Medicare Savings Programs: QMB, SLMB, QI, QDWI and Extra Help
FEBRUARY 9, 2015 VOLUME 22 NUMBER 6 Health care programs for the elderly, the poor and the disabled can be complicated and confusing. We frequently find that clients are unclear about the differences — in eligibility and in coverage — between Medicare and Medicaid, for instance. Add in the fact that Arizona calls its Medicaid […]
Medicare Eligibility at 65: What You Need to Know
NOVEMBER 10, 2014 VOLUME 21 NUMBER 41 Almost ten thousand Americans turned 65 today. Almost all of them will be eligible for Medicare coverage. Those who are new to Medicare will need to make some decisions about whether to sign up for Part B, what to do about Part D, whether to choose Medicare Advantage […]
This is Huge: Feds Publish New Rules on Gay Marriage
SEPTEMBER 2, 2013 VOLUME 20 NUMBER 33 Just a few weeks ago we wrote about some of the uncertainties facing legally married same-sex couples living in states (like Arizona) that refuse to recognize the validity of their marriages. If a legally-married couple moves to Arizona, we wondered, would their ability to receive some of the […]
Special Needs Trusts and the New Medicare Tax
MARCH 25, 2013 VOLUME 20 NUMBER 12 You may have heard about a potentially significant new tax liability for special needs trusts. With adoption of the Patient Protection and Affordable Care Act (what is often referred to as “Obamacare”) Congress created a new tax intended for high earners to contribute to Medicare. A fairly complicated […]
Can a Special Needs Trust Pay Credit Card Bills? Security Deposit?
JANUARY 21, 2013 VOLUME 20 NUMBER 3 Administering a “special needs” trust can be a challenge. The rules often seem vague, and they occasionally shift. What may seem like a simple question might actually involve layers of complexity. Sometimes an expenditure might be permissible under the rules of, say, the Social Security Administration, but not […]
Not a Policy Wonk or Wannabe? Skip This Week’s Elder Law Issues
AUGUST 6, 2012 VOLUME 19 NUMBER 30 The Director of Arizona’s Medicaid program (AHCCCS – the Arizona Health Care Cost Containment System) testified last month before the United States Senate Special Committee on Aging, and his remarks caught our attention. Director Thomas Betlach was testifying about “dual eligibles” — people who are eligible for both […]
CMS: Hospice Patients CAN Appeal Their Care Provider’s Decisions
JULY 9, 2012 VOLUME 19 NUMBER 26 Surveys indicate that recipients of Medicare benefits are consistently pleased with the care they receive. Hospice patients (and their families) often express even higher levels of satisfaction — even though the patient so often dies. But not all hospice patients are pleased with the care they receive, and […]
Why You Should Not Create a Special Needs Trust
JANUARY 16, 2012 VOLUME 19 NUMBER 3 Let’s say you have a child with “special needs,” or a sister, brother, mother or other family member. You have not created a special needs trust as part of your own estate plan. Why not? We know why not. We have heard pretty much all the explanations and […]
How To Leave An IRA To A Child Who Has a Disability
SEPTEMBER 27, 2010 VOLUME 17 NUMBER 30 This is so confusing to clients, but it needn’t be. The rules are actually simpler than they seem. Stay with us, and we’ll walk you through it. OK, here’s the set-up: You have three children, one of whom (the youngest) has a disability. We’ve decided to name her […]
January Session Will Focus On Paying for Long-Term Care
NOVEMBER 16, 2009 VOLUME 16, NUMBER 61 Do you wonder what will happen if you are no longer able to live independently? Will you have to “go into a home?” Is a nursing home the only way to go, or are there other living situations that might allow more independence? What will happen to your […]
Some Medicare Recipients Will See a Rise in 2010 Premiums
OCTOBER 26, 2009 VOLUME 16, NUMBER 59 The Medicare program has announced its 2010 premium and coinsurance rates. As predicted, an anticipated increase in medical costs will mean a steep rise in Medicare-related premiums, but federal law protects most recipients from having to pay the new rates. One effect of changes in Medicare rate-setting over […]
Medicare Part D Enrollment Period Runs Through Year End
NOVEMBER 20, 2006 VOLUME 14, NUMBER 21 Medicare Part D (the prescription drug benefit plan begun last year) includes an annual “election period” from November 15 through the end of the calendar year. Seniors—many of whom struggled to understand the program a year ago and waded through reams of information to select the most promising […]