Medicaid Planning

February 4, 2025

SPOUSAL REFUSAL IN FLORIDA – IT SOUNDS HARSH, BUT IT CAN OFTEN BE THE EASIEST (OR ONLY) WAY TO GET MEDICAID

“Till death do us part” – These words serve as the basis for modern-day marriages. The idea initially was that marriage was a lifelong contract between partners and was only to be broken upon the death of one or both spouses. But what if the best way to save your spouse was to ignore them entirely and seemingly break the “till death” agreement to care for one another?

That is the predicament that many face in the process of qualifying for Medicaid. Spousal Refusal, often called the “just say no” option, is when a spouse of a long-term care Medicaid recipient or applicant refuses to pay the costs associated with the long-term care. Under current Medicaid rules in Florida, an individual cannot be legally denied care if the spouse does not need Medicaid and refuses to contribute towards the costs of care in Florida.

UNDERSTANDING MEDICAID:

December 27, 2023

2024 Florida Medicaid Long-Term Care Eligibility for Seniors

by David M. Goldman

The Following limits for Medicaid eligibility for Medicaid for Florida as of 1/1/2024 have been adjusted again. There were changed in the income criteria, maximum amount of assets, and maximum equity in your homestead property.

Florida Medicaid Income Limits as of 1/1/2024.

The Applicant’s income limits have increased to $2,829/month if single and $2742 if you are married. If the applicant for Medicaid has income in excess of 2,7, they may use a Qualified Income Trust or Miller Trust to help the applicant qualify for Florida Medicaid Benefits under the Medicaid Asset Test.

April 6, 2023

Florida Estate Planning and Elder Law – What is the difference?

by David M. Goldman

Florida Estate planning and Florida elder law planning are two distinct areas of law that often overlap, as they both involve preparing for the future and ensuring the well-being of individuals and their families. However, they have different areas of focus.

Florida Estate planning lawyers primarily deal with the management and distribution of an individual’s assets upon their death. Key components of estate planning include:

1. Wills: Legal documents that outline how an individual’s assets should be distributed after their death.
2. Trusts: Legal arrangements that enable a third party (the trustee) to manage assets on behalf of the beneficiaries.
3. Power of attorney: A document that allows someone (the agent) to make financial and legal decisions on behalf of another person (the principal).
4. Healthcare directives: Documents that outline an individual’s medical care preferences and appoint someone to make healthcare decisions if they become incapacitated.
5. Tax planning: Strategies to minimize estate and gift taxes.
6. Probate: This is the legal process by which a deceased person’s estate is administered and distributed. Estate planning often aims to avoid or minimize probate, as it can be time-consuming and costly.

March 28, 2023

Estate Planning for Families Facing Addiction

by David M. Goldman

Addiction is a serious illness that effects millions of families. Over 7,000 people died from overdose in Florida in 2020, the second most of any state (Statistics from Riverside Recovery, Tampa). Aside from illicit drug use, addictions to gambling, alcohol, or prescription medications can be just as dangerous and no less destructive in the lives of those who struggle with them and their families.

Our natural instinct is to care for our family and loved ones as best we can for as long as we can. For families facing struggles with addiction, Estate Planning can often be more complex than for those without. In many cases, families want to avoid the unsupervised transfer of large lump sums of cash or valuable assets, which can have the potential of doing more harm than good in the beneficiaries’ life.

Families who struggle with a loved one’s addiction know the potential dangers of temptations that can come with having access to cash or transferable assets in that person’s life. Especially during an already very stressful time in their lives. Fortunately, in Florida, you are able to utilize Trust Agreements as part your estate plan which can protect your family’s cash and valuable assets while still providing for essential needs, ongoing care, and even treatment as needed, of loved ones facing addiction after you’re gone.

January 11, 2017

The Importance of a Florida DNR: Do Not Resuscitate Order

by David M. Goldman

A Florida DNR is a document you will not complete with your Jacksonville Estate Planning Lawyer. Many feel that estate planning is a great area of law because it allows people to plan ahead for how they wish to be treated medically in a scenario when someone is not able to decide on their own. This is why we recommend that every person plan for their future through estate planning documents such as a will, trust, living will, medical and financial powers of attorney and even simple documents such as a Florida “Do Not Resuscitate Order.”

