Aging Parent Tip Sheet
Taking proactive steps before incapacity arises can save the elder and family grief and expense
by Jim Schuster, Certified Elder Law Attorney
Don’t do Nothing
You cannot make legal decisions for parents without their permission. Without permission you can do nothing. If a parent suffers incapacity and has not given authority to act to another then the only to get permission is through the probate court. The probate court will need to hold a hearing to decide who to appoint as guardian or conservator. From that point on all of the parent’s property will be under court supervision and control. Costs may run into the thousands of dollars.
Watch out for Joint Account Pitfalls
Parents often add children to bank accounts so that the children can pay bills in case of incapacity and the account can avoid probate on death. In general joint accounts do avoid probate but can cause many problems. Being joint on a parent’s bank account merely gives authority to access the account. It does not give authority to act for a parent. For example, a child joint owner can pay a bill that the parent incurs, but the child does not have authority create the bill. For example, being joint on an account does not give the child authority to sign a contract. In addition the account can cause probate court battles if the account is not distributed according to a parent’s last Will and Testament.
Get Legal Affairs In Order
Every aging person should have their affairs in order. They need to have an up to date Will, complete durable power of attorney, healthcare power of attorney and advance directive. The Will dictates how the property should be shared upon death. The healthcare power of attorney allows a patient advocate to receive confidential medical information and make decisions for the parent as patient. The advance directive designates a patient advocate gives instruction on end of life healthcare treatment decisions. In addition an estate plan may not be complete without a trust or a quit claim deed and coordination of all beneficiary designations on accounts and insurance contracts. An elder law attorney should be consulted to determine what documents will be needed to complete an elder’s estate plan.
Caregiving Can Lead to Complications
If one picks up an article on financial elder abuse, one will read that family members are the number one abusers. Full-time caregivers may keep a parent out of a nursing home. Caregivers who forego employment to assist parents often run into serious financial difficulty. They may turn to a grateful, but incompetent, parent for financial help. Taking money from an elder under these circumstances can be a crime against a “vulnerable adult.” The law presumes that a child caring for a parent does so for free - no matter how valuable the service is. It is better to have a “caregiver contract” from the outset so that compensation is settled. The contract should identify the need for the services provided and include a record of services performed. There should be a family meeting so that all family members are “on board.” Otherwise children may hire attorneys and “fight it out in court.”
Check Out Veterans Benefits
The Improved Pension benefit is available to active duty wartime veterans or surviving spouses who needs assistance with activities of daily living. The benefit can pay over $1,900 per month. There are asset limits that can be sheltered with the help of an elder law attorney.
Take Advantage of Medicaid’s Five Year Lookback
Medicaid, the nursing home payment program, looks back five years prior to application. Any money or property transferred within this period will need to be paid back before Medicaid will pay the nursing home. However, any transfers more than five years are not considered by Medicaid. That means an applicant could transfer one million dollars, wait five years and have Medicaid pay the nursing home bills. The problem is how does a person live without money? Five year Medicaid planning is very complicated, which requires the uses of trusts and agreements to ensure that the parent is well cared for and the transferred funds not wasted.
Avoid Probate Wisely
There are many schemes to avoid probate that backfire. A poorly written will can guarantee not only probate but an inheritance battle. Joint owners on property may not agree to share with all children and fight it out in court. A poorly drafted quit claim deed can cause serious property tax problems.
A nursing home is inevitable for some elders. Nursing homes are state licensed and regulated medical facilities that are also homes for the residents. “Dementia care” assisted living facilities are not nursing homes. Nursing homes are very expensive - the average is over $6,300 a month. Medicare will pay for up to, but often less than, 100 days of post-hospital skilled care. Medicaid will pay for long term care in a “certified bed,” which are found in almost all nursing homes. Medicaid will not pay until a person is “eligible.”
Medicaid for Long-term Nursing Home Care
Medicaid is not automatic but must be applied for after the resident has “spent down” to $2,000. That does not mean financial ruin for the family since Medicaid, like the income tax, has many credits, exemptions and allowances. It is possible for a married applicant to save everything and a surviving spouse may save over half. These actions may be taken after entry into the nursing home. These savings are only available if the applicant gets expert legal help since the Medicaid office and the nursing home do not advise families how to get all of their savings.
Get Ready – See an Elder Law Attorney
All of the above expensive problems can be avoided if the elder and assistants get timely advice and get affairs in order. Do it now for there will come a day when it will be too late.