St. George & Surrounding Areas

Medicaid & Assisted Living Planning

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There is a body of planning called nursing home planning or Medicaid planning in which strategies can be implemented to preserve assets for use by the family. Home care costs and nursing home costs can be prohibitive and should be a part of our planning as we age. Some have enough wealth to self pay, or purchase long term care insurance others may qualify for Veterans benefits or because of lack of wealth qualify for Medicaid and are able to obtain nursing home assistance.

Pre-planning strategies in this area ideally include five years of lead time and may include exempt resource planning, asset protection trusts, caregiver agreements, gift strategies, disclaimers, and spousal transfers. Sometimes people are unable to take advantage of pre-planning and we refer to this group as crisis planning. There are other tools in crisis planning that may include spend down strategy, gifts (even though they will cause a period of disqualification), may include annuities or promissory notes.

Learn more about Assisted Living Planning and Crisis Planning below.

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Medicaid & Assisted Living Planning:

Caregiver Agreements
Crisis Planning
Beneficiary Designation Planning
Power of Attorney
Health Care Directive
Medicaid Asset Protection Trust
Gift Strategies
Medicaid Spend-Down
Medicaid Exemption Planning

Assisted Living Planning

An important body of planning for the sake of yourself and your family is Assisted Living Planning, which proactively implements strategies to preserve assets for use by the family when the time comes for home care or a nursing home. Essential to our planning as we age, some have accumulated enough wealth to self-pay for these needs or purchase long-term care coverage, while others may qualify for Veterans benefits or Medicaid for nursing home assistance. Assisted Living Planning ideally involves a 5-year lead time and may involve exempt resource planning, asset protection trusts, caregiver agreements, gift strategies, disclaimers, and spousal transfers.

Crisis Planning

If no pre-planning was done, Crisis Planning is implemented – and often comes on the heels of a catastrophic health event such as grave illness, stroke, disability or similar. When nursing home care is imminent, an individual’s assets are often greater than the amount allowable to qualify for Medicaid, yet not enough to sustain long-term care. The implementation of Crisis Planning then becomes the most logical solution, which involves swift actions such as a spend down strategy along with an annuity agreement or promissory note. The end goal is assets low enough to qualify for Medicaid assistance.

Tom and his staff were very helpful and patient in explaining everything to me because I had no idea what I was needing or doing. Very timely and extremely helpful. I have already recommended them to friends who knew I was going through the process.

Shawn J.

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