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Understanding Social Security Survivor Benefits

in Articles, Newsletters by Greg McIntyre Leave a comment

 
An earlier issue of The ElderCounselor addressed social security benefits generally and when to apply. In this issue, we will address the critical yet often-misunderstood topic of Social Security survivor benefits. This e-newsletter is based in part upon an article by Frank Rainaldi and William Rainaldi, first published in Trusts & Estates magazine and available on WealthManagement.com.

 Survivors Benefits

According to the Social Security Administration, a surviving spouse may be eligible to receive the deceased spouse’s full retirement benefits at full retirement age (“FRA”).  For survivor benefits only, FRA is 66 for anyone born before 1957, and it increases two months every year until it reaches 67 for those persons born in 1962 or later. (For a regular retirement or spousal benefit, FRA is 66 for anyone born before 1955 and it increases two months every year until it reaches 67 in 1960.)  (E.g., see http://www.ssa.gov/pubs/EN-05-10084.pdf.)

Simply stated, survivors benefits are determined by looking first at the age of the deceased spouse, and then at the age of the surviving spouse.  In other words, we look at the amount of the benefit available to or being paid to the deceased spouse.  Then, we use the age of the surviving spouse to determine if benefits are paid early or at FRA; if the surviving spouse’s benefits are paid before 65, we must apply an actuarial reduction to the deceased spouse’s benefits.

It is important to note a key difference between survivor benefits and spousal benefits.  Spousal retirement benefits provide a maximum 50% of the other spouse’s primary insurance amount (PIA). Alternatively, survivors’ benefits are a maximum 100% of the deceased spouse’s retirement benefit.

Also, note the difference between the PIA and retirement benefit, which is critical when considering deferred retirement credits (DRCs).  DRCs can increase benefits by 8% per year when the worker elects to start collecting after FRA, up to a maximum increase of 32% for deferral to age 70. Note, however, that DRCs apply only for survivor benefits; DRCs do not increase the PIA and thus they aren’t applicable to spousal benefits. Therefore, if one spouse has the higher personal benefit and waits until age 70 to begin collecting, the full benefit with DRCs would be payable to the surviving spouse.

 The Most Common Scenario – Both Spouses Reach FRA

The most common scenario is when death occurs after both spouses have reached their respective FRA.  In this case, the survivor benefit is simply the higher of the two benefits.  If one spouse is collecting $2,500 and the other is collecting $2,000, the surviving spouse’s benefit would be $2,500.  It actually does not matter which spouse dies, the survivor benefit is still $2,500.

For example, assume Mr. A has a personal benefit of $2,000, the amount he would receive at age 66.  If he elects to defer until age 69 he would get a 24% increase in his personal benefit to $2,480.

Now let’s say Mrs. A. never worked outside the home.  When Mr. A. is age 66, the spousal benefit would be 50 percent, or $1,000. Note, however, that the spousal benefit would still be $1,000 (not $1,240) when he is age 70 because the 24% increase does not apply to spousal benefits.  But DRCs do apply to survivor benefits.  So, when Mr. A. dies, Mrs. A. would get the full $2,480 as a survivor benefit.

What if the first spouse dies prior to age 62?  The benefit will be the deceased worker’s recalculated PIA, which is based on a different set of assumptions.  It uses the worker’s earnings for a “substitute year” and a different set of required Social Security credits for the applicable age.  This special PIA calculation can only help; it can’t hurt.  It only applies if it provides a higher PIA then the regular PIA calculation.

What if death occurs after age 62 but prior to FRA after taking early retirement benefits?  The benefit will be the deceased worker’s reduced retirement benefit.  This is one good reason not to retire early.  Note that there is a minimum benefit of 82.5% of the deceased worker’s PIA, not including any actuarial reduction in benefits.

 Surviving Spouse Collects Early

If the surviving spouse elects to collect before her own FRA, as with other Social Security retirement benefits there is an actuarial reduction.  For a personal, spousal or divorced spouse’s benefit, one can start as early as age 62.  However, a surviving spouse can start collecting as early as age 60.  If the survivor benefit is at FRA or later, there is no actuarial reduction.

It’s important to note that the surviving spouse has additional options.  Suppose the surviving spouse is age 60 and not collecting any benefits. When the other spouse dies, she has the option of receiving her actuarially reduced personal benefit, then later switching to a full-unreduced survivor benefit at FRA.  This could limit the downside of collecting early.

To determine the monthly reduction amount, simply take 28.5% divided by the number of months between age 60 and the survivor FRA determined above.   The “Widow Limit” caps the survivor’s benefit at the larger of the benefit the deceased would have received if he or she were still alive, or 82.5% of the deceased PIA. This Widow Limit only comes into play if the deceased claimed benefits prior to his or her FRA. The following, from SocialSecurityTiming.com, graphically explains these options.

Examples

Suppose the surviving spouse started collecting a reduced personal benefit at 62, and her spouse dies when she is 64.  At that point, she has the option of continuing to collect her personal benefit for two more years and then switching to a full, unreduced survivor benefit at age 66.

Of course, the survivor cannot collect both benefits at the same time; the survivor must choose one or the other.  Only one switch is allowed.  If the surviving spouse is already collecting a personal benefit, she could not go from a personal benefit to a survivor benefit and then back to the personal benefit.

Understanding survivor benefits is especially important when there is a significant age difference between the two spouses.  When one spouse may outlive the other by a considerable margin, survivor benefits are a much more important than “file and suspend” or “spousal only.”  In that case, it is often a good idea to make sure that the spouse with the higher personal benefit defer until age 70, if possible.

Divorce

A former spouse who is age 60 or older (50-59 if disabled) can get benefits if the marriage lasted at least 10 years.  However, there is no age or length of marriage requirement if the former spouse is caring for her or his natural or adopted child who is younger than 16 or who is disabled and entitled to benefits based upon your work.  Benefits paid to a former spouse who meets age or disability requirement does not affect the benefits for other survivors based upon the worker’s record. However, the benefits paid to a former spouse who is caring for a minor or disabled child do affect other survivor benefits.

Remarriage

Generally, the survivor cannot get survivor’s benefits if he or she remarries before age 60. But remarriage after age 60 (or age 50 with a disability) will not prevent the survivor from getting benefit payments based on the former spouse’s benefits. And at age 62 or older, the survivor may get benefits based on the new spouse’s work, if those benefits would be higher.

Conclusion

Social Security survivor benefits offer a surviving spouse the opportunity to significantly increase her or his benefits based upon the benefits payable to the deceased spouse. Therefore, it’s important that seniors and their loved ones understand how to maximize those benefits. Accessing survivor benefits and understanding what is available is an important piece in helping seniors with their overall planning goals.  Please contact our office if you have any questions or if we can be of assistance to someone you know.

 

 

Five Things that Elder Law Attorneys are Thankful For

in Articles by Greg McIntyre Leave a comment

ThankfulThis is the time of year we like to pause and reflect on that for which we are thankful.  In our personal lives, we often share these thoughts around the table at Thanksgiving.  In our professional life, the words “thank you” are not said often enough.  We would like to dedicate this issue of The ElderCounselor to say “thank you” for the people and things that make our lives more fulfilling. Here are five things we Elder Law attorneys are thankful for.

The Ability to Help Clients Plan Before a Crisis Happens

            Elder Law attorneys care greatly for their senior clients and like to see things go smoothly for them, especially as difficult issues arise, such as finding and paying for long-term care.  Clients who understand the need to plan early are more likely to find a smooth path into these transitions.

            While typical estate planning includes planning for incapacity during one’s lifetime as well as distribution of one’s assets upon their passing, Elder Law attorneys have an added focus of planning with long-term care in mind.  Often a traditional estate plan will have the same documents that an Elder Law attorney puts in place, like a Revocable Living Trust; a Pour-Over Will; a Durable Power of Attorney; a Health Care Power of Attorney; and a HIPAA Authorization.  However, the provisions within the documents vary significantly depending on the focus of the attorney drafting them.  Because one focus of the Elder Law attorney is to help  clients plan for the possibility of needing long-term care while protecting the home and other assets, our planning documents often include an irrevocable trust designed specifically for this purpose.  Other documents, like the Durable Power of Attorney, will include enhanced powers that allow the agent to engage in Medicaid and/or Veterans Administration (“VA”) pension planning. 

