By Harry S. Margolis
Medicaid (MassHealth in Massachusetts) is the primary source of payment for long-term care services in the United States. To qualify, however, those needing long-term care must become impoverished under MassHealth's complicated and often-changing rules. To make matters even more complicated, the rules differ depending on whether the patient seeks care at home, in an assisted living facility or in a nursing home. The following discussion of the use of immediate annuities applies only to the nursing home setting. But in that setting, immediate annuities can be of great benefit in protecting spouses of nursing home residents and to a lesser extent can help preserve assets for the children of nursing home residents who are unmarried or widowed, which will be the subject of another blog post.