Archive for July, 2010

Asset Protection during Long Term Care

Tuesday, July 27th, 2010

For the average aging individual or married couple, nursing home costs and the expense of long-term care are a huge shock and can wipe out their entire life savings within just months. In fact, many people are completely not aware that Medi-Cal and private supplement insurance does not cover the cost of long term care. Furthermore, in limited circumstances Medi-Cal will cover 100% of just the first 20 days and then part of the next 80 days. But after 100 days, Medi-Cal won’t cover anything and usually a private supplement policy won’t either. In reality you only get a few weeks of coverage between both. Scary thought right?

Over 40% of people getting close to 65 will need to spend time in a nursing home at some point. And the average monthly cost is steadily rising and is around $6k/month now.

So what are your options when faced with the potential of a long term care crisis?

One. Pay the costs out of private funds. This option is great if you’re independently wealthy or have wealthy family to help you out, if not, this is just not going to work.

Two. Purchase long term health care insurance. Purchasing long term care health insurance is becoming more popular as people realize the debilitating costs of full-service long-term care. So if you can afford it, make sure you use a reputable company and buy at least 5 years of in-home, assisted living and nursing home coverage at a minimum of $150 per day with the cost of living rider.

Three. Apply for and qualify for public benefits including Veterans and Medi-Cal benefits. Medi-Cal will pay for minimal in-home care and assisted living and can also be very complicated and stressful to apply for. Here’s why. There are certain assets that are counted against you when applying for Medi-Cal so having an attorney review your assets and decide how to treat them will help your chances of keeping your hard-earned possessions as well as qualify for the benefits you need now. These items may include your home, car, whole life insurance, household furnishings, cash at hand, bonds, savings, stocks, retirement accounts, etc. Some of these items may need to be transferred to someone else or used up in order to qualify for your benefits.

But the rules have changed! Congress passed legislation that majorly affects Medi-Cal Nursing Home benefits. This new law imposes new restrictions on the ability of the elderly to transfer their assets before qualifying for coverage.

Some of the Provisions Include:

  • The look back period is extended from 3 to 5 years.
  • The value of a house that can be exempt is $500,000.
  • Annuities and many other planning tools will be eliminated.
  • Monthly gifts are severely curtailed.

We strongly encourage adult child caretakers and seniors to readjust your long-term care planning or start planning now. Pre-planning is more critical than ever to maximize the possibility of saving your family’s assets and getting the senior the quality long-term care coverage they will likely need. Contact us today for a free consultation with one of our skilled Elder Law attorneys. Call 562-627-9600

Another Case of Buyer Beware: LegalZoom.com Gets Sued

Tuesday, July 20th, 2010

We’ve blogged about this in the past but with the resurgence of website’s posting free or very cheap legal advice and document preparation we wanted to reiterate the dangers of letting a company that doesn’t know you and hasn’t even consulted with you prepare your will, powers of attorney or other life and death documents. These are the measures that dictate the handling of your care in case of a major medical emergency, how your financial matters will be handled and who your assets will go to. These are not things to take lightly or just let a website’s “quick quiz” handle. We understand that this seems to be the simple, easy and cheap way to handle the preparation of these documents but it’s been proven time and again to be riskier than you might think.

The truth is, creating these documents is often left to the last minute and is rarely considered in advance when you have time to think clearly through the process. Most people don’t even realize they need a will and powers of attorney. Reasons given might include: cost, difficulty in finding time to see an attorney, reluctance to contact an attorney, or difficulty in finding an attorney whom they feel will help them.
The result of this lack of consideration: contacting online services such as LegalZoom.com, or buying programs that allow you to create your own documents. While these may seem fast and easy, this is the perfect “buyer beware” scenario just waiting to backfire on you.

In fact, trying to save money with “do-it-yourself” legal documents can have very expensive consequences. LegalZoom.com, for example, is the target of a class action lawsuit in California, as reported in Elder Law Answers recently.

The article as reported goes like this. “A man with only a few months to live asked his niece to help him execute a will and living trust using LegalZoom. The niece believed the advertising on the website that the documents would be legally binding. Furthermore, it was represented that if there was any trouble with the documents, the customer service department would help resolve them.

In actuality, the financial institutions that held the man’s money refused to transfer any money into the trust because they maintained that the documents were not legally valid. The customer service department apparently provided no assistance. After the man’s death, it cost thousands of dollars to rectify the damage caused by reliance on the LegalZoom documents.” Not exactly the scenario you want to have happen to you, right?