            Adding enhanced provisions to existing planning documents enables those trusted persons to pursue additional planning strategies if and when the time comes for the senior to utilize long-term care.  When the time comes for Medicaid planning or VA pension planning, it is imperative for the trustee and/or the agent to have the authority to take specific actions on behalf of the elderly person, like the authority to establish and fund an irrevocable trust, file a Medicaid application or prepare a VA pension application.  The grant of authority must be clearly stated within the documents yet these powers are not normally found in general estate-planning documents. 

            Having clients in our office long before they are in need of long-term care allows Elder Law attorneys to successfully and efficiently assist clients when they need it.  We are all thankful when we have such a client.

Other Professionals

            An Elder Law attorney’s office is much more than a place where legal analysis is conducted or where legal documents are prepared.  It is also a place where seniors are heard, encouraged to express all of the issues they are facing, and where connections are made.

            We are thankful to have ongoing relationships with other professionals that are compassionate about the elderly.  Our clients are much better off because of these other professionals.  For example, many times a Placement Specialist is needed to help a client find the best facility to meet their long-term care needs.  Sometimes a family needs a Care Manager for a variety of reasons including to act as an advocate or to oversee care provided to a loved one.  Professional Fiduciaries can be an amazing resource for families as they can alleviate stress from family members allowing family to just “be there” for the senior.  CPAs, Financial Advisors, other Estate Planning attorneys, Real Estate agents, Insurance agents and a plethora of other senior-centric professionals are invaluable to the Elder Law attorney devoted to their clients.

            These relationships are not only personally fulfilling, but also allow us to comprehensively serve our clients. 

Non-Profit Organizations

            There are many non-profit organizations that are dedicated to making life better for the elderly and who support Elder Law attorneys and for that we are thankful. These organizations keep us up to date on the issues facing the elderly, give us a heads up on changes in the laws across the country and continue to provide new ideas on how to best serve our clientele.  The National Association of Elder Law Attorneys, the Alzheimer’s Association and the National Council on Aging are a few of the organizations that Elder Law attorneys can connect with to better serve our clients.   We are all in this together and working toward a common goal to serve seniors and their loved ones the best way possible.

Trustworthy and Committed Family Members

Although we occasionally serve an elderly client who has no family members or close friends, we are thankful when trustworthy and committed family members are available to the client.

            Many of the strategies we have available to us only work when a client has trusted people to assist in the strategy.  Many thanks go to adult children who are committed to their parents.  Spouses who are still devoted to your ill spouse after “how-many-ever” years of marriage are also greatly appreciated by Elder Law attorneys!  Without you our work would be much more difficult.  Without you, the strategies we employ would fail to work the way they are meant to work.  You are vital to the health and welfare of your elderly loved one.

            It is often the family member who finds the Elder Law Attorney for the elderly client.  As technology changes, the older client sometimes has a difficult time finding the necessary resources.  We are very grateful to those family members who seek out an Elder Law attorney and bring us together.

Our Own Support System

            Advocating for a senior can be stressful for a variety of reasons.  While it is one of the most fulfilling jobs we can think of, it brings with it concerns for our clients that can creep up at all hours of the night.  As with any professional whose heart is a big part of their service, our support systems are essential to our well-being.

            Our support systems include our family members, professional colleagues, neighbors and our friends.  Without our supporters, we would be unable to continue doing what we love. 

Happy Thanksgiving to all of you!  Enjoy your family and friends this holiday season.  If you have any clients or know of anyone who would benefit from the assistance of an Elder Law Attorney, please do not hesitate to contact us.  We are always happy to hear from you and your clients.  Happy holidays!

 

 

Choose Wisely Grasshopper! Choosing an Attorney – Why Education is Important…

in Articles by Greg McIntyre Leave a comment

The topic of this blog post is choosing wisely, grasshopper. We’re going to talk about how the education of your attorney is so important.

Why is it important? I was recently at a elder law immersion bootcamp in Tampa, Florida, learning advanced planning and strategy with attorneys from across the country. Simply getting the education down there is a great value in itself.

But if I’m just showing up, just taking in the information that’s put out, that’s one thing. That’s really a minor part of what we were doing.

We’re staying up on changes on federal and state laws. This complicated area of law changes all the time. For example, federal regulations and state medicaid laws are constantly updated. As well as tax laws, trust rules, and other things of that nature.

So keeping up to date on those changes, learning cutting edge tools and strategies, the new developments, and new types of trusts, revocable and irrevocable.

