Nov
28
2016
0

‘Tis the Season for Stress’ – Special Challenges

Once again the Holiday Season is upon us. ’Tis the season’ for mixed blessings. Along with the joys of the season come the stressors. This year you wonder how you will manage to get everything done. Your “to-do” list, as always, seems never ending with shopping, baking and decorating. This year, however, you know at the top of your priority list is providing the best possible care for your elderly loved one who suffers from increased dementia.

This time of year can likewise create stress for your loved one whose anxiety levels seem to mirror your own. Unlike yourself, however, the dementia affects your loved one’s ability to express himself or herself clearly. Simple changes in routine can cause unexpected anxiety which increases with the inability to verbalize what they are feeling.

In addition to the stress on both caregiver and care recipient, out of town guests add a whole new dynamic. Family members may feel shocked by your loved one’s mental and physical changes. This shock can produce feelings of guilt or anger that may be directed at you. Your loved one may also exhibit additional uneasiness — possibly viewing family members as strangers.

So the question remains, “How do you make it through the holidays and maintain some semblance of peace?” And, equally important, “How do you help your elderly loved one do the same?”

First of all, you may want to do some pre-planning. Waiting until the last minute often leaves a person feeling rushed and harried. To avoid this unnecessary stress, create a list of priorities.

If you plan to take your loved one with you holiday shopping, hit stores early in the day and on weekdays. Most malls and department stores are far less crowded at these times. Also, take along a picture of the person you are shopping for. This provides a reminder to your loved one and an opportunity for their input on the gift. Encourage your loved one to take part in wrapping the gifts when at home. (Be mindful, however, of their frustration levels.)

If you are doing any of the holiday cooking, establish the menu ahead of time. Plan to buy as many of the ingredients as possible a week or two in advance. Also, prepare whatever will keep in the refrigerator or freezer ahead of time so there is less to do on the actual day of your gathering. Most importantly, don’t be afraid to ask others to bring along a dish. Most guests would be happy to help.

Prepare your visiting family members for potential changes in your loved one’s status. Imagine how drastic changes and declines would seem if you had not been present to witness them. Sharing can help them prepare family and friends for the emotions they may feel when confronted with these changes.

Ultimately, you cannot eliminate stress from every environment. For this reason it is essential that you eat well, exercise and get plenty of sleep. With your own stress level in check, you can focus on monitoring the stress levels of your loved one.

If the stress gets overwhelming, consider getting help with your caregiving tasks. Home health care agencies can provide help a few hours a day or a few hours a week. Adult Day Care gives your loved one a safe environment in which to interact with others. If your holiday plans include an over-night visit or extended stay, check into Respite Care.

May
12
2016
0

The New Transfer On Death Deed (TOD)

On January 1, 2016, a new California law became effective which creates a Revocable Transfer on Death Deed. (“TOD Deed”). The deed is designed to transfer residential property to named beneficiaries upon the death of the grantor. There is no transfer of title during the life of the grantor. The legislative purpose of the TOD Deed was to hopefully create an inexpensive way to transfer property, without the use of revocable living trusts, and without subjecting the title to probate.

Please be sure to contact your attorney before you use such a deed, as there are definite downsides to the use of the TOD. One big downside is that there is a three year statute of limitations which allows secured and unsecured liens to attach to the title of the home after the death of the grantor. As a result, the title will become uninsurable by title insurance companies for three years from the date of death of the grantor. So for instance, if the home passes from mother to son on July 1, 2016, a transfer of the home or a loan on the home from the son will be uninsurable until July 1, 2019. In California, lenders and purchasers almost always require title insurance to insure a title transfer and to insure a loan. The practical result may be that the son will not be able to sell the home or put a loan on it for the three year statutory period.

We do Medi-Cal and asset protection planning in our firm. If the home is in the estate of the Medi-Cal applicant at the time of his or her death, the State will pursue a lien against the property for the amount they have paid to the nursing home for the Medi-Cal applicant.  By using the TOD deed, Medi-Cal will be able to attach a lien to the subject real property, because it was in the estate of Medi-Cal applicant upon death. As a result, the use of the TOD is inappropriate for long term care and asset protection planning.  Your elder law attorney will advise you of the available techniques under the regulations to properly protect the home from a Medi-Cal lien.

If your grantee does not intend to sell the property or take a loan out on the property for three years from your death, and if you as the grantor are not concerned about Medi-Cal recovery against the home, then the TOD deed may be appropriate. Please be aware also that a class description of beneficiaries such as “children” cannot be created on the TOD deed. If a named beneficiary predeceases the grantor, and there are no other specifically named beneficiaries who take title immediately and jointly, a probate of the home will be required.

