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Medicaid Planning [Handing this Rollercoaster of Emotion]

Hello Friends & Colleagues!

Medicaid planning, particularly for a parent or spouse, can be described as an emotional roller coaster for spouses and families.  The changes that a loved one is experiencing, as well as the financial and other emotional pressures, make this a very frightening time.   On the other hand, this is a time where families can come together and cherish what matters most.

Often, because of this emotional roller coaster affect, families can become paralyzed or confused over the basic financial decisions that must be made in order to properly care for a loved one AND to save in the needless expenditure of family resources.   Key strategies to get proactive and stay effective through this process is the focus of this week’s article…

When a loved one comes to need full skilled nursing assistance, it is all too common for families to either make rash decisions or avoid making the necessary decisions needed to protect finances and arrange for proper care.

It is all too common for families to make ill advised financial decisions due to the strain of looking medical costs and this can cost families dearly.

There are many articles on this blog about proper Medicaid planning and avoiding the pitfalls inherent in making rash Medicaid planning decisions.  For a review, I suggest starting with Why Medicaid Planning Starts Now? 

The key to avoid making rash decisions is to proactively seek professional advice as well as research your areas of concern.  For example, a common rash decision is to transfer assets from an aging parent to an adult child, and this downsizing of the estate will result in a penalty if within the 5 year look back period under the Medicaid rules.  Thus, any transfers of assets must be looked at objectively by a professional .

All too often, folks who are declining physically do not want to acknowledge their physical needs and this can lead to paralyses of families who are unable to get the necessary medical approval to apply for Medicaid.

If you haven’t yet reached this point, can you imagine how difficult it is to face one’s own mortality and declining physical abilities.  To be sure, this is a difficult part of the aging process and sometimes it can create unnecessary challenges for families.  Most often, this situation culminates in a loved one’s refusal to seek needed medical feedback…this is especially the case in dementia cases, and often anger and frustration ensues for all parties involved.

Families often find it difficult to accept the decline of a loved one thus decline to find skilled nursing assistance or otherwise seek help for a loved one.

I’ve often observed that families in the midst of these kinds of major transitions can become unable to make necessary changes even if circumstances demand it.  I believe this is a combination of a grieving process AND the difficult subject matter involved.  After all, the medical cost amounts for skilled nursing care $5,000 – $8,000 per month and climbing, are staggering and there is also the emotional decision to remove a loved one from the family home.

For the above reasons, or even due to a grieving process, families often continue paying out of pocket rather than apply for Medicaid assistance and this is a needless expenditure of valuable resources.

When emotional paralysis strikes families, often negative financial consequences are the result.  For example, I’ve observed families continue to pay for skilled nursing care out of pocket for months on end before finally making the decision to apply for Medicaid assistance…and this is has been in cases where the parties are under the asset and income limits for Medicaid.

The above problems are common and can be most effectively addressed through…

partnering with caring, qualified professionals who are willing and able to offer an objective voice about the circumstances.  This is a difficult area because deeply emotional issues overlap with serious family business (financial) concerns.  Thus, treating it like a business is important and listening to experts is critical because this can save substantially both in financial and emotional expenditures.

As always, I hope this is helpful and…until next time.


1 comment… add one
  • Audrey August 31, 2017, 11:18 am

    I need help applying for Medicaid with my Dad who is in a nursing home for the last two years. He has paid privately for these two years. He brings in a little over 2400 dollars a month so a Qualifying Trust Income? needs to be done by an attorney. I already called your office and left a message because I need to start looking into this now as his money is running out.
    Thank you,

    Audrey XXXX

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