—notably, guardianship of your minor children and instructions about what happens to any pets you may have.