As a result of all of the above, it would appear to this elder law attorney with some 39 years of experience, that the use of TOD deed may very well be “penny wide and pound foolish.”

This information is not to be taken as legal advice, and you are encouraged to see your elder law attorney. At the Law Offices of Michael J. Young, at 1931 San Miguel Dr., Ste. 220, Walnut Creek, CA www.WalnutCreekElderLaw, 925-256-0298, lawyoung1@gmail.com we practice Elder Law and we help Baby Boomers, Seniors and families through their Elder Care Journey. We help families with long-term care planning, asset-protection plans, comprehensive estate planning, wills, trusts and powers of attorney. We also help Baby Boomers and families get their “Ducks in a Row” in order help them qualify for Medi-Cal and the VA Aid & Attendance Improved Pension benefit.

Feb
19
2016
0

How Does Medi-Cal Treat Joint Accounts?

All assets in the name of the Medi-Cal applicant are reported when qualifying for Medi-Cal. The home is reported, but can usually be confirmed as an exempt asset for qualification. So- called Qualified assets such as IRA’s are reported, but are but are also usually confirmed as exempt for qualification. The applicant can then not have more than $2,000 in non-exempt assets in his or her name.

If the applicant’s name is on an account with another person, Medi-Cal will count the entire amount as being in the name of the applicant. For instance, if you maintain a joint bank account in the amount of $15,000 with your mother in order to avoid probate when you die, and your mother applies for Medi-Cal, the $15,000 will be counted as belonging to your mother. Your mother would be ineligible for Medi-Cal because she cannot have more than $2,000 of non-exempt assets in her name.

This information is not to be taken as legal advice, and you are encouraged to see your elder law attorney. At the Law Offices of Michael J. Young, at 1931 San Miguel Dr., Ste. 220, Walnut Creek, CA www.WalnutCreekElderLaw, 925-256-0298, lawyoung1@gmail.com we practice Elder Law and we help Baby Boomers, Seniors and families through their Elder Care Journey. We help families with long-term care planning, asset-protection plans, comprehensive estate planning, wills, trusts and powers of attorney. We also help Baby Boomers and families get their “Ducks in a Row” in order help them qualify for Medi-Cal and the VA Aid & Attendance Improved Pension benefit.

Jan
25
2016
0

Plan For Incapacity Now

Planning for incapacity should take place now, while you still have good mental capacity. If you lose mental capacity, you will not be able to make good decisions regarding your financial and personal affairs. For seniors, incapacity can occur for instance, as the result of a head trauma, dementia or as a consequence of Alzheimer’s and Parkinson’s diseases.

If you have not planned properly for incapacity, your loved ones or friends may not be able to help pay your bills and make financial and health care decisions for you. In addition, your loved ones and friends may not be able to protect your assets and help you qualify for Medi-Cal or the VA Aid & Attendance Pension Benefit.

You should also decide now who you would trust to make financial decisions for you, and who you would trust to make health care decisions for you. These can be different people.

Your elder law and asset protection attorney will help you set up a Long Term Care Plan to handle these issues in the event you lose capacity. Your Long Term Care Plan will direct how your assets will be distributed when you die. And if you don’t die, and become ill, your Long Term Care Plan will provide directions for your long term care, will help preserve your assets and “get your ducks in a row” for asset protection and your qualification for Medi-Cal and the VA Aid & Attendance Pension Benefit.

This information is not to be taken as legal advice, and you are encouraged to see your elder law attorney. At the Law Offices of Michael J. Young, at 1931 San Miguel Dr., Ste. 220, Walnut Creek, CA www.WalnutCreekElderLaw, 925-256-0298, lawyoung1@gmail.com we practice Elder Law and we help Baby Boomers, Seniors and families through their Elder Care Journey. We help families with long-term care planning, asset-protection plans, comprehensive estate planning, wills, trusts and powers of attorney. We also help Baby Boomers and families get their “Ducks in a Row” in order help them qualify for Medi-Cal and the VA Aid & Attendance Improved Pension benefit.

May
11
2015
0

Medi-Cal, Capital Gains and the Home

In previous blogs, we have discussed how we can establish the home as an “exempt asset” for qualification for Medi-Cal. Your elder law attorney can help you take the steps necessary to exempt your home and help you qualify for Medi-Cal. However, if your home is in your estate when you pass away after having been on Medi-Cal, the state can pursue a recovery lien against your home. The state will want to recoup the funds they have paid to the nursing home on your behalf.

