Most people assume that enjoying the full benefits of Medicaid is as easy as signing on the dotted line – but it is not that simple. In order to get the most out of Medicaid, you need to plan out your future carefully. Because even though Medicaid is designed to help vulnerable patients, there is a right way and a wrong way to approach this source of funding. Fortunately, there are many steps you can take right now to plan for Medicaid and ensure the best results. You can start by learning more about this planning process.
Let’s review the significance of Medicaid planning and learn how it can help individuals and families prepare for the high costs of long-term care – while safeguarding their assets and financial security.
How Do I Plan for Medicaid?
One of the first steps of Medicaid planning is to figure out where you are even eligible for this source of coverage. Contrary to popular opinion, finding out whether you are eligible is not a simple process. The eligibility rules are vague and unclear. To make matters worse, these rules are constantly changing – sometimes several times in a single year. Finally, each state has its own unique rules regarding Medicaid eligibility. This makes online research very difficult since most articles contain generalized, vague information that does not apply to your specific state. Finding out whether you are eligible is easier if you work alongside someone who truly understands the Medicaid system.
Once you have figured out the eligibility factor, you can continue to plan by reviewing your financial situation. Sometimes, becoming eligible for Medicaid is easier if you rearrange your finances a little. For example, you may have the ability to transfer a certain number of funds to an irrevocable funeral trust. This might lower your “countable assets,” thereby making you eligible for Medicaid when previously you would have been denied. Again, qualified Medicaid planners (such as elder care lawyers) can help you assess these potential strategies.
You might also need to determine exactly how many spouses need medical care. Do you only need Medicaid for your own coverage, or do you need to get coverage for you and your spouse? Your planning strategy should change depending on your situation. For example, certain “spousal impoverishment” rules apply if two spouses apply – but these rules do not apply if you simply need Medicaid for yourself. Finally, you should also figure out whether you’re eligible for both Medicaid and Medicare since this is possible in many situations. There are obvious benefits of “dual eligibility,” as this gives you more coverage.
How Can I Prepare to Apply for Medicaid?
If you’re getting ready to apply for Medicaid, one of your first steps should be to gather the important documents you need. These include:
- Documents that prove your age. This could be a birth certificate or a driver’s license
- Proof of citizenship. Only US citizens and lawful permanent residents qualify for Medicaid
- Financial documents. These might include:
- Paycheck stubs
- Statements of retirement assets
- SSI income statements
- Bank statements
- Stocks/Securities statements
- Life insurance statements
- Pension checks
- Income tax returns for the past 5 years
- Deeds to any property owned
- Property tax bills
- Registration documents for any cars you own
- Prepaid funeral contracts
- IRA account statements
- Annuity statements
- Proof of residence
- Marriage certificate
- Spouse’s death certificate (if applicable)
- Veteran’s papers (if applicable)
- Power of attorney
- Financial authorization form
- Lease agreement for an apartment (if applicable)
Of these documents, your financial documents are perhaps the most critical. This is because Medicaid is geared towards people who fall under a certain level of wealth. If you cannot prove that you fall within these parameters, you will not be approved.
That being said, there are many assets that do not factor into your eligibility calculations. Because these assets do not count towards these calculations, they are called “non-countable assets.” Examples of non-countable assets include:
- Holocaust restitution payments
- Personal belongings
- Household furnishings
- One automobile
- Prepaid funeral arrangements
- The primary residence
Although these assets are non-countable, it’s still a good idea to provide the state with documentation that details them. The state needs to decide whether these assets should be considered in regard to Medicaid eligibility.
Are There Any Downsides to Medicaid?
Another important aspect of Medicaid planning is deciding whether this option is truly right for you. There may be situations in which Medicaid does not provide you with the greatest level of financial security. For example, you might be in a situation where you can continue to generate serious income despite your retirement or your disability.
In this case, you would need to forgo this income in order to continue Medicaid coverage. If you do the math, you may learn that Medicaid just is not worth it. That being said, it is important to note that you may still be allowed to carry out some work or generate a certain level of income without your Medicaid coverage being affected.
You should also know that Medicare has fewer providers in its network compared to other health insurance networks. This means that your options may be more limited if you receive Medicare – but it does not mean that you will have difficulty accessing care. In the end, only a licensed professional can help you weigh up these pros and cons.
Where Can I Find a Lawyer Who Can Help with Medicaid Planning?
Planning for Medicaid can be challenging – but you do not need to do this alone. With help from a qualified Medicaid lawyer who understands elder care law, you can approach this planning process in an efficient, confident manner. Reach out to the Elderly Care Law Firm today to get started with an effective action plan. We can also help you plan for social security, estate planning, and many other important sources of funding. We know how critical Medicaid can be for the average patient, and we know how crucial it is to maximize your benefits. Book your consultation now, and you can do just that.
