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BBStewart Asked May 2017

Does all remaining Social Security and pension income have to go to the nursing home after funding the Miller Trust each month?

The nursing home is insisting on taking all remaining pension and social security income after my mom's Miller's Trust has been funded each month, leaving her with less than $60 per month for personal use. Is this how it works or normal?


BarbBrooklyn May 2017
Riley, I'm not an expert. You can google Miller Trust or Pooled Income Trust, but in essence...Say and elder brings in $2600. per month in SS and pension, and the state limit for Medicaid is $2100. a month. A Miller Trust is set up so that the excess income goes into a trust held by the state. The remaining 2100 income is at the Medicaid eligibility level. That income then goes to the NH to fund care.

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Riley2166 May 2017
Please explain what a Miller Trust is and what its purpose is and how it works. Thank you

Guestshopadmin May 2017
There is a lady Igloo that posts on this site about her experiences with Medicare and Medicaid. Here is one of the best descriptions I've ever read
https://www.agingcare.com/questions/protect-mothers-savings-when-goes-into-nursing-home-197284.htm

BBStewart May 2017
Thank you Guestshopadmin and BarbBrooklyn for your quick responses and settling my nerves. She is applying for Medicaid, so it seems that it is "normal" for her remaining income to go to the nursing home. Now I will have to figure out how to pay her existing bills, since she'll have no remaining income to pay out. You're advice is most appreciated for this one too.

BarbBrooklyn May 2017
Is your mother a private pay patient, or is she relying on Medicaid for a large part of the cost of the Nursing Home?

In general, a Miller Trust is set up so that folks with income over the Medicaid limit can avoid paying for the nursing home in full. My mom's private pay nursing home costs are $12,000 per month.

Guestshopadmin May 2017
If she is on Medicaid, Yes. The person only gets to keep a small personal needs allowance amount usually between $60-$125. Depends on your state. No money left for house payments, life insurance, etc.

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