Homeownership and Medicaid Can Be a Problem

Orange City Iowa Estate Planning

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Many people work hard to acquire real estate and then later find that that real estate makes them ineligible for Medicaid to help pay for nursing home or in-home, long-term care.

family homes are valuable

The challenges begin when homeowners don’t do any Medicaid planning and decide the best answer is simply to gift their home to their children. It doesn’t always work out well for the homeowners or their children, warns the article “Owning real estate without jeopardizing Medicaid paying for nursing home” from limaohio.com.

A key tax avoidance opportunity is usually missed when real property is gifted outright. The IRS says that if someone owns real estate, when that person passes, the heirs may eliminate a large portion of the taxable gains, if the real estate ends up being sold by an heir for more than the original owner paid for the property.

Let’s walk through an example of how this works. Let’s say Terry buys a farm for $1,000. The cost to buy the farm is referred to as a “tax basis.”

If the family is planning for the possibility of nursing home costs, Terry might want to give that farm away to her children Ted and Zach. She needs to do it at least five years before she thinks she’ll need Medicaid to pay for long-term nursing care, because of a five-year lookback.

When Terry gifts the farm to Ted and Zach, the two children acquire Terry’s tax basis of $1,000. Ted gets $500 of the tax basic credit, and so does Zach.

The years go by and Ted wants to buy out Zach’s half of the farm. The farm is now worth $5,000. So, Ted pays Zach $2,500 for Zach’s half of the farm. Zach now has a tax basis of $500, which is not subject to tax. And Ted receives $2,000 more than his $500 tax basis, and Ted will need to pay capital gains on that $2,000 gain.

It could be handled smarter from a tax perspective. If Terry owns the farm when she dies, then Ted and Zach get the farm through her will, trust or whatever estate planning method is used. If the farm is worth $3,000 when Terry dies, then Ted and Zach will get a higher tax basis: $3,000 in total, or $1,500 each. By owning the farm when Terry dies, she gives them the opportunity to have their tax basis (and amount that won’t be taxed if they sell to each other or to anyone else) adjusted to the value of the property when Terry dies. In most cases, the value of real estate property is higher at the time of death than when it was purchased initially.

The article talks about another way to transfer ownership of the farm that works even better for everyone concerned. In this method, Terry continues to own the farm, helping Zach and Ted avoid taxes, and keeps the property out of her countable assets for Medicaid. The solution is for Terry to keep a specific type of life estate in the farm. Unfortunately, while this strategy might be available in Ohio, it does not work in Iowa.

There are three problems with this approach under the Iowa Medicaid rules. First, creating any kind of life estate involves a transfer of assets. Therefore, Iowa Medicaid will assess a penalty for the creation of the life estate if it is not completed five years before applying for the Medicaid benefit.

Second, a life estate is treated as an asset. Since Terry continues to own the farm during her life, Medicaid assigns a value to that asset and, depending on whether the farm is also Terry’s residence, it could be counted toward Terry’s $2,000 asset limit.

Third, because Terry owns a life estate in the farm, the farm is included in her estate for purposes of Iowa’s estate recovery program. If Terry ever receives Medicaid help for her nursing home, the amount that is attributed to Terry’s life estate at her death has to be paid back to the state.

Fortunately, there is a workable solution you can use in place of a life estate: create a special kind of trust. This trust needs to be prepared by estate planning attorney who is experienced in the Medicaid planning area, so Terry won’t have to sell the farm if she eventually needs to apply for Medicaid for long term care.

Your estate planning attorney will be able to help you and your family navigate protecting your home and other assets, while benefiting from smart tax strategies.

Reference: limaohio.com (Nov. 7, 2020) “Owning real estate without jeopardizing Medicaid paying for nursing home”

For further reading: check out our 5 other ways to protect your estate plan:  https://www.huizengalaw.com/5-ways-to-protect-your-estate-plan/

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