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pnwmom

(109,645 posts)
11. Medicaid does pay for in-home care in all 50 states.
Wed Jul 7, 2021, 08:12 PM
Jul 2021

It can be used to help many seniors remain at home.

This part of the article is misleading:

Medicaid provides nursing home coverage if a person’s assets do not exceed $2,000, excluding a home, car and personal belongings.

Since she has a pension along with social security, Bernstein does not meet that threshold. She wants to avoid the fate of many seniors who spend down their assets to qualify for long-term care under Medicaid. That would mean bleeding out her savings, selling her home and becoming effectively destitute.


No one should be deterred from applying for Medicaid for nursing care, either in home or in a nursing home, because of the article. The problem appears to be that she doesn't want to spend down her other assets. And Massachusetts doesn't include your personal home among the assets, as long as you're living in it, so even her home isn't necessarily the problem, unless her "equity interest" in it is over $906K. If it is, she could get a reverse mortgage for the balance, and spend that down on her care, and then qualify for Medicaid.

https://www.medicaidplanningassistance.org/in-home-care/

https://www.medicaidplanningassistance.org/medicaid-eligibility-massachusetts/

What Defines “Assets”
Countable assets include cash, stocks, bonds, investments, IRAs, credit union, savings, and checking accounts, and real estate in which one does not reside. However, for the purposes of Medicaid eligibility, there are many assets that are considered exempt (non-countable). Exemptions include personal belongings, household furnishings, an automobile, irrevocable burial trusts, and one’s primary home (given specific circumstances are met). For the home to be exempt, the Medicaid applicant must either live in it or have “intent” to live in it, and his / her home equity interest must be no greater than $906,000 (in 2021). (Equity interest is not the same as the home’s value. Instead, it is the value of the home in which the Medicaid applicant owns). The home is also exempt, regardless of where the applicant resides or the applicant’s equity interest in the home, if a non-applicant spouse resides there.

Recommendations

0 members have recommended this reply (displayed in chronological order):

because unless i remember MFM008 Jul 2021 #1
I believe that Medicare only pays for 100 days if she is DURHAM D Jul 2021 #2
A terrible, complex system. Tx for sharing. appalachiablue Jul 2021 #3
IIRC, Medicare pays for 100 days of medically necessary Skilled littlemissmartypants Jul 2021 #6
Medicaid in MA lets you keep equity in your home up to $900K. pnwmom Jul 2021 #19
I hope things work out for her whatever options she has. littlemissmartypants Jul 2021 #21
I don't think it's really a shame that single people with million dollar homes pnwmom Jul 2021 #22
They are fortunate to have that option, unfortunately many others don't. nt littlemissmartypants Jul 2021 #23
Right. That's why I think The Guardian could have found a better example. pnwmom Jul 2021 #24
Well, at least she got free publicity for her GFM. nt littlemissmartypants Jul 2021 #25
I just read more. Her SON helped her set up the Gofundme. She wants to be able pnwmom Jul 2021 #26
She should set up a trust. Problem solved. It makes small difference what I think littlemissmartypants Jul 2021 #27
This taxpayer Elessar Zappa Jul 2021 #28
That would be unfair to taxpayers who don't own homes. pnwmom Jul 2021 #29
I wish Juliet all the success that she so richly deserves. abqtommy Jul 2021 #4
Well said, wishing this special lady the best. appalachiablue Jul 2021 #5
Unfortunately, neither Medicare or Medicaid is going to cover home care 24/7. Hoyt Jul 2021 #7
I've mentioned that I assist older adults in applying choie Jul 2021 #8
Thank you for this JustAnotherGen Jul 2021 #14
Interesting Grasswire2 Jul 2021 #9
You can qualify for Medicaid if you have few assets and your Social Security payment pnwmom Jul 2021 #10
yes, but that's not the case here. Grasswire2 Jul 2021 #17
She could reduce her equity in the home, if it's over the $906,000 limit, by getting a reverse pnwmom Jul 2021 #18
Medicare will cover some intermittent care, but it doesn't go on forever. It helps people try to Hoyt Jul 2021 #15
Medicaid does pay for in-home care in all 50 states. pnwmom Jul 2021 #11
Because too much of eldercare was written by the GOP RainCaster Jul 2021 #12
Ah, the call for "public service" has raised my hackles for years StClone Jul 2021 #13
If they taxed SS beyond 137,500 JustAnotherGen Jul 2021 #16
Medicaid in MA would let her keep her home equity, up to a value of $906K, pnwmom Jul 2021 #20
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