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Medicaid and Long Term Care2020-11-24T20:30:29+00:00

Spokane and Tri Cities Medicaid Lawyer and Long Term Care Planning

A Medicaid and Long Term Care Planning Attorney can help individuals and couples qualify for Medicaid or the VA Aid and Attendance Pension Benefit often with the goal of preserving assets. Nearly one in two women and one in four men find themselves in a long-term care facility at some point in their lives, which can mean not only a great loss of personal autonomy but also a tremendous financial burden. Depending on location and level of care, long-term care costs can exceed $100,000 a year. Don’t delay.

Preserve Your Estate to Keep Your Long Term Care Options Open

Long-term care is In-Home Care, Adult Family Home Assisted Living, or Skilled Nursing (the highest level of care). If you pre-plan you can be sure to keep all of your options open but if you spend down your entire estate you will be pigeon-holed into one or two facilities. Preserving some of your estate will provide you with the choice of where you reside, whether that is in your own home with in home care, or a residence facility of your choice. Preserving part of your estate will improve the quality of your life as you grow older. Remember, Medicaid does not pay for everything; you will need your own finances if you want things like a second pair of glasses or a private room.

A common thing we hear is, “My husband has been in the nursing home for two years, I have liquidated everything and now I am broke, how can you help me?” We often see a family that has spent down all of their assets on high quality of care until they are broke. The facility they are in then has the potential to kick them out and into a place of much lower quality where they are left with no choices.

Before you start to liquidate and spend down your assets we can help. Once you are broke your only choice is Medicaid. Many facilities do not accept Medicaid and many that do accept it require a private pay wait period. Funds can be depleted very quickly; a medicaid lawyer will work with you to strategize asset preservation and planning to get government benefits before you become impoverished.

Depending on your family’s priorities, how your assets are held and how much we need to strategize to preserve, we can help you to qualify for government benefits while preserving the estate for the well spouse or the person on benefits. Some of these strategies include:

  • Complex Trust Drafting
  • Gifting: We ask Medicaid to impose a penalty against us for gifting, and then use that period to our advantage to purchase exempt resources such as homes or vehicles.
  • Annuity: A Medicaid compliant annuity to create a source of income for the well spouse and preserve the estate. Medicaid annuities are very complex with many statutory rules.
  • Transferring Assets out of the ill spouse’s name.

What is Medicaid and Medicaid Planning?

The cost of long-term care has risen significantly in the past decade and will continue to rise. The average cost of an assisted living facility in Washington State is $5,000.00/month, and a nursing home runs about $10,000.00/month.

One way to pay for this cost is Medicaid. Medicaid is a social health program for low-income individuals. Since the cost of care continues to rise, many people find themselves depleting resources to pay for care. The problem is they will soon become impoverished With the right planning (including estate planning, wills and trusts, and special needs planning, etc.), our office can assist seniors in obtaining this benefit while preserving their assets.

There are two types of planning opportunities when qualifying for Medicaid: Pre-Planning and Crisis Planning.

Pre-Planning

Medicaid has a five year look back period, so it is important that you take the steps necessary to preserve your assets, even if you are perfectly healthy, as soon as possible. If you are thinking about preparing for the possibility of needing long-term care in the future, you should contact an attorney to advise you and guide you through the process. Not consulting an attorney exposes you to misinformation that could lead you to do something that could disqualify you from Medicaid altogether.

Our office can assist you in reviewing your assets and income and creating a long-term care plan that utilizes legal and ethical strategies to preserve your assets and get you qualified for Medicaid.

Crisis Planning

If you find yourself or your aging parent in need of long-term care immediately, than your case would be considered a ‘crisis case’. This means there are certain strategies that cannot be used because the benefit will be needed sooner than the five-year lookback period. It is important to consult an attorney immediately because there are still many strategies that can be implemented to qualify you for Medicaid without going broke. Even if you don’t have the five years to pre-plan, we can still help preserve some of your assets and qualify you for Medicaid.

Our office can evaluate your situation and make the correct recommendations to get you qualified sooner rather than later and guide you step by step through the whole process.

Why Do I Need an Attorney for Long Term Care Planning?