Then communicating with other leading attorneys from across the nation who really know their stuff. Getting out of my box in Shelby and the Charlotte area of North Carolina and seeing what other people from around the country are doing. It’s so important to educate yourself in any profession, but it’s definitely something to look at if you’re searching for an attorney.

You want somebody who’s getting out of their comfort zone, who’s not just confining themselves – not dabbling.

Do not dabble in any area of law, especially not elder law. I think any good attorney will tell you this.

In any area you’re thinking about hiring an attorney, one of the greatest benefits is doing what I’m doing right now: talking to other attorneys. And conferring with them outside of the classroom setting, kind of a mastermind group.

Discussing different ideas, kicking things around – how to solve problems for a specific client or different scenarios that we can go through to be a better lawyer or run a better practice.

These things are extremely beneficial, as well as keeping those relationships up. So I can go to that well again and have a bevy of excellent leaders in their field around the country who can solve any problem that comes my way, crush any problem that comes our way.

Whether I know it or have seen it before or not, I’m going to have a deep bench. Some of you have heard me say that before, a really deep bench that I can go to, the groups that I’m involved in. And that’s the benefit of these types of conferences and being involved in national groups in a specific area of law.

 

Choose Wisely Grasshopper! Choosing an Attorney – Why Education is Important…

in Elder Law TV by Greg McIntyre 1 Comment

Coming to you from Tampa, Florida at a National Elder Law Boot Camp Seminar with Attorney Mario Correa from Chicago, Illinois. Mario and I discuss why it is extremely important for you to choose the correct attorney for your planning needs. Education and resources can make a huge difference. Don’t dabble… Be “All In!”

Long-Term Care Financial Planning

in Elder Law TV by Greg McIntyre 1 Comment

Kevin Nervegna with GCG financial educates us on advanced financial strategies to plan to protect your hard-earned money and property from a long-term care situation.

Elder Law Basics – Protecting Your Hard Earned Money & Property

in Seminars by Greg McIntyre Leave a comment

Do you know someone who has lost their home and property due to an unforeseen long-term healthcare need? Learn how to protect yourself. Learn how to protect your hard earned money and property. Elder Law Attorney, Greg McIntyre will give a short presentation on how to do just that. Come join us for a night of fun and education.

This event will take place on Tuesday, October 7, from 6:00 – 7:00 p.m. at The Owl’s Eye Vineyard & Winery. Dinner will be served, and you are welcome to bring a spouse or friend.

Please RSVP by calling McIntyre Elder Law at 704-259-7040 or by emailing greg@themcintyrelawfirm.com by Friday, October 3.

Sponsored by: McIntyre Elder Law, GCG Wealth Management, Crystal Springs Retirement Estates and Yadkin Bank.

Elder Law Basics

Elder Law Basics

Home Health Care: What Services are Provided?

in Articles by Greg McIntyre Leave a comment

Is it the same as if you’re in a nursing home and being cared for by a nursing home attendant? Is it more? What about running errands or if I need to go get groceries or cat food?

Types of Care

There are a number of people that may have arthritis. Arthritis is worse in the morning. Once they get their muscles warmed up and get moving, then they’re solid for the rest of the day – but they need that help.

They could be in an institutional setting, or they could stay at home with just this one thing to help them going. Others need help getting ready for bed at night. But during the daytime, they can do their own tasks.

Still others have a home health aid there 24 hours a day, preparing meals, running the errands, and taking them to the beauty shop. There are live-in programs as well. Someone is there to just live with the client and might be there 7 days a week.

These people need someone there overnight. If they wake up and need to go to the bathroom in the middle of the night, there’s someone to assist them.

Or just that companionship. They want a companion that can sit down with them, read the paper, discuss the news of the day. Watch Jeopardy and Wheel of Fortune together, talk about it and interact.

There’s skilled nursing, taking care of people who might be on a ventilator.  These ventilators are only the size of a laptop, but the person can’t breathe without it. Taking care of it, suctioning the trachea – that’s when you really need somebody.

Home Care Technology

Taking care of someone with a ventilator at home was unheard of years ago. There are so many options in home care with the technology today. Personal emergency response systems or a “Help, I’ve fallen and can’t get up” button – it used to be that if you fall down, you press the button. What if I fall down unconscious?

They’ve reverse engineered that now to detect if a person fell. If I don’t push the button, it’s going to respond.

