If someone has no assets and is on Medicaid LTC, how much of their social security benefits do they get to keep for their personal spending?
The amount of Social Security benefits someone on Medicaid LTC gets to keep for personal spending depends on several factors:
- State of Residence: Every state sets its own Personal Needs Allowance (PNA) amount, which is the minimum monthly income Medicaid residents can keep for personal expenses. While the federal minimum is $30, states can choose to go higher, with some reaching up to $200 per month. You'll need to check your specific state's PNA amount.
- Marital Status: If the Medicaid recipient is married and their spouse lives at home, they may be entitled to a higher "spousal impoverishment protection" allowance. This protects the non-institutionalized spouse from falling into poverty.
- Income from other sources: If the recipient has any other income apart from Social Security, that amount will be considered alongside their Social Security and affect how much they get to keep for personal spending.
In general, assuming no other income and a married individual not receiving spousal impoverishment protection, the Medicaid recipient would keep their entire PNA amount from their Social Security benefits. Any remaining income beyond the PNA would go towards covering the cost of their long-term care services under Medicaid.