Many adults find themselves becoming caregivers for their parents, and need help navigating the challenges that aging brings. We help adult children take care of their parents, including making sure their estate plan is up to date, with planning for incapacity so your family can stay out of court, and, when appropriate, accessing public and private benefits to help pay for long term care, including Medi-Cal (and, for some veterans, VA Aid & Attendance benefits).
What is “Elder Law”?
Generally speaking, Elder Law can be defined as the holistic application of general legal principles to the specific emotional, logistical and financial needs of mature Americans. Many of these Americans are concerned with two fundamental threats to their dignity: (1) becoming incapacitated, and thereby losing control to the court system over their personal, health care and financial decisions; and (2) running out of money due to the catastrophic costs of long-term care. Fortunately, these threats may be minimized, or even avoided, through properly coordinated legal and financial planning.
Planning for Incapacity
As the number of birthday candles increase on your birthday cake, so do the odds of becoming incapacitated due to an injury or illness. Whether incapacity strikes suddenly or over time, the consequence is the same. Either you will have properly appointed decision-makers of your own choosing through legal planning in advance, or a judge (who does not know you or your loved one) will appoint someone for you under the ongoing supervision of the court. The pre-planning alternative is less expensive, easier on your loved ones and protects your privacy from the public record.
Planning for Long-Term Care
According to commonly cited statistics, if you are age 65 and single, then the odds are about 50 percent that you will need long-term care at some point. For married couples, odds are about 75 percent that one spouse will need such care. For how long? The average stay runs about two and a half years.
Long-term care is expensive.
Nationally speaking, a year in a nursing home is estimated to cost an average of slightly more than $97,455 (National Average 2017, Private Room). Little wonder 50 percent of married couples with one spouse in long-term care are impoverished within one year of admission. For single people, that percentage jumps to 70 percent.
Paying for Long-Term Care
You may be thinking, “I have Medicare, so I don’t have to worry about long-term care, right?” Wrong. Medicare only pays for acute nursing home care, not chronic care. Think of acute care as rehabilitation after hip surgery. You will be going home to care for your own daily needs. Think of chronic care as needing help with “activities of daily living” like bathing, eating, dressing, continence, toileting or transferring, not to mention dementia or Alzheimers disease. Even for acute care in a skilled nursing home, Medicare is limited to paying for up to 100 days with strict eligibility requirements and full payments limited to the first 20 days and co-payments thereafter. Additionally, your Medigap (i.e., Medicare Supplement) policy will not pay for your long-term care, but may pay the Medicare co-payments for days 21 through 100.
Medi-Cal is oftentimes confused with Medicare.
While Medicare is solely a federal program, Medi-Cal (what California calls Medicaid) is a joint state-federal program. Each state operates its own Medicaid system (and may give it a different name than “Medicaid” such as in California where it is known as “Medi-Cal”), but it must adhere to federal guidelines to receive federal funds. Federal money pays for half the state’s Medi-Cal costs, and the state pays the rest. There are strict income and asset guidelines that must be satisfied to be eligible for Medi-Cal coverage.
What about simply giving away your assets to loved ones to qualify for Medi-Cal?
Legally speaking, any transfer of assets for less than fair market value (i.e., a gift) may subject you to a lengthy period of Medi-Cal ineligibility under a complex and confusing web of Medi-Cal regulations. Nevertheless, as with most areas of life, proper planning is rewarded and the failure to plan is not. Through proper Medi-Cal planning, you may be able to legally qualify for Medi-Cal and protect your assets for yourself now and your loved ones later.
What about Long-Term Care Insurance?
If you are in good health and can pay the premiums, long-term care insurance is another means to pay for your care. In addition, long-term care insurance is sometimes used in conjunction with Medi-Cal legal planning to pay for care during any period of potential ineligibility.
When you are ready to explore your options, contact us to schedule an initial consultation.