Our focus is on you, your family, and your peace of mind.

We are there with you through every step of life and every layer of protection.

New families

Part of becoming a parent is ensuring the right framework is in place so your family is protected. We help parents put this plan into place for you and your family's peace of mind.

Working Professionals

You spent a lifetime working and creating wealth for your family. Now you need to make sure your work and the fruit of your labor is protected. 

RETIREMENT AND BEYOND

Your golden years should be spent enjoying family and life and not worrying about outliving your money. We can help seniors plan for long-term care and make sure they are protected.

Estate Planning

No, you do not have to outlive your assets.

Medicaid Planning - in English

There is A LOT of bad information about Medicaid out there. What happens if a loved one needs a nursing home?

Unfortunately, many people first hear about Medicaid when there is some sort of emergency. For example, mom or dad will have a stroke, a heart attack, or something else will happen requiring hospitalization. From there, mom or dad could go to some type of rehab facility. Eventually, you will be told that mom or dad is no longer progressing and they need to be placed in a facility, like a nursing home. You start looking into facilities. You may think or ask “My mom has Medicare. Isn’t the nursing home covered by Medicare?”

No.

Maybe someone during this time mentions Medicaid. You ask the social worker or the nursing home if mom will be covered and if Medicaid pays for the cost of the nursing home. They tell you that in order to qualify for Medicaid mom cannot have more than $2,000 in countable assets. You probably will not be told that there are ways you can legally shelter mom’s assets and that it is not necessary to spend mom’s assets down until she has $2,000 left.

Some basic Medicaid Eligibility Info

So, here’s the deal. There are, of course, eligibility requirements to qualify for Medicaid. An individual may not have more than $2,313 in income and $2,000 in assets. A couple may not have more than $4626 in income and $3000 in assets. These are the Medicaid numbers for 2019. Keep in mind that if someone is over in income, there are things we can do, like a Qualified Income Trust, to handle that excess income and the person will be eligible for Medicaid. Also keep in mind that the asset limit is for countable assets. There are assets that are exempt and those do not count toward the asset limit. Some exempt assets are: your homestead (equity up to $585,000), life insurance (with face value up to $2500), one car of any type, one additional car (more than 7 years old and cannot be a luxury antique car or collectible, some personal effects, Irrevocable Funeral contract, burial account up to $2500, etc. Retirement accounts are treated in a special way because they can be treated as assets or income.

Example #1 - Married couple and one needs medicaid

So, let’s say we have a husband and wife, named John and Amy. Amy is in her early 70’s and John is almost 80. Unfortunately, John has a horrible stroke. He goes to the hospital. They then send him to rehab where Amy is told he is no longer making any progress and needs to go to a long term care facility or a nursing home. Amy is devastated but knows she needs to act.

Nursing homes in South Florida are around $10,000 every single month. John and Amy have both worked hard their whole lives. They have investments and savings. Aside from the fact that both of their lives have changed forever, Amy is stressing out because she has no idea how she can afford the nursing home.

She worries and wonders if she will have to sell their home, if she has to downsize and sell the home she loves, if she has to get divorced in order to protect her assets…her head is spinning.

Fortunately, we can help Amy. There is a process in Florida commonly referred to as Spousal Refusal. It is very technical, beyond the scope of this post, and you need to consult an Elder Law attorney to guide you - but the gist is this:

Amy does not have to sell her home

Amy gets to keep her assets

John can become eligible for Medicaid

Please, Please, Please do not listen to neighbors, friends, or random people when they give you Medicaid advice. This is a very technical area and you have to ensure that you do things right to protect yourself and your family.

This is a different story. Let’s say your father passed away years ago. Your mom, Ruth, has been living on her own for years. As often happens, things get to a point where she can no longer be left alone. It could be because she keeps falling or has dementia. Whatever the reason, you now have to put mom in a nursing home. It sucks. This is an extremely emotional decision for people but sometimes it has to be done.

You know nursing homes average $10,000 a month. Mom has some assets but at the rate of $10,000 per month she will blow through ALL her assets in merely months. However, you are told if someone has more than $2,000 in non-exempt assets they will not qualify for Medicaid. This is true but AGAIN there are things you can do to protect mom’s assets and get her on Medicaid.

One strategy is a personal services contract or a caregiver contract. Like all the strategies described here, they are complicated and you need a qualified Elder Law attorney to help you plan correctly. We are simplifying the strategies here so people can understand the basic idea, so their eyes don’t glaze over, and they know there is help.

So, a personal services contract (PSC) is a written agreement between 2 or more parties where one party agrees to provide personal services for the other party in exchange for fair market value compensation. In English — this means that mom enters into a contract with you (or someone else) so that you can do things like take her to doctor’s appointments, help her with legal and medical issues, help her with billing, help arrange meals, shopping, check up on her, etc. In exchange for that, mom pays you a lump sum of money. Here is the rationale: If you were not here to perform those services, you would have to hire someone else to do them to help mom. There is a real value to these services and that is the fair market value in the contract.

Bottom line - a PSC is a way to transfer assets from mom to someone else (to compensate them for these services) and thereby get mom under the asset limit so mom can qualify for Medicaid.

We get this all the time. Many of our clients have lived in Florida for years but their adult children live out of state. For this example, let’s say, Tina, mom lives in Florida and her son, Dan, lives in New York. Tina has lived in Florida for over 15 years. She and her husband moved to Florida after they retired. Tina’s husband passed many years ago but Tina’s friends are all in Florida. Dan notices that Tina is rapidly declining and can no longer live alone. Dan wonders if he should bring Tina up to NY or if Tina should stay down in Florida for the time being.

This is a family decision. Medicaid is a Federal and State program. This means that different states have different rules. Some assets may be exempt in Florida and not in NY. Some strategies can work in FL and not in NY. Every case is different but we routinely help families navigate the Medicaid process to help them decide what is best for them. Usually, we will consult with a qualified Elder Law attorney in the child’s state. Together, we discuss mom’s health, assets, and individual concerns so we can analyze the pros and cons of each state and the family can make the best decision.

Since this area of law is SO complex and laws are different in every state, it is imperative that your team of professionals work together to determine and achieve the best all-around care for mom.

What is Probate?

Asset Protection from Beginning to End

Proteccion del patrimonio de su familia