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Trustee Support Services LLC

Elder Law 101

     Are you a seasoned citizen (i.e. over age 65), do you care about someone who is, or do you anticipate becoming a seasoned  citizen yourself one day? If so, then you are in good company according to U.S. Census Bureau statistics. In 1960, there were nearly 17 million seasoned citizens. Today, there are nearly 35 million and by 2010 there will be some 40 million seasoned citizens. Thereafter, due to the graying of the Baby-Boom generation, we will see that figure jump to 53 million in 2020 and to 70 million in 2030! As this seasoned population grows, so will the need for Elder Law services.

What is Elder Law?
     Generally speaking, Elder Law is the holistic application of general legal principles to the specific emotional, logistical and financial needs of seasoned citizens. Many seasoned citizens are concerned with two fundamental threats to their dignity: (1) becoming incapacitated and thereby losing control to the court system regarding their personal, health care and financial decisions; and then (2) running out of money due to the catastrophic costs of long-term care and ending up on welfare.
     Fortunately, both of these threats may be minimized or avoided through properly coordinated legal and financial planning.

Incapacity Planning
     As the number of birthday candles increases on your birthday cake, so does the likelihood that you will become incapacitated due to an injury or illness. Whether incapacity strikes suddenly, as with an accident or acute illness, or gradually, as with Alzheimer’s, the consequences are the same. Either you will have appointed the back-up decision-makers of your own selection through proper legal plans or, by default, the court system must step in to appoint them for you…under the ongoing supervision of the court.
Note: This default approach will employ at least three lawyers and can be rather expensive and invasive of your privacy.

Long-Term Scare
     Did you know that after age 65 you have a 48% chance that you will need care in a skilled nursing facility? After age 80 the odds that you will need skilled nursing care jump to 9 in 10, or 90%. If you are age 65 and married, the odds are 70% that you or your spouse will need skilled nursing care. The average nursing home stay, by the way, is 2.5 years.
     And the cost of long-term care is expensive. Nationally speaking, a year in a nursing home is estimated to cost an average of $57,000. Is it any wonder that 50% of all seasoned citizen couples become impoverished within a year after either spouse enters a nursing home? The number jumps to 70% for widowed or single seasoned citizens.
     By the way, forget about Medicare paying for your chronic long-term care needs. Medicare only pays for acute nursing home care for up to 100 days, and even then your eligibility and the payments are subject to very strict requirements. Remember, too, Medigap (i.e. Medicare Supplement) policies will not pay for your chronic long-term care needs either.
     What about giving away your assets to your loved ones to qualify for Medicaid (i.e. welfare)? Legally speaking, any transfer of assets for less than fair market value may render you ineligible for Medicaid assistance for 36 months, 60 months or more under the complex and confusing web of Medicaid Regulations. Practically speaking, once you are rendered ineligible following the transfer of your assets for less than fair market value, what happens if your loved ones subsequently lose such assets through squandering, divorces, lawsuits and bankruptcies?

Long-Term Solutions
     The key to proper long-term care planning is to plan now rather than react later. There are numerous legitimate strategies to preserve more of your assets…if you have time to plan. For example, under a special federal law called the Spousal Impoverishment Act, married couples may preserve more assets for the non-nursing home resident, even if the other spouse is Medicaid-qualified. Some seasoned citizens have turned to Reverse Mortgages (i.e. borrowing against the equity in their homes) to pay for their long-term care. By far, however, the best strategy is to insure your financial security through proper Long-Term Care Insurance (LTCI).

Conclusion
     As you can see, Elder Law is complex. Its scope extends far beyond the issues introduced in this article. Only through a confidential consultation with qualified legal counsel may you learn the appropriate solutions for your unique Elder Law challenges.

This publication does not constitute legal, accounting or other professional advice. Although it is intended to be accurate, neither the publisher nor any other party assumes liability for loss or damage due to reliance on this material.

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