And, you still pay for the preparation of the LegalZoom documents. Furthermore, the fine print on the website states that “LegalZoom is not a law firm, does not act as your attorney and is not a substitute for the advice of an attorney. Rather, it helps you represent yourself…” Wow! So why are they taking on the responsibility of preparing your legal documents? They don’t even have a real attorney on staff!

Basically, any documents developed are based on a short questionnaire, which may not ask the appropriate questions for your circumstances. Furthermore, any documents developed online, or from a purchased program will not be state specific, which can be an issue for power of attorney documents and wills. You, your executor or agents may find the documents inadequate or invalid when it is too late to rectify the damage.

Another area where failing to consult an attorney can have unexpected and expensive results is in the preparation of your living trust or revocable trust. All too often, non-attorneys are marketing these documents, using standard forms that are “customized” for the client. Remember that your situation is different and should be addressed specifically so that your documents reflect your entire set of circumstances, are legally binding and professionally prepared and filed.

Get real, professional legal advice with a free consultation with one of our attorneys.

Call 888-500-6700 or email info@calelderlaw.com

VA Changed the Rules: What you need to know to get your benefits now.

Tuesday, July 13th, 2010

A huge change recently occurred in how things are now being processed by the VA. Now they no longer withhold monies on approved claims that require a Fiduciary be appointed.  In the past, no money was being released until the Fiduciary process was completed.  This left families with approved claims but no access to the much needed monthly income from the pension to help pay for care.  This is singularly one of the best things the VA could have possibly done to truly assist veterans and their families. The Fiduciary process is still in place on those claims where the applicant has been declared incompetent to manage their own affairs.  Due to the limited number of VA Field Agents, these appointments can take months to schedule, but this change in policy will make the wait a little easier to tolerate.

Below are some additional rules you may not know that can help you or your spouse more easily qualify for and/or continue receiving your veteran’s benefits.

The New Legislative Rule

Currently, if you can prove that you medically and financially should have received an award up to 12 months before you filed, the VA may (might, maybe, could) give you the award for the 12  prior months. The letters veterans receive on your benefits eligibility started changing a few months ago, so read all the correspondence relating to your approval application carefully.  You would need a physician’s evaluation that states as of ABC month, the applicant needed XYZ help.  If you do qualify for the additional back payments this is definitely worth exploring!

What happens if you are a veteran with a sick spouse?

This question comes up all the time in our practice. While the veteran has to qualify for a spouse to benefit (unless they are widowed), what many do not realize is that if the medical costs of the spouse depletes their combined monthly income, the veteran is entitled to file as a “veteran with a sick spouse” and would be eligible for $1290 a month.  That extra cash could be just enough to fill the gap and keep you afloat. This is a common gap that many couples do not even know they could qualify for.

Providing Care at Home

Let’s say you are the veteran (or surviving spouse) and you are being cared for in a home by a family member or other non-licensed healthcare individual, you are required to call the primary doctor or nurse and give monthly updates as to how the veteran or widow is doing.  This is really just you checking in but it is a crucial step for deducting the caregiver’s cost.  Again this is if the care is being provided by a non-licensed healthcare individual. Many people are unaware of this requirement, and if you have not done this in the past, you need to start doing this to ensure there are no issues when the yearly EVR (Eligibility Verification Report) comes due. 

Contact our Veterans Benefits Specialist Sean McGuire today to learn more about getting all the VA benefits you are owed. Call (562) 920-6100 to find out more today.

Veterans Benefits

Monday, July 12th, 2010

Contact Sean McGuire @ (562)920-6100

General Qualifications for Non-Service Connected Aid and Attendance

Veteran, Widowed Spouse, and Dependent or Disabled Child (Any May be a Claimant)

  • Veteran Must have Served at Least Ninety Days Active Duty with One Day of the Ninety During a Qualified War Period (Ninety Days Must Generally be Consecutive, with Some Exceptions)
  • Veteran Must have had an “Other Than Dishonorable Discharge”
  • Claimant’s Physician Must Declare Him/Her as Housebound and in Need of Assistance from Another Individual, Which May Include Services Offered by Assisted Living
  • Claimant Should have Less than $80,000.00 in Household Assets; Excluding Primary Home, Car, and Personal Belongings (If Assets are Jointly Owned by Other than Spouse, Only the Claimant’s Share is Generally Countable.  In the Case of a Married Veteran, Both His/Her Assets are Countable.  Although $80k is Typically the Asset Cap, the VA May Also Consider the Claimant’s Life Expectancy and Demand Lower Total Assets.  In the Case of Excessive Assets, It May be Best to Consult an Elder Law Attorney)
  • Claimant’s Household Out-of-Pocket Yearly Medical Expenses Must Exceed or Come Close to His/Her Total Yearly Household Gross Income (Total Yearly Cost of Assisted Living is Typically Considered a Medical Expense)
  • Widowed Spouse Must have been Married to the Veteran for at Least One Year, OR have had Children by the Veteran if Married Less than One Year, AND Never Remarried
  • Widowed Spouse Must have been Living with the Veteran at the Time of the Veteran’s Death, Unless the Separation was Due to Medical or Military Reasons (There May be Some Exceptions Related to Separations Due to Abuse)
  • Minor or Disabled Adult Children May Qualify for Limited Benefits on Their Own

