Showing posts with label Medicaid. Show all posts
Showing posts with label Medicaid. Show all posts

Life insurance and Medicaid Eligibility

1500 Claim Form - Life insurance and Medicaid Eligibility

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In order to qualify for Medicaid coverage of your nursing home stay, your assets cannot exceed ,000 if you are single, or 1,540 if you are married. However, not all of your assets are "countable" for these purposes. The biggest exemptions are your home, your car, and your personal property.

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1500 Claim Form

Another exemption is life insurance owned by you. The rule states that only the "cash surrender value" of a life insurance procedure is countable, but only if the total face value of all life insurance policies on your life exceeds ,500. ("Cash surrender value" is the amount the life insurance firm will send you if you canceled the policy. It's also known as the "cash value." The "face value" is what the firm would pay out to your beneficiaries if you died, assuming the procedure was still in effect.)

So if you have a ,000 procedure with cash value of 0, you can keep it and it will not count towards your ,000/1,540 limit.

What if you have a term procedure with a face value of 0,000? It's fully exempt since a term procedure by definition has no cash value. Of course, you (or other family member) have to pay the superior each year to keep it in force.

What should you do with existing policies? If you have an existing procedure and your condition is not good, you may decree to keep the procedure rather than cancel it. After all, you may be uninsurable, and if you keep the procedure in force, your family members could advantage from the proceeds upon your death.

Assuming the total face values exceed ,500 and your countable assets put you over the limit to qualify for Medicaid, it could be a good idea to have your children purchase the procedure from you and keep it in follow (by paying the each year premiums). You see, it's not who is insured or who is the beneficiary that matters---it's who is the owner of the policy. The mental for this Medicaid rule is that the owner could plainly cash in the procedure at any time, and thus it is counted the same as if you already did so. But if your child is the owner, you have no quality to cash in or cancel the policy, so it would no longer count against you.

Another choice is to assign the procedure to a child, as a gift. This will cause a penalty duration so in many cases this is not the best solution. However, as part of an unabridged plan that includes other gifting, it could make sense.

Recently, some companies have advertised particular pay, non-cancelable, no cash value "life insurance." The idea behind these policies is that if there is no cash value, the procedure cannot count against you. They are set up with minimal underwriting (i.e., virtually everyone is guaranteed to qualify to buy one), and the beneficiaries are ordinarily the children.

The question is that if you purchase an asset over which you have no control---you cannot cancel it, cannot get your money back, cannot even convert the terms or the beneficiaries---the Medicaid branch may well deem this to be a gift. If that's the case, you have not fulfilled, what you belief you had, i.e., converting cash to a non-countable form, so that you did not have to make a gift of the cash. Accordingly, I advise my clients to stay away from this type of product unless and until it has been proven to be effective as advertised.

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A Roadmap for New Physicians: Avoiding Medicare and Medicaid Fraud and Abuse

Health Insurance Claim - A Roadmap for New Physicians: Avoiding Medicare and Medicaid Fraud and Abuse

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Medicine Dish: Medicaid and Medicare Data for American Indians and Alaska Natives

Health Insurance Claim - Medicine Dish: Medicaid and Medicare Data for American Indians and Alaska Natives

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