Long term care planning is an extremely complex process that can be overwhelming. You want a team backing you up and helping with all of the strategies and planning. Our long term care planning attorneys will ensure that the correct planning is put in place so that you are qualified as soon as possible for the benefit programs. Typically time is of the essence and if you have an attorney you can expedite the process. Every month that there is a delay in qualifying for Medicaid or Aid and Attendance is potentially a lot of money out of your pocket. Medicaid rules can change every three months and the VA has made the Aid and Attendance process so complex that many applications are denied, and often denied without cause.

  • Plan for your parent’s future.
  • Get qualified for Medicaid.
  • Learn how to pay for long term care without going broke.
  • Find a facility that is safe and comfortable.
  • Find a facility that you want to be in, not one that you are forced into because of lack of choice.
  • Your loved one needs to be moved into a facility and you are afraid they are going to lose everything.

If you have an attorney who is familiar and skilled in Medicaid and VA Benefits you can avoid unnecessary delays and potentially save many thousands of dollars.

Why Should You Hire a Medicaid Lawyer at Evergreen Elder Law?

In a culture that often brushes seniors aside, we have a team of attorneys, paralegals, and administrative assistants to help. Our team is devoted entirely to the complexities of long-term care planning and keeping up with the frequent changes in rules.

Our office takes a holistic and hands-on approach to planning. We help seniors and their families with all of their needs. We are not just doing a will or an estate plan, we are looking at all of the issues seniors face. What sets us apart is that we take a team approach. Everyone in our office is passionate about helping seniors and we have a unique perspective and appreciation for the difficulties of the process of getting old and dying.

Past Long Term Planning Client Case Studies

A mother and daughter came to our office. Mother was a senior with need for assistance with activities of daily living. The daughter was providing extensive home care for the mother so that she could reside in her home as long as possible. When they came to our office the daughter said to us, “I can’t afford it anymore, I can’t take care of my mom.” ” I need to go get a job.”

The mother was the surviving spouse of a veteran. We were able to get this family the resources they deserved. We put together a ‘personal care contract’ and applied for the Veterans benefit. The ‘personal care contract’ was for the daughter to officially provide in-home care for the mother. We applied for the VA benefit for the mother and we were able to get cash for her as a surviving spouse of a veteran. She now receives the benefit every month tax free and is able to use it to pay her daughter for providing care. This was a huge success for the family and accomplished all of their goals. It was their shared goal to keep the mother in the home for as long as possible. Now the daughter is able to afford to continue providing in-home care and the mother is able to stay at home.

Another recent client qualified for the Aid and Attendance Benefit of approx. $2200 per month. Because they did not have an accredited attorney, they had been denied four times over the past four years. As a result, they had missed out on four years of benefits (approx. $105,600). They were getting information from a non-VA accredited attorney who was not trained or updated on the VA rules. As a result, they were inappropriately denied.

We were able to get them approved in less than three weeks.

They had submitted applications that they thought would be approved but were denied because they did not have the necessary knowledge and were not getting correct information from an accredited attorney. If they had sought an attorney early they would not have missed out on these benefits for the past four years.

Unfortunately, they lost out on over $100.000 but they were so happy that we were able to help.

Frequently Asked Questions Medicaid and Long Term Planning in Spokane and Tri Cities

How Much is Long-Term Care in Spokane, WA?

Some facilities charge upwards of $15,000 a month for care. Long-term care costs can deplete your entire estate. Evergreen Elder Law can help you obtain the assistance needed to pay for these expenses.

What Are Some Ways I Can Get Help Paying for Long-term Care?

Preparing as early as possible is the best option when trying to protect assets. Evergreen Elder Law can help by offering pre-planning services to prepare you for the long-term care you may need. You want the best care and shouldn’t settle for less because of the cost. We have experience helping seniors qualified for Medicaid and VA benefits while preserving your assets.

How Do We Qualify for Medicaid to Help Pay for Long-Term Care?

The healthcare program known as Medicaid was put in place to help low-income families and individuals obtain the medical help they need to pay for long term care. You shouldn’t have to deplete your resources to obtain help. Evergreen Elder Law can help you access care without losing all your assets. We utilize strategies to protect your estate while getting you or a loved one qualified for Medicaid.

