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How and when Medicaid can pay for a nursing home

On Behalf of | Apr 7, 2022 | Medicaid Planning

Medicaid is a healthcare assistance program for individuals and families with low incomes. Their eligible recipients include elderly and disabled populations. Retired seniors rely on Medicaid to pay for their nursing home fees. Medicaid has rules and restrictions as to how seniors in Florida can benefit from this program and cover their daily needs.

Eligibility requirements

To become eligible for Medicaid, recipients must meet specific income and asset limits. In Florida, the monthly income limits are $2,523 for single individuals with a $2,000 asset limit and $5,046 for married couples, as of 2022.

A person whose income and assets exceed the limits may participate in other programs, such as the “Spend-Down” Program. Individuals spend more of their income on medical expenses to become income eligible and qualify for Medicaid long-term care services.

Another way for an ineligible person to qualify is to obtain a Qualified Income Trust (QIT). This irrevocable trust requires that you deposit money into a savings account every month to reduce your income to the Medicaid income limit.

Choosing the right option depends on your income and personal preferences. Overall, Medicaid planning is recommended to help anyone understand their qualification options.

Transfer of assets

To meet eligibility requirements, some people would transfer their assets to their immediate family members or relatives. Nowadays, your finances will be scrutinized during the Medicaid lookback period. For five years, Medicaid reviews the transfer of assets that you make to your family members. This transfer may affect your eligibility for this program and affect the benefits that you’ll receive.

Planning for your nursing home care

Medicaid helps eligible, low-income seniors cover the costs of their long-term care services. If they want to receive Medicaid payments to live in nursing homes, they have to qualify and meet the income and asset requirements in their state.