Planning for Life

Using Annuities in MassHealth Planning for Nursing Home Residents

Posted by Harry S. Margolis on October 4, 2016

By Harry S. Margolis

Immediate annuities have long been used in long-term care planning as a means of transforming assets that are countable against the limits for MassHealth eligibility into an income stream that does not affect eligibility. This primarily benefits spouses of nursing home residents, but can be used for single nursing home residents as a form of “arbitrage,” in effect to pay the MassHealth rather than the private-pay rates charged by nursing homes. 

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Topics: long-term care planning, MassHealth, MassHealth planning

Are You Saving to Leave an Inheritance? Why?

Posted by Harry S. Margolis on August 29, 2016

By Harry S. Margolis

Do you hope to leave your children an inheritance? If so, what sacrifices are you willing to make to assure that you do so. Are you working longer or scrimping on spending for yourself? If so, why? Haven't you raised your children and perhaps paid expensive college tuitions? Shouldn't they be able to stand on their own two feet?

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Topics: Retirement Planning, MassHealth planning, long-term care planning

Favorable Decision from Appeals Court on Irrevocable Trusts

Posted by Elizabeth Stepakoff on April 19, 2016

By Sarah Foster

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Topics: trusts, MassHealth planning, MassHealth

Another Trust Bites the Dust, or Why You Should Review Your Plan Periodically

Posted by Harry S. Margolis on April 5, 2016

By Harry S. Margolis

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Topics: trusts, MassHealth planning, long-term care planning, MassHealth

Governor Baker Seeks to Expand Estate Recovery

Posted by Harry S. Margolis on February 23, 2016

By Harry S. Margolis

Governor Charles Baker's FY 2017 budget includes a proposal to expand MassHealth estate recovery to include non-probate property. Currently, MassHealth recoups its expenditures from the probate estates of individuals who received coverage of nursing home care or any other MassHealth benefits after age 55.

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Topics: MassHealth planning, MassHealth, Probate Estate Administration

The Top 10 Blog Posts of 2015

Posted by Harry S. Margolis on February 16, 2016

By Harry S. Margolis

While two of our blog posts on life estates and durable powers of attorney (see the links on the right) get far more traffic than all others (they must have gotten greenlighted by Google in some fashion), following are the most popular articles we posted in 2015.

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Topics: MassHealth planning, long-term care planning, MassHealth, Estate Planning

8 More Ways to Protect Your Home from MassHealth Estate Recovery: Part 2

Posted by Harry S. Margolis on February 9, 2016

By Harry S. Margolis

In an earlier blog post, I discussed planning steps you can take to protect your home if sometime in the future you were to need MassHealth covered long-term care. The four steps I described all need to be taken at least five years before you apply for MassHealth. But what do you do if you can't wait five years, if you or a loved one already needs assistance or the writing is on the wall?

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Topics: MassHealth planning, long-term care planning, MassHealth

4 Ways to Protect Your House from MassHealth Estate Recovery: Part 1

Posted by Harry S. Margolis on December 15, 2015

By Harry S. Margolis

In most instances, you can own a home and still get MassHealth coverage of your health or long-term care. While MassHealth has strict income and asset limits on eligibility, in most cases it doesn't count the home against those limits. On the other hand, as I often say, while they don't get you coming, they will get you going. If you sell the house either during your life or upon your death, MassHealth will seek to recover its costs of paying for your care.

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Topics: MassHealth planning, long-term care planning, long-term care insurance

10 Questions to Ask an Elder Law Attorney

Posted by Harry S. Margolis on August 11, 2015

By Harry S. Margolis

You need to consult with an elder law attorney for either advance long-term care planning for yourself or advance long-term care planning for a loved one. You have a few names of possible attorneys that you got from friends, relatives, other advisors and the Internet. How do you determine which one to hire?

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Topics: MassHealth planning, long-term care planning, Legal profession

Using Immediate Annuities in MassHealth Planning for Single Nursing Home Residents

Posted by Harry S. Margolis on April 28, 2015

By Harry S. Margolis

Last week, I blogged about how immediate annuities might be used by spouses of nursing home residents to preserve their assets and qualify the nursing home spouse for MassHealth coverage. Immediate annuities are also used by unmarried or widowed nursing home residents, but with less favorable results. In effect, they permit the nursing home resident to pay the MassHealth rate rather than the private-pay rate. Use of immediate annuities is based on the following rules and facts:

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Topics: MassHealth planning, long-term care planning

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