Why Do I Need an Attorney for Long-Term Care Planning?

Planning for long-term care can be tremendously complicated. Having Evergreen Elder Law in your corner will help you understand the process and ensure you and your assets are protected. We can help you qualify for Medicaid without going broke.

What Makes Evergreen Elder Law Different Than Other Attorneys?

Long-term care planning is complex, and the laws are often changing. The attorneys, paralegals, and administrative assistants at Evergreen Elder Law dedicate themselves to staying up-to-date on the changes.

Get the Medicaid Benefits You Deserve Today

There are four ways to pay for long-term care:

We specialize in the two government programs that are available to help pay for long term care, Medicaid and the Aid and Attendance Pension Benefit. For both, there is an asset or resource requirement, an income requirement, and a medical need requirement. You have to meet all three, and that is where we come in.

For someone that is over resourced or over income, know what your options are before you start to liquidate assets. Know that you have choices, you can strategize, but the planning is very complex. There are complex rules even with gifting that you need to know about. The laws are changing all the time, in fact the laws can change every quarter.

Contact a Medicaid & Long Term Planning Attorney Today

Contact our experienced and knowledgeable staff to learn about your options. We can guide you each step of the way. Set up a free consultation so we can apply our expertise and get a comprehensive plan in place.

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Medicaid lawyer and longterm planning attorney Spokane & Tri Cities

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Medicaid and Long Term Care Planning

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I did some research and exploration and came upon the offices of Evergreen Elder Law. From the moment I spoke with the receptionist I felt respected, valued and regarded as an important client. I made an appointment for March 20, 2018. When I presented to their offices I spoke with someone who was sympathetic for my loss, confident that their offices could help and exuded competence. I was heartened to note that they were recognized as “Client Choice “Estate Law Office” for 2016.” And my experience with their offices made me a believer.

Anthony

When my mother retired it became apparent we as a family needed help, Holland Mcburns was recommended by an acquaintance of the family. She was professional and very thorough and informative. I felt she was very up to date on the current opportunities that would best benefit my elderly mother, and make her retirement years worry free. After working with Mrs Mcburns, it was apparent that many people would benefit from her knowledge and dedication. I highly recommend her, and look forward to working with her on my estate planning.

Anonymous

Holland is very attentive and detail oriented. I felt well cared for, she returned calls promptly, and was always very sensitive to my needs. Holland gave me very good advice. She is very ethical and has legal services personalized to your needs.

Anonymous

Holland is a great listener and lawyer. When we came to her with our needs, she thoughtfully listened, was helpful with all our questions, and then explained our options. Her sense of humor helped us through some long waits with the system. In the end, we ended up with a surprisingly favorable settlement and a good friend in the courts.

Nadine and Mark Huck

Holland is truly one of the most sincere and professional attorneys I have come to know and over many years in the legal field. Her work is innovative in the complex area of estate planning and she strives to know the latest legal strategies to protect and represent her clients. Holland is dedicated to satisfying her clients’ needs and does it in a kind manner. She is a wonderful communicator both with her clients and with her colleagues. I highly recommend her to anyone in need of legal services.

Leesa Van Zandt

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The Evergreen Elder Law Team

Evergreen Elder Law is committed to helping you create comprehensive legal, financial, and physical security for you and your loved ones. Serving the Spokane and Tri Cities regions, we have the knowledge, compassion and professionalism to guide you in planning for the future, giving you peace of mind as you or a loved one makes important decisions for your family and future.

Let us provide you with a free 60-minute consultation. We are available throughout the week by phone and e-mail. Contact us now to set up the initial consultation, and we will make meeting with us easy – even if you need a personal consultation at your home, nursing home, or your financial advisor’s office. We welcome the opportunity to meet with you to come up with the best plan to meet your needs. We are available in-person or via tele-conference.

HOLLAND MCBURNS

Managing Partner

TRAVIS M. PIERCE

Associate Attorney

Tisha Clegg Legal Assistant

TISHA CLEGG

Legal Assistant

ROSE DELOSE REYES

Office Assistant

EVA MURPHY

Administrative Assistant

CHRISTINE DAQUILA

Firm Administrator

ANGELIQUE FREGOSO

Director of Client Relations

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