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Definition, Costs, & Types Of Medicaid Planners

Nov 2

Definition Of Medicaid Planning

Medicaid planning refers to a wide range of services delivered by a diverse group of professionals and volunteers. Medicaid planning is defined as any help offered to a potential Medicaid applicant before to and during the preparation of their Medicaid application. Medicaid planning can range from simple assistance with document gathering and preparation to a thorough reorganization of one's financial holdings.

When an individual's monthly income or resources exceed the financial eligibility restrictions, Medicaid planning becomes more complicated. Resources in excess can be turned into non-countable assets, and incomes can be converted into Qualified Income Trusts, commonly known as Miller trusts. Many of these transactions, however, need legal and/or financial knowledge. For example, not all states allow seniors to convert surplus income into Miller trusts, and doing so may result in Medicaid ineligibility in such states. Furthermore, certain jurisdictions may enable a pooled income trust as an alternative.

Another significant complication arises when one partner requires long-term care while the other is capable of living independently. What is the distribution of their earnings and assets? Many Medicaid planners seek to circumvent this obstacle.


Why Should You Get Involved In Medicaid Planning?

In summary, families participate in Medicaid planning to increase their chances of being accepted into the program. However, the causes for this seemingly simple response are varied and complex. Following is a list of reasons why someone would consider Medicaid planning.

-Long-term care is expensive, and families want to make sure their loved ones get the care they need, which they might not be able to pay otherwise.

-Medicaid eligibility is exceedingly intricate, and even little mistakes might result in benefits being denied. This can be harmful to the applicant's health and happiness, as well as those of their carers and family members.

-The application and evaluation procedure takes a long time to complete. Working with a Medicaid planner can help speed up the process and alleviate stress for applicants.

-To ensure that the healthy spouse who stays at home has the financial means to do so in the future.

-To protect a family's limited assets from Medicaid's estate recovery program, ensuring that the following generation can afford to live in a house and/or receive an education.

 

Medicaid Planners Come In A Variety Of Shapes & Sizes

Medicaid planning assistance is available from a range of experts and individuals. The most acceptable and inexpensive solutions are determined by a number of criteria, including one's budget, age, health, location, marital status, and veteran status.

All of the following organizations can assist with Medicaid planning.

  • Attorneys for the Elderly
  • Managers of Geriatric Care
  • Financial planners that specialize in eldercare
  • Medicaid planners who are paid on a commission basis
  • Benefits Counselors and Case Managers from the ADRC and AAA
  • Volunteer SHIP Counselors
  • Insurance Brokers
  • Ombudsmen for Long-Term Care
  • Self-Planners / Non-Professionals

 

What Is The Cost Of Medicaid Planning?

In certain locations of the United States, receiving Medicaid planning advice might cost anything from nothing to $7,750 or even $15,000. The cost of planning is usually determined by an individual's income and assets, as well as other complicating considerations such as marital status, property ownership, life insurance, and any veterans' benefits they may be entitled to. Another factor that affects cost is the type of service provider; elderlaw attorneys may demand a higher fee than non-attorney Medicaid planners.

 

Why Is It Important To Plan Ahead?

One could believe that if they or a loved one is in good health, there is no purpose to contact a Medicaid planner. Even if one does not anticipate a need for Medicaid in the near future, planning ahead is essential. Indeed, the best time to begin planning for long-term care requirements is before one is required.

Many families wind up paying out-of-pocket for nursing home or other long-term care bills until their assets run out if they don't plan beforehand. As a result, they are eligible for Medicaid. However, if one plans ahead of time, Medicaid planners may help with a variety of important planning options. The greatest way to secure one's assets while still being able to qualify for Medicaid when the time comes is to plan ahead.

 

Is It Legal To Plan For Medicaid? Ethical?

Medicaid planning is, in fact, lawful. There are restrictions in certain jurisdictions that limit who can give legal advice on Medicaid Planning, but there are no laws prohibiting families from using Medicaid Planning to help a loved one qualify for their state's Medicaid program. The ethical issue is more complicated, and many lawyers, educators, and politicians have weighed in on the topic.