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  • Sean Parent

Understanding Exempt Assets for Medicaid Qualification

One of the key concerns for many clients is ensuring that their assets are protected and preserved while also qualifying for Medicaid, especially when considering long-term care needs in nursing homes. Medicaid can be a crucial lifeline for seniors facing substantial healthcare costs, but it's important to understand the rules surrounding what assets are considered exempt when seeking eligibility. In this article, we will delve into the various aspects of exempt assets, including real property, exempt income, and irrevocable trusts, shedding light on how these components play a pivotal role in the Medicaid qualification process.

Countable vs. Non-Countable Assets

Medicaid eligibility for long-term care is determined not just by income, but also by the value of one's assets. To qualify for Medicaid, you must have total countable assets of $2,000 or less and earn less than $2,382 per month in income 1.

Countable assets include various types of financial resources, including bank accounts, certificates of deposit, life insurance policies with cash values over $2,500, property (excluding primary residence and rental properties not used as primary residences), stocks, bonds, and vehicles (under seven years old) 1. On the other hand, certain assets are considered non-countable, such as 401Ks or IRAs, assets you've made a "good faith effort" to sell, personal property like art and jewelry, pre-paid funeral and burial expenses, and property that serves as your primary residence 1.

Exempt Real Property and Income

When it comes to real property, a primary residence is generally considered an exempt asset, with equity value up to a certain limit. In some states, like Michigan, the exemption for equity in a homestead can go up to $500,000 2. Additionally, household and personal belongings, such as furniture, appliances, and clothing, are typically exempt from consideration when determining Medicaid eligibility 2. Furthermore, certain prepaid irrevocable funeral contracts and burial funds are also considered exempt 2.

Irrevocable Trusts and Their Role

One approach that individuals explore to protect assets while qualifying for Medicaid is the utilization of irrevocable trusts. These trusts can be powerful tools in asset protection, particularly in the context of Medicaid planning 3. An irrevocable trust involves transferring assets to a designated trustee, relinquishing control over those assets 1. Unlike revocable trusts, which are considered countable assets by Medicaid, irrevocable trusts are seen as non-countable, making them an attractive option for preserving assets while still seeking Medicaid eligibility 1.

Navigating the Medicaid Look-Back Period

However, it's important to consider the Medicaid look-back period when utilizing irrevocable trusts. This period refers to the time frame during which the government examines any assets that were gifted, transferred, or sold for less than their fair market value 1. Michigan has a look-back period of 60 months (five years). Assets that fall within this period could lead to delays in Medicaid eligibility, potentially impacting the timing of accessing nursing home care 1.

Understanding the rules surrounding exempt assets and utilizing strategies like irrevocable trusts are essential tools to help safeguard your assets while seeking Medicaid eligibility for long-term care. Every individual's situation is unique, so it's recommended to consult with an experienced estate planning attorney to tailor a plan that aligns with your specific needs and goals.

Disclaimer: The information provided in this blog post is intended for general informational purposes only and should not be construed as legal advice. Consultation with a qualified attorney is recommended for personalized guidance.


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