There are medication-dispensing units. I put a medication cup in this box, and at 8 o’clock in the morning, the medicine cup will come down and say, “It’s time to take your 8 o’clock medications.” After 3 times, if I don’t do it, it rings into an operator.

The operator then calls my house and says, “Hey you forgot to take your medicine.” If I don’t answer, then they call my loved one to come and check on me.

The technology in home care is absolutely phenomenal. Military is probably the leader in telehealth. There are programs right now where the University of Washington does cataract surgery on patients in Alaska from Washington via robotic surgery with lasers.

There was a physician in Paris who actually did an appendectomy on a patient in New York. A doctor was standing by as they were demonstrating it. But as we develop that technology more and more, the ability to take care of people in the home is just going to explode.

Everyone wants to stay at home. With these kinds of advances, more and more are going to be able to do that.

That’s the wave of the future – getting away from a centralized hospitals and nursing homes, at least in the cases where it makes sense. There’s obviously still going to be a need for those places, but home care is on the low end of the affordability scale and people want to stay at home.

From a Medicare/Medicaid perspective, there are less resources coming out of the system as well. This is just a burgeoning, exploding industry with a lot of potential in the future.

Advantages of Home Care

Probably the number one reason is “my home is my castle”. It’s where people feel comfortable. If I want to walk around in my underwear, I can walk around in my underwear. 

People recuperate better at home. Less infections. Just having that continuity, someone who’s familiar with your health problems, mannerisms, and habits. They can pick up on subtle changes quickly, refer them out to the doctor, get them taken care of – whatever they need to have done.

Who Pays For Home Health Care?

in Articles by Greg McIntyre Leave a comment

Let’s discuss who pays for home health care. Other than having money buried in the backyard or digging into your retirement fund, what are the different options? How can you pay for it?

Private Funds

One of the first choices is private funds. The individual has the money to pay for it, and so they pay for it. That’s obviously going to drain your resources, but that is one way that home care gets paid for.

Veterans’ Benefits

Another way is through the VA administration if the person is a veteran. It’s called a Home Attendant Program. Those benefits are available in an assisted living facility and/or home care. The way to get the ball rolling with that is you get your veteran to the local VA and talk to your primary care physician there.

Typically, that gives relief for 6 to 9 hours a week; 2 to 3 days a week of 3 hours of service. For those individuals, it may be just what they need to keep them at home. Unfortunately, the hours aren’t any longer than that.

The VA program is a great benefit for the veterans who qualify. One of the qualifying factors is you have to have served one day in a wartime period. But you didn’t have to be there.

So Korean War, Vietnam War, and Gulf War – if you served one day of service during a wartime period, you qualify with this program.

Long Term Care Insurance

Another avenue is through long term care insurance policies. Those policies range all over the board. Some of the policies are great. Some are not so good, but there is more standardization with the policies now than there were when they first came out a number of years ago.

With the long term care insurance policy, you’re going to need a physician’s order and at least two activities of daily living that are being performed each day to qualify. Another thing that’s important with the long term care insurance policy is the elimination period. That’s like your deductible.

It’s usually the number of days. You’re going to have a 30-day or 100-day elimination period. But they don’t talk about how much money you have to spend per day.

That means you can strategically get what you need in a shorter period of time, and then when your elimination period is exhausted, you can bump up to the number of hours you qualify for under the long-term care insurance policy. Again, preserving assets – it’s a great way to do that.

If you’re looking at a long-term care insurance policy, you want to look at an inflation rider. If you don’t have that and you have your policy for 30 years, you’re going to get $50 a day. In 30 years, $50 a day is not a whole lot.

So, look for an inflation rider; what are the daily limits.

Private Insurance

We’ve talked in another blog about Medicare and Medicaid. The other one is private insurance. Private insurance, depending on the policy, does not cover custodial care most of the time, which a lot of home care falls under. Private insurance policies typically don’t pay for the assistive care or personal care type services.

There may be a skilled nursing benefit, but if it says, “we don’t cover custodial care,” that’s probably going to be the personal care services that someone will receive at home.

Know Your Options

So those are some of the major players that help pay for the services. Just recapping – private funds, long term care insurance policies, private insurance policies, Medicare, and Medicaid.

One reason I do these podcasts, blogs, and seminars is to try to educate people. There are other options where you don’t have to leave the home, and you can protect as many assets as possible.

I call this a really cutting-edge area of law. Things are constantly changing. New tools are being developed everyday to help people.

