Imoldernu, your post showed how a guy lost all of his money to nursing expenses after selling his house. He was only able to keep the $35k in his trailer. If he had kept his old house would the entire $280K have been exempt from Medicaid's asset evaluation? Is there a limit to house value exempted? E.g., could someone with a $1M house deplete other assets so his spouse could get Medicaid for nursing expenses and then sell the house to improve his lifestyle after she dies?
Varies by state, but the 5 year lookback is national, I think.
The non nursing home spouse must continue to live in the house. I'm personally aware of a case in Rhode Island, where the non nursing home spouse wanted to pay for the cost as a moral responsibility, until the children went to a geriatric lawyer who persuaded them to allow the state to pay. The interesting part was the age factor. The surviving spouse had thought the house value to be about $150K, but as oceanfront property, it later sold for $850K, which value eventually went to the heirs. I do believe that there are some limits, but those may be rather high...
The five year lookback is the key. Any disposal of assets during that period would preclude saving the house value. Likewise, any increase in value of the residence within the 5 year period would be excluded... such as buying a more expensive house, or going from a rental to home ownership.
In our case, we went from a mobile home to a home with a many multiple value, for exactly that reason. We bought in 2004, and were quite relieved in 2009, which passed the 5 year lookback. (When we bought, the lookback was only three years, so the extra two years were chancy.
Our two tier retirement approach includes the value of the house as a reserve for a the surviving spouse. If all other assets are depleted, the sale of the house (plus Social Security) should be enough to pay for continuing care for 10 to 15 years.
State elderlaw websites should detail the specifics, such as cash savings limits or automobile prices which would obviously vary.
Here's one of dozens of sites that discuss the lookback. Best to find one for the state involved.
http://insurance.lawyers.com/medica...er-Assets-for-Medicaid-Look-Back-Periods.html