Keep in mind however that the state cannot pursue a recovery lien against your home if your home is not in your estate when you die. The remedy for this may be for you to transfer your home to a child or other family member after you have established the home as an exempt asset for qualification for Medi-Cal. But beware, there could be a tax problem. If you make such a transfer to a child, the child will assume your tax basis on the property. This means that if the child then sells the property, he or she may have to pay capital gains tax on the sale. This tax is basically calculated on the difference between the purchase price you the parent paid for the property, and the sale price the child obtained. The child would not be able to take advantage of the $250,000 capital gains tax exclusion on the sale that the parent had under Federal Tax Code Section 121.

To remedy this problem, the property could be transferred to a child with a reserved life estate in favor of the parent. The deed for this transfer from the parent to the child would create a split interest on the record, wherein the parent retains a life estate in the property, and the child is the grantee of the remainder interest in the property. After the parent dies, the child should receive a full step up in basis on the property under IRS regulations. The child could then sell the property at the time of the parent’s death, without incurring capital gains. The home would not be available for Medi-Cal recoupment after the home is transferred to the child with the reserved life estate in favor of the parent. This procedure is recognized by Medi-Cal provided that the prescribed procedure is used, and the correct language is utilized in the deed. There are of course other issues you will need to consider regarding the transfer of the home. Your elder law attorney can help you through this process if it is appropriate for your situation.

This information is not to be taken as legal advice, and you are encouraged to see your Walnut Creek Elder Law Attorney. At the Law Offices of Michael J. Young, at 1931 San Miguel Dr., Ste. 220, Walnut Creek, CA www.WalnutCreekElderLaw, 925-256-0298, lawyoung1@gmail.com we practice Elder Law and we help Baby Boomers, Seniors and families through their Elder Care Journey. We help families with long-term care planning, asset-protection plans, comprehensive estate planning, wills, trusts and powers of attorney. We also help Baby Boomers and families get their “Ducks in a Row” in order help them qualify for Medi-Cal and the VA Aid & Attendance Improved Pension benefit.

Jun
09
2014
0

How To Convert Your Life Insurance Policy To Help Pay For The Cost of Senior Care

Some of our clients have asked whether they should let their life insurance premiums lapse, as part of budgeting for the cost of care for their loved one. Many of our clients have been making premium payments on their life insurance policies for a long period of time.

My answer is to first find out whether their life insurance policy has a value that can be converted to a long term care benefit. As part of the process, we present a copy of the policy to a Life Care Funding Company along with a simple application. The company underwriters will determine whether they will make a cash offer to you for the purchase of the policy. If they make such an offer and you accept it, the cash is then placed into a benefit account that is professionally administered by the company.

 Payments from the benefit account are then made monthly to the care providers for the benefit of the individual receiving care. Payments can be made for instance to assisted living communities, nursing homes, retirement communities and home health care providers.  

Once the life insurance policy is converted to a long term care benefit, you will no longer make premium payments to keep the life insurance policy in effect.

For additional information, you can contact elder law attorney Michael J. Young. This information is not to be taken as legal advice, and you are encouraged to see your elder law attorney. At the Law Offices of Michael J. Young, at 1931 San Miguel Dr., Ste. 220, Walnut Creek, CA www.WalnutCreekElderLaw, 925-256-0298, lawyoung1@gmail.com we practice Elder Law and we help Baby Boomers, Seniors and families through their Elder Care Journey. We help families with long-term care planning, asset-protection plans, special needs trusts, comprehensive estate planning, wills, trusts and powers of attorney. We also help Baby Boomers and families get their “Ducks in a Row” in order help them qualify for Medi-Cal and the VA Aid & Attendance Improved Pension benefit.

Jan
20
2014
0

7 Practical Considerations To Take Into Account When Choosing an Assisted Living Facility

Here are 7 Practical Considerations to take into account when you are choosing an assisted living facility, either for yourself or a loved one. We have developed this list  after having first hand experience with assisted living facilities that my father lived in, and after having interacted with our clients regarding these issues over many years.

  1. Is the facility well regarded in the community? Has it been recommended to you by someone who has had a loved one or friend there?
  2. Would the friends and family members of the resident be able to visit at any time, or are there restrictions in this regard?
  3. Is the facility in close proximity to the hospital and medical offices that the resident may need to visit?
  4. How were you treated by the staff and the administrator when you visited the facility? Did you feel welcome and were you comfortable with the experience?
  5. Were all of your questions answered satisfactorily when you visited the facility? Were you left in doubt or were you confused about any of their answers?
  6. Did you feel that you or your loved one would fit into the community for an extended period of time?
  7. Could you imaging yourself or your loved one living there?

