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How Can I Leave Assets to My Spouse Free of the New York Estate Tax? www.myestateplan.com 1
“You may be aware of the fact that Medicaid is a government health insurance program that is in place to
provide a health insurance safety net for people who are in possession of very limited resources.”
HOW CAN I LEAVE ASSETS
TO MY SPOUSE FREE OF
THE NEW YORK ESTATE
TAX?
MARK S. EGHRARI NEW YORK ESTATE PLANNING ATTORNEY
How Can I Leave Assets to My Spouse Free of the New York Estate Tax? www.myestateplan.com 2
You may be aware of the fact that
Medicaid is a government health
insurance program that is in place to
provide a health insurance safety net
for people who are in possession of
very limited resources. As a person
who will qualify for Medicare
eventually, you may wonder why
Medicaid would enter the picture
when you are looking ahead toward
your retirement years.
This is a perfectly valid point of view.
However, Medicaid does become
very important to many elders,
because Medicare does not pay for
custodial care. If you were to require
living assistance, this would be looked upon as custodial care rather than medical
or convalescent care. Medicare pays for up to 100 days of convalescent care, but it
does not pay for custodial care.
How Can I Leave Assets to My Spouse Free of the New York Estate Tax? www.myestateplan.com 3
As you may imagine, living assistance is very expensive around the country, and
long-term care costs in New York are higher than the national averages. In the
Empire State, the average cost for a year in a nursing home exceeds $100,000. A
government survey that was conducted a few years ago found that the average
length of stay is around two years and three months. Ten percent of nursing
home residents remain in
the facilities for at least
five years.
Once you hear about the
fact that Medicare does
not pay for long-term
care, and you look at
these expenses, you may
cross your fingers and
hope that you never need
long-term care. Of course, we would all like to be able to handle all of our own
day-to-day needs for the rest of our lives.
Unfortunately, the statistics would indicate that the finger crossing is unlikely to
do much good. The United States Department of Health and Human Services
maintains a very useful website called LongTermCare.gov. According to this
website, 70 percent of people who are reaching the age of 65 will need living
assistance eventually.
Medicaid will pay for long-term care. This is why the program is relevant to many
senior citizens at some point in time.
How Can I Leave Assets to My Spouse Free of the New York Estate Tax? www.myestateplan.com 4
MEDICAID ASSET LIMIT
Everything that you own is not considered to be an accountable asset for
Medicaid purposes. However, the limit on countable assets is $2000 for an
individual applicant.
At this point we should provide a rundown of assets that are not considered to be
countable, and we will start with the biggest one. Your home is not looked upon
as a countable asset, but there is an equity limit. This limit is increased every year
to account for inflation, so it
could be slightly higher next
year, but in 2015 the limit is
$828,000.
Your wedding ring, your
engagement ring, and any
heirloom jewelry that you
may have would not be
countable. Whole life
insurance is life insurance
with a cash value. You can
have a whole life insurance
policy valued at up to $1500. Medicaid will allow unlimited term life insurance,
because you cannot cash in this type of insurance when you are living.
One vehicle that is used as a primary source of transportation is not countable,
and your household belongings and personal effects are not countable assets.
How Can I Leave Assets to My Spouse Free of the New York Estate Tax? www.myestateplan.com 5
We touched upon the equity limit for home ownership. If you are married, and
your spouse is remaining in the home when you enter a long-term care facility,
there is no equity limit at all.
Your spouse may also retain ownership of half of the shared countable assets.
This is referred to as the Community Spouse Resource Allowance. There is
however a limit, and in
2015, the maximum
Community Spouse
Resource Allowance in
New York is $119,220.
The minimum is $74,820
.
Your income would have
to go toward the cost of
your care if you are single
and you are applying for
Medicaid, but if you are married, your spouse could continue to draw from the
income if it is needed. This is called the Monthly Maintenance Needs Allowance,
and the maximum allowance is $2,980.50; this is also the minimum.
How Can I Leave Assets to My Spouse Free of the New York Estate Tax? www.myestateplan.com 6
SUMMARY
Medicaid is a government health insurance program that will pay for long-term
care. Since Medicare does not pay for living assistance, this program is relied
upon by many seniors who need help with their day-to-day needs.
There is an asset limit of $2000 for an individual, but many things that you own
do not count.
You could potentially give countable assets to your family members before you
apply for Medicaid. This is easier said than done, because the rules are complex.
To get all the facts, schedule a consultation with a licensed elder law attorney.
REFERENCES
Social Security Administration http://www.ssa.gov/retire2/credits1.htm Medicaid http://www.medicaid.gov/ U.S. Department of Health and Human Services http://longtermcare.gov
How Can I Leave Assets to My Spouse Free of the New York Estate Tax? www.myestateplan.com 7
About the Author
Mark S. Eghrari
Mark S. Eghrari is an attorney in private practice in Smithtown, New
York. He has been in practice since 1988. Mark S. Eghrari provides
extensive estate and tax planning services to individuals and
businesses. Mr. Eghrari’s primary focus is helping clients avoid
probate, minimize or eliminate Federal and State Estate taxes and
protect their assets from the high cost of nursing care, if they become
ill. Mr. Eghrari’s expertise is in providing unique and innovative
estate planning solutions that create a secure future for his clients and their loved ones. Mr.
Eghrari is a member of the American Bar Association and New York State Bar Association as
well as the National Academy of Elder Law Attorneys and the American Academy of Estate
Planning Attorneys.
Mr. Eghrari completed his undergraduate work at Lafayette College in Easton, Pennsylvania
and received his MBA in banking and finance from Hofstra University on Long Island. He
earned his Juris Doctorate from the Hofstra University School of Law, where he was a member
of the Law Review. While in law school, Mr. Eghrari gained practical experience in the
corporate tax department of Citicorp in New York city.
Mark S. Eghrari and Associates PLLC www.myestateplan.com 50 Karl Avenue, Suite 202 Smithtown, NY 11787 Phone: (631) 265-0599 Fax: (631) 265-0754