Many are surprised to learn that Medicare does not pay for long-term care. Medicare will pay for a limited stay of 150 days or fewer in a nursing home, but only after a hospitalization. Medicare cannot be counted on for long-term care benefits.
Medicaid Long-Term Care
Unlike Medicare, Medicaid pays medical costs and long-term care costs. Medicaid is designed as a payer of last resort. To qualify, one must meet strict financial and other eligibility requirements. The rules governing Medicaid are complex, and frequently change, requiring great care in the planning and application for benefits.
Medicaid is a federal government program run by the states that pays for medical services for low-income individuals and families. One need not be broke to qualify for Medicaid. Benefits from Medicaid can be crucial when facing a big medical expense. Unexpected medical costs can strip away your home and assets. It is vital to understand the government options available to protect yourself.
Medicaid Planning and Applications
We help people qualify for Medicaid using asset management techniques, assist with the Medicaid application to get approved faster and help people overcome Medicaid claims denied.
Medicaid Planning in Advance of Need is Vital
Our experienced Medicaid attorneys can create a plan for your elderly loved one without sacrificing a home or other assets. If assets are held in a revocable trust, they are considered available for Medicaid reimbursement purposes. An individual who establishes an irrevocable income-only trust, known as a Medicaid Trust, will protect the assets held by the trust after a designated time period. Income generated by assets held in an irrevocable trust will be considered available to pay for the cost of long-term care. Decisions regarding the use of a trust as part of a Medicaid plan require careful review of an individual’s circumstances.
Medicaid programs can recover funds from a beneficiary’s inheritance. States are required to seek recovery of benefits paid to a Medicaid recipient from his or her estate. It has been left to each state to determine what assets will be included in the Medicaid estate. Medicaid programs can also recover funds from a community spouse’s estate. If assets are held by a community spouse, meaning the spouse has stayed in the community, the state may have rights to recover for Medicaid benefits paid on behalf of the applicant spouse. These rules are evolving and should be analyzed in each case by our Medicaid attorneys.
Reach Out to Us
Older adults and families with aging parents can obtain public funding for long-term care when the need arises. The time to put a Medicaid plan in place is critical because of the strict qualifications rules. Call us today at 205-663-0281 for a free consultation. John Holliman and Melanie Bradford will explain about your elderly loved one’s eligibility for government programs and assist with the entire application process.
The best time to start planning for Medicare and Medicaid assistance for long-term care is critical because of the qualifications rules. Whether you are an older adult or an adult with elderly parents, the ultimate goal is to protect your loved ones in a manner that is effective, legal and ethical. We offer a free consultation. Contact us by email, or call us at 205-663-0281.
Melanie Bradford Holliman, Attorney