* This information is not to be taken as legal advice, and you are encouraged to see your elder law attorney. At the Law Offices of Michael J. Young, at 1931 San Miguel Dr., Ste. 220, Walnut Creek, CA www.WalnutCreekElderLaw, 925-256-0298, lawyoung1@gmail.com we practice Elder Law and we help Baby Boomers and families through the Elder Care Journey. We help families with long-term care planning, asset-protection plans, comprehensive estate planning, wills, trusts and powers of attorney. We also help Baby Boomers and families get their “Ducks in a Row” in order help them qualify for Medi-Cal and the VA Aid & Attendance Improved Pension benefit.

Jun
10
2013
0

2013 CA Medi-Cal Quick Reference Guide

The State of California has changed some of the Medi-Cal qualification figures and requirements for 2013. A brief listing of these changes and requirements is set forth below:

2013 CA Medi-Cal Quick Reference Guide

Community Spouse Resource Allowance

$115,920

This is the amount that the community, or (at home) well spouse can retain in liquid assets. This amount does not include exempt assets, such as the home and qualified accounts, such as IRA’s.

Minimum Monthly Maintenance Needs Allowance

$2,898

This is the minimum amount of income the well spouse can keep. 

Average Private Pay Rate (Divestment Penalty Divisor)

$7,549

This is the amount the State pays to nursing homes on the Medi-Cal program, minus a share of cost by the applicant. This figure is also used to calculate penalty periods of ineligibility for Medi-Cal.

Applicant Resource Allowance

$2,000

The applicant can keep this amount in cash, checking, etc.

Monthly Personal Needs Allowance

$35

The amount of income the ill person is allowed to keep.

At the Law Offices of Michael J. Young, at 1931 San Miguel Dr., Ste. 220, Walnut Creek, CA www.WalnutCreekElderLaw, 925-256-0298, lawyoung1@gmail.com we practice Elder Law and we help families through the Elder Care Journey. We help families with long-term care planning, asset-protection plans, comprehensive estate planning, wills, trusts and powers of attorney. We also help families get their “Ducks in a Row” in order help them qualify for Medi-Cal and the VA Aid & Attendance Improved Pension benefit. This information is not to be taken as legal advice, and you are encouraged to see your elder law attorney regarding any planning.

Mar
11
2013
0

Can Mom Go On Hospice at Home?

Most of our clients make it well known in their long term care plans, that if they become ill, they wish to be taken care of at home for as long as possible. My parents made a pact with each other that if either of them had to go to “rehab”  as my mother called it, which is a skilled nursing facility, that they wanted to return home and be taken care of at home. My mother died at home under hospice care. Your elder law attorney can make these desires known in your elder care estate planning documents. In fact, at the Law Offices of Michael J. Young in Walnut Creek CA, we have our clients sign a separate “Intent To Return Home Document,” which states that if they have to go to a nursing home, it is always their intent to return to their home.

Most of our clients also make it known in their long term care planning documents that if they have a terminal illness, and they would only survivie by being hooked up to machines, that they would rather instead, be allowed to die with dignity, and not be hooked up to machines.

Many people do not know that hospice care can take place at home, and that hospice care professionals can come to your home. Hospice is also often paid for by Medicare or private insurance. To qualify for hospice, a physician must confirm that in their opinion, their patient is likely to die within a six month period. This is generally all that is required. I remember how relieved my siblings and I were when my mother was on hospice at home, and various nurses, social workers, doctors, priests and other aides came into my parents home to attend to my mother. All of us benefitted from this process. 

The hospice process allowed my mother, my dad, myself and my siblings to  to appreciate our last days together with my mother, outside of the traditional, more hectic hospital atmosphere.  

For more information about hospice, long term care planning, asset protection, Medi-Cal qualification and the VA Aid & Attendance Pension Benefit, please feel free to contact Michael J. Young at The Law Offices of Michael J. Young in Walnut Creek, CA. www.youngelderlaw.com www.walnutcreekelderlaw.com

Written Michael J. Young, elder law attorney, Medi-Cal attorney, senior law attorney and probate attorney in Walnut Creek, CA and former in-house counsel for title insurance companies. Mr. Young is a Medi-Cal attorney and is VA Certified.  www.WalnutCreekElderLaw.com LawYoung1@Gmail.com 1931 San Miguel Dr., Suite 220, Walnut Creek, CA 94596. 925-256-0298. Mr. Young serves Contra Costa and Alameda Counties, including the cities of Walnut Creek, Alamo, Danville, Concord, Brentwood, Pleasant Hill, Antioch, Clayton, etc. Mr. Young advises clients regarding Probates, Probates with Real Estate, Medi-Cal, nursing homes, asset protection, the VA Aid and attendance pension benefit, and long term care planning. Mr. Young is an Elder Law Attorney and Probate Attorney with offices in Walnut Creek, CA. Walnut Creek Elder Law Attorney, Walnut Creek Probate Attorney. Senior Law Attorney

May
31
2012
0

Probates with Real Estate –

PROBATE is a court proceeding that is used to distribute your assets to your beneficiaries at the time of your death. Probates are complex, and require that numerous forms and regulations be followed, before the court will sign an order distributing your assets to your beneficiaries or heirs. 