2010 Maximum Pension Rates for Aid and Attendance

Single Veteran                          $1,644.00 Per Month or $19,728.00 Per Year

Married Veteran                       $1,948.00 Per Month or $23,376.00 Per Year

Widowed Spouse                     $1,056.00 Per Month or $12,660.00 Per Year

Veteran Married to Veteran      $2,400.00 Per Month or $28,800.00 Per Year

Once Awarded Aid and Attendance or Housebound Status, a Veteran May Obtain Free Medications, Medical Equipment, Incontinence Supplies, Glasses, and Hearing Aides from the VA Hospital/Clinic via U.S. Mail Without Going to the VA Clinic or Hospital.  A Separate Application Must be Made Through the Health Care System.

**Note:  Each VA Claim is Unique and the Above Criteria is Generic in Nature and May Not be Applicable to Each Claimant.

What’s an Elder Law Attorney Able to Do for Me?

Wednesday, July 7th, 2010

Resources for Adult Care-providing Children of Senior

Elder Law encompasses many different fields of law which is important to note because the legal problems that affect the elderly are continuously growing in number. Current laws and regulations are also becoming more complex and therefore more challenging for you the adult child of the senior. Attorneys that specialize in dealing with the elderly must have a broad understanding of the laws that impact a given situation to avoid future problems for the senior and their heirs.

Areas of Elder Law Include:

  • Preservation/transfer of assets seeking to avoid spousal impoverishment when a spouse enters a nursing home
  • Medicaid
  • Medicare claims and appeals
  • Social security and disability claims and appeals
  • Supplemental and long term health insurance issues.
  • Disability planning, including use of durable powers of attorney, living trusts, “living wills,” for financial management and health care decisions, and other means of delegating management and decision-making to another in case of incompetency or incapacity.
  • Conservatorships and guardianships
  • Estate planning, including planning for the management of one’s estate during life and its disposition on death through the use of trusts, wills and other planning documents
  • Probate
  • Administration and management of trusts and estates
  • Long-term care placements in nursing home and life care communities
  • Nursing home issues including questions of patients’ rights and nursing home quality
  • Elder abuse and fraud recovery cases
  • Housing issues, including discrimination and home equity conversions
  • Age discrimination in employment
  • Retirement, including public and private retirement benefits, survivor benefits and pension benefits
  • Health law
  • Mental health law

As with any specialty attorney, most Elder Law attorneys do not specialize in every one of these areas. So when an attorney says he/she practices Elder Law, find out which of these matters he/she handles and has years of expertise doing. Remember to hire the attorney who regularly handles matters in the area of concern in your particular case. He/she should also know enough about the other fields related to your issue to question whether the action being taken might be affected by laws in any of the other areas of law on the list. For example, if you are going to rewrite your estate plan and your spouse is ill, the estate planner needs to know enough about Medi-Cal to know whether it is an issue with regard to your spouse’s inheritance and legal rights after the spouses passing.

Attorneys who are members of NAELA, the National Academy of Elder Law Attorneys, are focused on continual education in the many areas that elder law touches; so you should ask your elder law attorney if they are affiliated with NAELA. Attorneys who primarily work with the elderly bring more to their practice than an expertise in the appropriate area of law. They bring a long standing knowledge of senior’s needs and that allows them and their staff to empathize with some of the challenging physical and mental difficulties that often accompany the aging process. Any high quality elder law attorney will understand the afflictions of the aged and can therefore offer advice that can more easily determine the best course of action for the client. They are more aware of real life problems, health and otherwise, that tend to overtake us as we age. Elder law attorneys are also usually tied into a system of social workers, psychologists, caregivers and other elder care professionals who may be of assistance to you. All of these things will hopefully make you more comfortable when dealing with them and ease your way as you try to resolve your legal problem.