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For an elderly relative in Virginia.

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Since the amount varies by state, you can find the list of maximum expenditures on this handy all-state table:
http://www.medicaidannuity.com/wp-content/uploads/2014/02/2014_Prepaid_Funeral_Limitations.pdf
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In order for Medicaid to approve money for a funeral, you'll need to go to the funeral home and select everything needed for the final arrangements. You'll need to pay for the arrangements in full at that time. Within a week, you'll receive a letter from the annunity company holding the money until those final arrangements are needed. Keep in mind that you must use all the money in the aggreement because once a person is on Medicaid, any money not used for the funeral will be sent to Medicaid.
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Here in Wisconsin, it didn't seem to matter how much was put in-it just had to be done before qualifying and had to have less that $2000 left in the account
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If they won't fit in one plot, cremate the obese individual and just bury the ashes.
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Medicaid varies by state--you'll need to contact Virginia State Medicaid directly for a definitive answer.
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One thing that catches people by surprise is that a person who is morbidly obese may be required to pay for a double-wide plot. This happened to my sister-in-law. We had pre-paid family plots, but she did not. I gave my plot to my brother. She was buried deeper so that he could still be buried next to ger, only above.

He has since remarried and I plan to be cremated anyways, so it ended up not costing us extra, but he will have to buy another plot with his new wife somewhere else. The four plots my father bought fifty years ago will only serve three now -- someone he never met and someone my mother didn't like.
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I would pay for the funeral ahead of time. She has a right to a funeral. To be on Medicare she can only have $2000. In her account. A NH will allow $ 60 per month for personal needs any think over $2000. Of the money. The family can have a check for the amount going over $2000.or if she can survive on the monthly allowance. Take the money out. Buy clothes, buy a TV if she can appreciate it. Very low music is smoothing. I live in Massachusetts. My mother had a grave and headstone. He funeral cost over 17,000. If you where starting from scratch it would cost $25,000. To $30,000 for burial. Cremation is much less under $5000. But, those are the prices in Massachusetts. Full burials are expensive. Talk to a funeral Director. He will give you prices. I forgot to say we gave my mother. The best going out we could. She was surrounded in white roses. But, that was our choice. But, the funeral business is expensive. My mother died 2011
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