Unit 7 Assignment - Completed
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The
Battle
Between
Medicaid
and
Private
Care
Insurance
Angela
Campbell
Paralegal
Certification,
Post
University
Online
LAW105:
Estate
Administration
and
Probate
Practice
Professor
Salmon
October
15,
2023
Explain
the
pros
and
cons
of
Medicaid
planning
for
long-term
care
versus
obtaining
private
long-term
care
insurance.
In
your
response,
discuss
the
process
of
spending
down
and
address
whether
the
practice
is
ethical.
Remember,
there
is
a
difference
between
ethical
and
legal,
so
just
because
it
may
be
legal,
is
it
also
ethical?
Long-term
care
insurance
usually
covers
all
or
part
of
nursing
home
care,
home
healthcare,
and
personal
or
adult
day
care
for
individuals
aged
65
or
older
or
with
a
chronic
condition
that
needs
constant
care.
It
is
private
insurance
available
to
anyone
who
can
afford
to
pay
for
it
and
offers
more
flexibility
and
options
than
Medicaid.
And
because
you
pay
for
it
there
are
no
income
and
asset
limits.
However,
there
is
usually
a
waiting
period
to
verify
eligibility.
Most
companies
have
a
waiting
or
elimination
period
during
which
time
benefits
do
not
begin
until
a
set
number
of
days
have
passed
after
the
start
and
use
of
qualifying
long-
term
care
services.
It
also
can
become
expensive
to
have
a
long-term
stay
at
a
nursing
facility
with
private
long-term
insurance.
[1]
Medicaid
is
a
state-run
program
offering
low-cost
or
free
custodial and
medical
services
to
those
with
low
incomes
who
qualify.
Medicaid
is
for
individuals
living
on
a
limited
income,
and
many
seniors
use
it
to
pay
for
long-term
care
in
nursing
homes.
To
qualify
for
Medicaid,
individuals
must
meet
financial
requirements,
based
on
income
as
determined
by
modified
adjusted
gross
income
(MAGI)
as
well
as
non-financial
requirements.
[2]
For
those
who
are
above
the
threshold,
the
spend-down
procedure
may
encourage
people
to
consider
gifting/selling
assets
to
family
members
or
friends
so
their
hard-earned
money
could
go
to
whom
they
want,
rather
than
for
long-term
care
expenses.
Medicaid
reviews
all
asset
transfers
within
5
years
of
your
application.
If
they
find
suspect
ones,
you
will be
ineligible
for
Medicaid
until
5
years
after
the
transaction(s).
[3]
As
a
taxpayer,
it
is
concerning
that
people
position
themselves
to
receive
benefits
from
the
government
that
they
shouldn’t
qualify
for.
If
everyone
who
had
financial
resources
were
to
do
this,
Medicaid
would
collapse.
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References
[1]
Dennis
R
Hower,
Wills,
Trusts,
And
Estate
Administration
505-507
(2021),
https://ambassadored.vitalsource.com/books/9780357452301.
[2]
Dennis
R
Hower,
Wills,
Trusts,
And
Estate
Administration
502-504
(2021),
https://ambassadored.vitalsource.com/books/9780357452301.
[3]
Dennis
R
Hower,
Wills,
Trusts,
And
Estate
Administration
503 (2021),
https://ambassadored.vitalsource.com/books/9780357452301.
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