FinallyRetired
Thinks s/he gets paid by the post
- Joined
- Aug 1, 2002
- Messages
- 1,322
DW and I are now in a situation we've not been before, maybe some of you have and can provide your experience. In brief, 90yo MIL is now living with us and is in good mental faculty but poor physical health. She has a pension income of around $2000 month, and assets totaling around 100k.
We're OK with caring for her at home for now, but are concerned if the situation changes and she needs a nursing home, with avg cost in our area over $100k/yr. So we want to be ready to qualify her for Medicaid. Fortunately, our state kicks in Medicaid nursing home costs in excess of income once all assets are drawn down to $2000. We realize we have to spend down her assets, and are already doing so through justifiable expenses such as mobility devices, day care, etc.
We're not so sure what to do about her pension income. Here are the options we're looking at:
1. Do nothing, we pay for her expenses, her savings continue building, at the end Medicaid takes it all and we're out of pocket. No brainer, bad option.
2. She writes checks to pay for her own expenses (day care, groceries, clothing, etc), which uses up the bulk of her 2k a month. Her savings stay constant or draw down, Medicaid gets what's left, seems reasonable. Her income is tax free, so no tax consequences.
3. She pays us rent and expenses, a set amount per month, and we put that money into our account and use it to pay for her expenses. Same as option 2 but seems we would have to declare that money to the IRS as income. If so, bad deal for us.
Am I missing anything? For example, does Medicaid require her spend down to be done a certain way, as through rent payments? Any and all experiences/suggestions/comments welcome.
We're OK with caring for her at home for now, but are concerned if the situation changes and she needs a nursing home, with avg cost in our area over $100k/yr. So we want to be ready to qualify her for Medicaid. Fortunately, our state kicks in Medicaid nursing home costs in excess of income once all assets are drawn down to $2000. We realize we have to spend down her assets, and are already doing so through justifiable expenses such as mobility devices, day care, etc.
We're not so sure what to do about her pension income. Here are the options we're looking at:
1. Do nothing, we pay for her expenses, her savings continue building, at the end Medicaid takes it all and we're out of pocket. No brainer, bad option.
2. She writes checks to pay for her own expenses (day care, groceries, clothing, etc), which uses up the bulk of her 2k a month. Her savings stay constant or draw down, Medicaid gets what's left, seems reasonable. Her income is tax free, so no tax consequences.
3. She pays us rent and expenses, a set amount per month, and we put that money into our account and use it to pay for her expenses. Same as option 2 but seems we would have to declare that money to the IRS as income. If so, bad deal for us.
Am I missing anything? For example, does Medicaid require her spend down to be done a certain way, as through rent payments? Any and all experiences/suggestions/comments welcome.