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If Your Spouse Enters A Nursing Home  
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Federal laws and California laws all prevent impoverishment of the at-home spouse when one spouse has entered a nursing home.

The California law allows the community spouse (the at-home spouse) to retain a certain amount in non-exempt resources available to the couple at the time of application. This Community Spouse Resource Allowance (CSRA) increases every year according to the Consumer Price Index. For 2008 the at-home spouse can keep up to $104,400 and the institutionalized spouse can keep up to $2,000 in a separate account.

Example:

John and Mary have $50,000 in their joint savings account. John enters a nursing home on February 1, 2008. John can be eligible for Medi-Cal immediately.
Under the law, Mary can keep all of the $50,000 since it is below $104,400.

Separate Property
Separate property, or money from an inheritance or bequest or from a pervious marriage, will be counted in the total resources and subject to the $106,400 limit for the community spouse and institutionalized spouse, with the exception of IRAs and work-related pensions in the at-home spouse's name.

Example:

John and Mary have $50,000 in their joint savings account, and Mary inherited $150,000 from her mother years ago, which she put in a CD in her own name. John enters a nursing home on January 1, 2008.

John can be eligible for Medi-Cal in 2008 as soon as they reduce their total resources of $200,000 to $106,400, which is the CSRA for Mary, plus $2,000 which is the Medi-Cal property limit for John.

The $93,600 over the limit will have to be spent down or converted to exempt assets before John will be eligible for Medi-Cal. However, if Mary’s income is low, she might be able to keep all of the resources.

What Resources Are Counted?
Only non-exempt resources are counted in the spouses’ combined countable resources at the time of application for Medi-Cal. Assets such as household goods, personal effects, jewelry, the principal residence, one car, burial plots, burial trusts, and term life insurance are all totally excluded, regardless of their value.

Resources that you acquire after your spouse is institutionalized but before she or he goes on Medi-Cal are not protected and will be counted at the time of application for Medi-Cal. However, once your spouse is eligible for Medi-Cal, any resources acquired by you will not affect your spouse’s Medi-Cal eligibility.

For more information about services provided by the experts at Linker Financial Group, Inc. or to schedule a brief, no charge, no obligation consultation to see if Medi-Cal Long Term Care planning is right for you, please give us a call or send us an e-mail right now.


 
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Ray Linker is a registered representitive with and securities are offered through LPL Financial Member FINRA/SIPC.

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