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EXEMPT ASSETS:
WHAT YOU GET TO KEEP WHEN
"MEDICAID" has ASSET LIMITS*
(in addition to the usual $1600)
Lisa Nachmias Davis
Davis O'Sullivan & Priest LLC - Attorneys at Law
59 Elm Street, Suite 540
New Haven, CT 06510
203-776-4400
davis@sharinglaw.net ~ www.sharinglaw.net
(revised 1-21-24)
*NOTE: There is NO LIMIT on
assets for Husky D
(low-income, not receiving Medicare, 19-64, single
(or if married, filing separately), not receiving "waiver"
services;
*NOTE:
There is NO LIMIT on assets for QMB
(covers copays and deductibles for Medicare-covered services to
those with low income on Medicare)
(QMB and other Medicare Savings Programs pay Medicare premiums and
provide "extra help" with prescriptions)
*IMPORTANT: For
couples, assets of BOTH are counted;
however, for a person receiving long-term care whose spouse isn't,
OTHER ASSETS ARE PROTECTED FOR THE SPOUSE WHO ISN'T GETTING LONG-TERM
CARE
(see Medicaid for
Married People)
SO -- if YOUR Medicaid DOES
have asset
limits, what do you, an unmarried individual, get
to keep besides Connecticut's $1600 limit, without affecting your
eligibility?
1.
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Your HOME (1-family, 2-family, whatever)
-- any value -- while any one of the following is living in it:
- Your SPOUSE
- Your disabled child or child under 21
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2.
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If no spouse or disabled/minor child lives
in the house, then equity in your home up to $1,071,000 (changes
annually) (in CT) IF:
- You are living in
it (and in CT, you are "living in it" if you can reasonably be expected
to return to it (which is checked every six months); if not, it's
generally not going to be exempt; see #14 below)
- NOTE: you can GIVE
to a sibling with an equity interest who has lived in house 1+ year
preceding institutionalization. The rule used to be that the
house was
exempt if the sibling lived in it -- no more.
(You are encouraged to
take out a reverse mortgage to reduce the equity, if need be. But
if
you are out of your home for 12 consecutive months you are not eligible
for a reverse mortgage.)
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3.
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Personal effects,
furniture, TV, household items (although at least in theory
anything of
value, that you could sell easily or hold for investment, isn't exempt)
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4.
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Car:
- If one spouse is at home and one in a nursing
home (or receiving home care "under the Medicaid waiver" program), one
car of
any value.
- If that doesn't apply, then one car of any value
"needed" to transport you to medical appointments.
- Any handicapped-equipped vehicle
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5.
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Irrevocable Funeral Contract.
- The State only allows these to be issued in CT
up to $10,000. (But see "Burial Plot" which typically allows you
to get a more expensive funeral.)
- If you don't have one of these, a revocable
contract of $1,500 (less the value of any counted insurance -- see
below)
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6.
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Burial Plot. Includes a
revocable "burial trust" to pay for things like a casket or grave
liner. You can have one for each of you and spouse. May be
more than
$10,000! If the funeral home issues both, they need to specify
which
covers which.
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7.
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Term life insurance ("term"
insurance = you pay a premium; it does not
pay interest or
dividends; there is no cash surrender value, etc.) If all you
have a
is "death benefit" from previous employment, where you didn't even pay
a premium and can't control it, frankly, don't even mention it. It's
not any kind of "insurance." Just a death benefit.
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8.
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Other life insurance
policies only if FACE VALUE of
all policies combined is $1,500 or less. ("whole"
life or "permanent" life insurance, or universal, NOT term.) This
is very
confusing. If the face value is $1,500 and the cash value is
$3,500,
the whole thing is exempt. If the face value is $1,600 and the
cash
value is $1,500, none is exempt.
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9.
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Partnership Exemption. The
equivalent amount to
whatever your Connecticut Partnership Long-Term Care Insurance policy
has ALREADY paid out for your care.
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10.
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An "ABLE" account (you are eligible
to set this up if gravely disabled prior to age 26).
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11.
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Reparations -- if you get Holocaust
or internment reparations or payments from similar programs, these may
be exempt.
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12.
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Reverse Mortgage or Home Equity Loan
proceeds in a SEGREGATED account.
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13.
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Assets in a "Special
Needs Trust" that pays back the State when you die, or (if over
65) a
"Pooled Trust Account" -- consult an
attorney.
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14.
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Other Stuff that is
"inaccessible" -- which gets very technical and legal and
may involve a
fight -- so consult an attorney.
(A house listed for sale should
qualify, though. You must cooperate in trying to "liquidate" and
"access" whatever is not "accessible." Jointly held real estate might
be "inaccessible" if the other owners won't sell. Same with a
life use.)
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15.
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Trusts, promissory
notes,
annuities: IT DEPENDS – consult an attorney. Your garden variety
"living trust" or annuity is NOT PROTECTED. In some cases, if the
annuity is irrevocable and non-assignable, has a term no longer than
your actuarial life expectancy, and the beneficiary is the State (up to
the
amount of Medicaid you get during life) after your spouse or child
under 21 or
disabled child -- this will be exempt. IN CONNECTICUT, YOUR IRA
IS NOT
PROTECTED, AND COUNTS ENTIRELY, AS IF IT WAS CASH. (Exception: if you
are, or were, receiving "Medicaid for workin gindividuals with
disabilities" which exempts retirement accouns, they may still be
exempt.) If a trust
someone set up for you is for your "support'" it may not be exempt, but
it depends on the precise words of the document. Consult
an attorney!
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Most
everything else is "counted" when determining whether you meet the
financial criteria. There are further exceptions, however, so you
should consult an attorney and provide your attorney with complete
information.
Note: This information is maintained to benefit the elderly in
Connecticut and nationwide by providing a resource to attorneys,
caregivers, and others assisting the elderly. However, accuracy
and
currency are not guaranteed. The law changes often; this may be
out of
date.
USE AT YOUR OWN RISK. Please report changes, errors, and suggestions to
Lisa Davis.
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