Medicare vs. Medicaid: Understanding the Benefits and Differences

in Articles by Greg McIntyre Leave a comment

How are you going to pay for home health care when you or your spouse find yourselves in a situation where one of you might be draining all the assets because of a catastrophic health care incident? Or where someone’s in a situation where they don’t want to come out of their home?

Benefits of Home Care

Being cared for in the home is certainly less dramatic. It also allows you to keep your dignity, staying in the home you’ve worked hard for your entire life. That’s what we’re about: trying to help people preserve their hard earned money and property – and keep their dignity in the process.

There are direct health benefits of staying at home. Less confusion, because it’s in an environment that you’re familiar with. Less infections, because there’s only one or two people in the home. Statistics demonstrate that people recuperate at home better than they do in an institutional setting.

Even just the peace of mind. All of us, if we have a choice, would rather be at home. Most of the time you don’t find people saying, “Please take me out of my home and put me in an institution somewhere.”

There are financial benefits as well. But health care in general costs money. Unless you have really planned for this with long term care insurance – which is not the norm – then you can quickly exhaust your other liquid assets paying for health care, especially as you age.

That’s where Medicare and Medicaid come in, whether separately or working in combination.

The Difference Between Medicare and Medicaid

How do those differ?

They are totally separate programs, Medicare and Medicaid: when they apply, how long Medicare lasts, and when it runs out and Medicaid can come in and take over.

Medicare is basically a health benefit for people who are typically over 65 years of age. If you’re younger than 65 and you have a disability that lasts longer than 2 years, you can qualify for Medicare prior to age 65. Also, with end-stage renal disease, you can get Medicare benefits very quickly and very early on.

Medicaid is really a program designed for the indigent, for those who don’t have the financial means to care for themselves. Carved out of that is a health care program, and typically they fall under Medicaid waivers.

How Medicaid Can Help You

In North Carolina, we have two Medicaid waiver programs for personal care services. That’s going to be assistance in your activities for daily living – bathing, dressing, ambulating, eating, mobility, transferring, and things of that nature.

One is called Personal Care Services or PCS, which you need a doctor’s order for. Typically, in that service, you can get up to 80 hours of services per month, which works out to be about 18 hours a week. Just this year, North Carolina legislator passed a law that allows an additional 40 hours for those with dementia, for a total of 120.

The second program is the CAPDA program. With your activities in daily living, you’re typically going to get  upwards of about 36 hours a week, which is more than PCS.

With both of those programs, you’ll have to qualify for Medicaid, whether you’ve already gone through the process or still need to apply. The PCS program can take a couple of months to get on. A couple of years ago, each county was capped out of the number of slots that they had for the CAPDA program.

Then, we have one other Medicaid waiver program, which is private duty nursing and is for RNs and LPNs to take care of people in the home who have catastrophic needs. They need either a tracheostomy and/or a ventilator – pretty high-tech nursing needs.

How Medicare Can Help You

The Medicare side of it is really a totally different program. If you’ve had a qualifying hospital stay, you’ve got to be getting better. But the real advantage to a Medicare program – when you have home health – is that you’re going to get up to a 60 day spell of illness.

It’s called an “intermittent spell of illness”, and that’s going to be paid 100% under your Part A Medicare. You might get nursing services, a physical therapist or occupational therapist, speech language pathologist, or a home health aid that comes and assists with bathing. And that’s going to last for 60 days.

Now, there are times when they can be recertified for an additional 60 days, but it usually caps out at that 60-day period.

When You Need Both

There are programs where Medicare and Medicaid can overlap at the same time. Then there are people that have finished their Medicare service and still need additional services after that. That could be through Medicaid, private pay, or long term care insurance.

And obviously there aren’t the stringent qualification requirements for Medicare like there are for Medicaid. One of the beauties of the Medicare benefit for home health is that it’s paid at 100%. For those individuals who qualify for that, it’s a great program for them.

The Importance of Planning Ahead

One of the most heartbreaking calls that I get is from the people that fall in that gap. They’re over-resourced for Medicaid, and they’re under-resourced to pay for it privately. Perhaps their income level doesn’t allow them to roll over and let Medicaid pay for it. It’s a hard place.

That’s why it’s important to plan ahead and make sure you’re prepared, whether it’s an emergency situation or simply old age.

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