A Florida DNR, Do Not Resuscitate Order, is a form developed by the Florida Department of Health, known formally as Form 1896, that identifies a person that does not wish to be resuscitated in the event of respiratory or cardiac arrest. This form, tells hospitals, doctors, and other health providers to not resuscitate you when certain conditions occur because you do not feel your quality of life will be sufficient after resuscitation. We recommend that everyone have a Florida DNR, Do Not Resuscitate Order, if they do not wish to be revived under certain conditions because most doctors and health care providers will attempt to resuscitate a person by default.

December 28, 2016

The 5 Most Common Medicaid Myths

by David M. Goldman

In Florida, Medicaid is a federal and state level program that offers health care assistance to members of the program. Medicaid is a complicated program that is administered differently on a state-by-state basis. There are many common misunderstandings regarding Medicaid. This article will help to debunk some common myths and set the record right.

1) Status of a Home in Florida

FALSE. One common myth is that Florida residents cannot own a home and also qualify for Medicaid. This is not true. Florida does place a cap on the amount of gross income and assets a person can own and qualify for Medicaid. A person with too many assets or income is ineligible to receive Medicaid benefits.

December 21, 2016

Reverse Mortgage Firms Fined For Deceptive Ads

by David M. Goldman

Several reverse mortgage companies were fined a collective amount of $790,000 for using deceptive advertising that claimed consumers could never lose their homes through a reverse mortgage.

The reverse mortgage firms fined were American Advisors Group, Reverse Mortgage Solutions, and Aegean Financial. The three firms reached a consent agreement with the Consumer Financial Protection Bureau. The regulators for the Consumer Financial Protection Bureau found the ads used by the companies misled consumers.

Specifically, the ads used statements that implied a person could never lose his or her home with a reverse mortgage. Another ad promised, “ I can show you how to use a government-insured program that allows you to save money, get cash and live payment-free as long as you live in your home.”

December 12, 2016

Estate and Gift Tax Updates for 2017

by David M. Goldman

The American Taxpayer Relief Act of 2012 is still going strong, and there are some changes to the tax code in store for this New Year. For those who are not familiar with the law, this act made the following permanent: the reunification of the estate and gift tax regimes, the $5 million estate along with the generation skipping transfer tax exemptions, and the portability of the federal estate tax exemption between spouses at death.

The great aspect of The American Taxpayer Relief Act of 2012 is that the gift tax exemptions adjust for inflation each year. In 2017, the federal estate tax exemption will be increased to $5,490,000. The exemption was $5,450,000 in 2016. Further, the generation skipping transfer tax exemption has also been increased to $5,490,000.

The more commonly used exemptions are the lifetime gift tax exemption. The lifetime exemption is the amount a person can give throughout his or her life without paying any federal gift taxes. In 2017, the rate will now be $5,490,000, which was also increased from $5,450,000 in 2016. Further, a married couple may combine their lifetime exemptions so the combined estate can give up to $10,980,00.
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September 6, 2016

Florida Department of Elder Affairs Phone Scam

by David M. Goldman

As a Jacksonville elder law attorney we often run across phone scams that target the elderly. Besides the typical IRS and credit card scams the Department of Elder Affairs is warning Florida residents to watch out for scam artists who are allegedly making calls pretending to be the Department or an organization they refer to as Senior Services. These callers are using a method known as “spoofing” to make it appear on Caller ID as if the call is coming from a number belonging to the Florida Department of Elder Affairs’ fax line – (850) 414-2004.
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November 11, 2015

What your Financial Planner needs to know about an IPUG™ Trust

by David M. Goldman

Most financial planners are unfamiliar with some of the modern twists available with irrevocable trusts. They tend to be familiar with the older style of irrevocable trust that can pose several problems for those who use them. These problems include:

Loss of control over the management of the assets;
A separate EIN number for tax reporting purposes;
A larger tax bills because of the way traditional irrevocable trusts are taxed;
A loss of the step up in basis available to assets owned by an individual upon the death of the settlor; and
The inability to change provisions or beneficiaries in the future.

The irrevocable trust, you have chosen does not suffer from any of the traditional problems discussed above. It is an Irrevocable Pure Grantor trust (IPUG™). With the iPug™ many of the advantages that are traditionally only found with a revocable trust can be provided in an irrevocable trust. Some may ask, why should we use an irrevocable trust instead of a revocable trust. Here is a summary of the reasons that the iPug™ trust is superior to the revocable trust and does not pose the problems that a traditional irrevocable trust presents: