Page 32 - Healthcare News July-August 2020
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Estate Planning
Dispelling Estate-planning Myths
It’s Important
being unable to obtain Medicaid benefits for at least five years after such a gift is made.
There are planning options available at the time of a nursing-home admission, but in most cases, gifting will not be one of those options. Gifting options can exist if undertaken five years prior to nursing-home admission or earlier.
Myth 3: “I can give away $10,000 to as many people as I want each year, but if I give more, then I have to pay gift tax.”
This myth emanates from the federal gift-
tax system. There is currently no gift tax in Massachusetts. In 2020, you may give up to $15,000 to as many people as you want without having to file a federal gift-tax return. The amount that can be gifted is stated incorrectly in the myth, as most people remain unaware of the ongoing increases in the allowable gift amount, which
is known as the annual gift-tax exclusion. Also,
in 2020, even if a gift-tax return must be filed because more than $15,000 is given to one person in one year, the giver of the gift will not pay any gift tax until they have gifted more than $11.58 million during their lifetime.
All gifts made that exceed the annual gift-tax exclusion will reduce the estate-tax exclusion available at the death of the giver of the gift. Thus, if you have $115,000, and you give all of it away in one year to one person, then you will need to file a federal gift-tax return. You will not owe any gift tax because the gift itself does not exceed the lifetime threshold, but when you die, the amount of assets you would have been allowed to pass without paying estate tax will be reduced by $100,000
(the amount of the gift that exceeded the annual exclusion amount).
Myth 4: “When I die, if I have a valid will, my estate does not have to go through probate.”
The assets in your probate estate are those that, when you pass away, are held in your name alone and do not have a designated beneficiary. Whether probate is needed is not based upon whether you
Myths
Continued on page 35
  “The best
estate-
planning
legal advice
comes from
a qualified
estate-
planning
attorney, who will explain the options that best suit your unique situation and help you choose the best option for you based on correct information.”
 to Act Based on
Facts, Not What
You Think You
Know
IBy GINA M. BARRY
n the realm of estate planning, the following myths are rampant. You may have heard them, or even believe them, yourself.
As it is not possible to make proper decisions
with incorrect information, it is important to dispel these myths.
Myth 1: “If I need to go into a nursing home, Medicare will pay for my care.”
This myth may very well be perpetuated by
the fact that ‘Medicare’ sounds very much like ‘Medicaid,’ which does pay benefits for nursing- home care for qualified applicants. Medicare Part A will pay for medically necessary inpatient care in a skilled-nursing facility, but only following a three- day hospital admission.
In this case, Medicare will pay for up to 100 days of skilled-nursing care or rehabilitation services. The actual length of benefits could be much shorter than 100 days if those services are no longer required.
When Medicare benefits are available due to
a qualifying hospital admission, Medicare pays 100% of the cost for the first 20 days, but only 80% of the cost for the next 80 days. Most Medicare recipients also have Medigap insurance, which will pay the balance not covered by Medicare. When Medicare benefits are exhausted, an alternative payment source is needed to pay for ongoing nursing-home care.
This alternative source could be long-term- care insurance benefits, private payment
from income and assets, and/or Medicaid. For qualifying individuals, benefits from the Veterans Administration may also be available.
Myth 2: “I can give away assets and then obtain Medicaid benefits to pay for my nursing-home care.”
When faced with a nursing-home bill of approximately $13,000 per month, many people seek Medicaid benefits to pay for this care. In order to obtain Medicaid benefits, an asset limit must be met; therefore, assets valued above this amount must be reduced to the asset limit before benefits will be paid.
To reach this asset limit, most hope to give away excess assets, usually to their children. The Medicaid program imposes a penalty when any assets are given away within five years of the application for benefits, except in very specific circumstances. This penalty results in the applicant
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