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3 Financial Strategies for Caregivers and Elderly Parents

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Eldery Parent's Finances

Bozman recommends three strategies that he says caregivers should consider for their own finances and for the finances of their aging parents, if they have not already been addressed:

  • Power of attorney. This enables a person to appoint an “agent,” such as a family member, to make legal, financial and health decisions when the person is no longer able to do so themselves. The document might enable the caregiver to pay bills, or sell certain assets, or, it could extend to all financial decisions, including selling the family home and managing all assets. 

  • Gifting.  A gifting clause is very important because an agent is not permitted to gift or transfer any money, personal property or real estate to himself unless the power of attorney contains specific authority to do so. Botzman says he has clients who have gifted their home to their children, but still live there. It’s called a life estate, a grant or reservation of the right of use, occupancy and ownership for the life of an individual. Parents can live their entire lives in the home, without the children, but the home can never be taken by authorities to pay for medical expenses.

  • Long-term care insurance. Long-term care insurance helps you pay for health care services, which can be very expensive. A policy also ensures that you can make your own choices about what long-term care services you receive and where you receive them. This is another example of a time when early planning is key. The best rates and range of services are available when a person is still healthy. Middle age is the best time to think about buying long-term care insurance because that’s when a person is most likely to qualify for a policy and when premium costs are at their lowest. Caregivers can also purchase long-term care insurance for their parents, but again, price is the issue for seniors. Botzman also recommends checking with employers – more and more are offering this as a benefit, with reasonable group rates.

Of course, the problem with this type of financial planning is figuring out how to open the discussion on a topic many families never discuss. Botzman calls family financial planning “the grey elephant in the room that everyone knows is there, but no one wants to talk about.”

One suggestion to open the lines of communication is to reference something you saw on the news or read in the paper:  “I read about long-term care care insurance yesterday in the paper. Do you know about this?”

However you approach it, planning ahead for certain types of assistance is an enormous help, one less thing a family has to worry about during trying times.

Financial planning laws and insurance programs vary widely depending on location. Always seek advice from experts before making significant financial decisions.

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Westy2100 said
Apr 1, 2008

One of the things that I disagree with is that so many people are concerned about leaving an inheritance for their children and do not want to pay for a nursing home. I think this is very wrong. The money that they earned and saved was for their older age and to being taken for care. Many people then end up on medicare (welfare if you will) and we end up paying more in for their care. I am very frustrated because my brother's children have taken over almost all of his $500,000 estate. He will need to go into a nursing home as they will not want to care for him much longer. Two of his children went to an attorney and told them what they wanted and the attorney wrote up everything and did not talk to my brother. He already had Alzheimers and had lost his wife a few months prior in an accident when they came to him asking for things. He had NO ONE to talk to him and did not fully understand what was happening. He signed the papers when asked if he understood and he said yes. Any one, particularly the attorney should have known that he did not understand. Not much I can do about it at this point as he will be going to a veterans home that is 50 miles away and I won't be able to visit him muchand they only go back one year to take things. SO they made sure they got things done as soon as they could.think what makes it harder for me is that I am a retired social and familiar with the things that happen. Thanks for a chance to unload my frustration.

BryanWisda said
Apr 3, 2008

Westy2100,

Did your brother's children utilize the attorney to "spend down" his net worth to qualify your brother for Medicaid? Was their intent to get the money NOW or was it the children's intent to avoid having to waste the $500,000 on a nursing home?

Bryan Wisda

195Austin said
Sep 15, 2008

Isn't there a look back period so when a person is placed a 5-7 yr. time period is checked to prevent this from happening- would it not be great if they had to return the money they tricked him out of having for his needs.

Cat said
Sep 15, 2008

Its funny how we allow these "Trust Advisors" to market to the seniors who are so gullible and do move all of their assest into a trust to qualify for Medi-caid - - They learn the sad truth after the fact. I am sick to death of hearing people complain about "wasting" inheritance on care - - the truth is that it is not YOUR money - it is the senior who earned it. On a professional level I have seen people drive up in new mercedes - very excited that their parents Medi-caid pending status was approved. That is why there is now an elder abuse task force that focuses on financial and fiduciary abuse. And why look back periods and regulations are being changed.

On a personal level I have seen how ugly people can become when money enters the mix - you never know, people can surprise you. The whole concept invented by created "trust attorneys' is ripe for abuse by family members and others who do not have the seniors best interests at heart. "Spending down" net worth was designed for a different purpose than is being used today.

All of those who are truly caring for a relative - Kudos to you. All of those who can't wait to get their hands on the money - Boo to you. All of us taxpayers foot the bill for Medi-caid programs and will probably not have the same access to programs that were designed for the truly needy.

Rosie03 said
Oct 9, 2008

A lot of us don't want to lose the place where we were raised and there's nothing wrong with that. What amazes me, is the government can issue a social security check for around 900.00 and say LIVE ON IT. But if you need a nursing home, all of a sudden, it's 4,000-8.000 a month. Yes, medi care pays for long term care and yes they should be paid. But why don't you ask our government why they will pay for illegal aliens health care and not expect a THING in return???? I do believe Americans should come first and if our government weren't giving all our money away to other entities, then maybe it'd be different. I want my inheritance, such as it is and feel I'm as entitled to it as an illegal alien is to what they get. And even legal aliens, people sponsored by our government to get education, furnished homes, cars. The money SPENT DOWN is to be spent down on the elderly person who needs the care. Everyone isn't out to cheat Medicaid, but it seems our government cheats us, as we've just seen with Wall Street. That's my take on it.

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