Does Medicare Cover Nursing Home Care?
When you pay income tax, you earn retirement credit that will lead to future Medicare or Social Security eligibility. You can earn up to four credits per year. In 2024, you will receive one credit for every $1 730 you earn. The four credits have always been modest, so most workers receive them annually. After you have 40 credits, you will qualify for these programs when you cross the eligibility threshold.
Eligibility Age
At the present time, the age of eligibility is 65 for Medicare. You can begin to receive a reduced Social Security payment when you reach the age of 62. You can find all the details in the retirement benefits brochure on the Social Security Administration website. To get all the information, you can consult the Social Security Administration’s retirement benefits brochure. Hospitalization coverage is covered by Part A and does not have a monthly premium. This will cover the first sixty days and there is a coinsurance of $408 per day for days 61 to 90. The coinsurance goes up to $816 for hospital stays that exceed 90 days in duration.
Part B covers treatments and services that are provided by doctors and other healthcare providers. Unfortunately, only 80 percent of covered costs are paid. For most people, the monthly premium is $174.70. There may be copayments, deductibles and premiums for prescription drug coverage. The exact arrangement depends on the plan you choose.
In additional to the costs you incur for covered services, there are also long-term care costs. According to Genworth Financial, the median charge for a home health aide in 2024 will be $69,500. For a home health aide, the median charge is $69,500 in 2024 according to Genworth Financial.
The United States Department of Health and Human Services has determined that about 35 percent of the senior population will require nursing home care at some point in time.
Medicaid Planning
Medicaid is an alternative health insurance program that will cover the custodial care that nursing homes provide, and the Medicaid waiver will pay for in-home care. The $2,000 asset limit is because it is only for people who have a high level of financial need. You can transfer assets to an irrevocable Trust with the help of an attorney at our firm. This will allow you to maintain your Medicaid eligibility. Since you would surrender ownership of the principal, it will not count if you apply for Medicaid.
While you are living independently, you could receive distributions of the trust’s earnings, and this can give you the financial ability to fund the trust before you actually require long-term care.
The advance planning is important because there is a five-year look-back period. If you are going to divest yourself of assets, you have to complete the divestitures at least 60 months before you submit your application.
We Are Here to Help!
If you take the right steps in advance, you can live comfortably during your retirement years and go forward with the knowledge that your legacy will be protected. We can help you create a plan that is tailored to your needs. You can reach us by phone at (405) 843-6000 or send us a message. We also have a location in Tulsa, and the number there is 918-615-2700.
After helping his own family deal with a lengthy probate and the IRS following his father’s untimely death in a farm accident, Larry Parman made a decision to help families create effective estate plans designed to reduce taxes, minimize legal interference with the transfer of assets to one’s heirs, and protect his clients’ assets from predators and creditors Read More!
Latest postings by Larry Parman Attorney at Law
(see all)