A probate with regard to your home and other real estate assets can usually be avoided with the use of revocable living trusts. To do this, title to your home would be transfered on the County Record from yourself, to yourself as trustee under your revocable living trust. For instance, the deed would be from John Doe to John Doe as Trustee of the John Doe Revocable Living Trust dated January 15, 2012. The terms of the trust will state who the home will be distributed to after you die, and this transfer can be completed on the County Record without a probate. 

However, not everybody passes away with their home in a revocable living trust. There are many occasions where individuals will pass away with their home in their name alone, and they may or may not have a will. A probate will probably be required whether they have a will or not. The terms of the will determine who the beneficiaries of the home will be. If there is no will, the home will be distributed to the “heirs at law” of the decedent.

With regard to real estate, a probate is required to clear the title so that the property can be distributed to the beneficiaries or heirs of the decedent, or so that the property can be sold and the proceeds of sale distributed to the beneficiaries or heirs. Clients will ask me why a probate would be required if the decedent has a will naming somebody as a beneficiary. To find the answer to this, we first need to first look at the County Record to see who the record owner is for the home. The last deed of record could be in the name of John Doe. John Doe is now deceased, so who can sign a deed from John Doe to his beneficiary? The answer is no one, which is why a court order would be required.

Written Michael J. Young, elder law attorney and probate attorney in Walnut Creek, CA and former in-house counsel for title insurance companies. www.WalnutCreekElderLaw.com LawYoung1@Gmail.com 1931 San Miguel Dr., Suite 220, Walnut Creek, CA 94596. 925-256-0298. Mr. Young serves Contra Costa and Alameda Counties, including the cities of Walnut Creek, Alamo, Danville, Concord, Brentwood, Pleasant Hill, Antioch, Clayton, etc. Mr. Young advises clients regarding Probates, Probates with Real Estate, Medi-Cal, nursing homes, asset protection, the VA Aid and attendance pension benefit, and long term care planning. Mr. Young is an Elder Law Attorney and Probate Attorney with offices in Walnut Creek, CA. Walnut Creek Elder Law Attorney, Walnut Creek Probate Attorney

Written by mike in: Aid & Attendance Antioch,Aid & Attendance Brentwood,Alzheimer's Care,Alzheimer's Care Antioch,Alzheimer's Disease,Alzheimer's Disease Antioch,Alzheimer's Medi-Cal,Antioch Attorney,Antioch Attorney Senior,Antioch Elder Law Attorney,Antioch Nursing Home Attorney,Antioch Nursing Homes,Antioch Senior Law,Antioch Senior Law Attorney,Brentwood Attorney Senior,Brentwood CA Asset Protection Attorney,Brentwood Elder Law,Brentwood Elder Law Atorney,Brentwood Nursing Home Attorney,Brentwood Senior Law Attorney,CA Attorney Asset Protection,Concord Elder Law Attorney,Concord Medi-Cal Attorney,Concord Nursing Home Attorney,Concord Senior Law Attorney,Concord VA Attorney,Contra Costa Nursing Home Attorney,Elder Abuse,Elder Abuse Antioch Attorney,Elder Law Attorney Contra Costa,Elder Law Attorney Walnut Creek,Elder Law Estate Planning,Estate Planning Attorney Antioch,Estate Planning Attorney Brentwood,Estate Planning Attorney Concord CA,Estate Planning in California,Hospice Care,Medi-Cal Planning & Qualification,Medi-Cal attorney,Nursing Home Attorney Brentwood,Pleasant Hill Elder Law Attorney,Probate,Probate & Trust Administration,Probate Attorney Alameda County,Probate Attorney Contra Costa County,Probates with Real Estate,VA Aid & Attendance Attorney Antioch,Veteran's Benefits,Walnut Creek Elder Law,Walnut Creek Medi-Cal Qualification,aid and attendance,antioch,brentwood,ca,california,concord,contra costa county,danville,elder law,elder law attorney Pleasant Hill,nursing homes,walnut creek | Tags: , , , , , , , , , , , , , , ,

Powered by WordPress | Theme: Aeros 2.0 by TheBuckmaker.com