New Medicaid and VA Figures for 2016 #2016Medicaidnumbers
Each year, many of the programs that, as elder law attorneys, we deal with daily, such as VA Aid and Attendance and Medicaid, are adjusted for inflation through a cost of living adjustment. For 2016, the Social Security Administration announced that Social Security recipients will receive no increase, the third time this has occurred in the past decade. Because Medicaid and the VA Aid and Attendance program adjustments are tied to the same percentage increase, this means that those benefits will also have no cost of inflation adjustment. Here are the numbers you need to know for 2016. The Medicaid income cap will remain at $2199 per month. This number is the limit on income per month needed to qualify for most Medicaid programs. For Medicaid recipients whose income exceeds this limit a Qualified Income Trust (commonly known as a Miller Trust) must be used to achieve and maintain eligibility. The Community Spouse Resource Allowance (CSRA) will remain at $119,220. That is the maximum amount a healthy spouse may keep in countable assets (provided the married couple have at least that amount times 2 at the time the “snapshot of assets” is taken). The minimum CSRA is $23,844, meaning
Medicare Numbers for 2016 #Medicare2016
The Centers for Medicare and Medicaid has announced 2016 numbers for Medicare premiums, deductibles and coinsurances. Once again, the basic Medicare Part B premium will remain the same at $104.90. That number has not changed for the past 3 years. However, approximately 30% of beneficiaries will receive an increase in their premiums. They include people enrolled in Medicare but not yet receiving Social Security #SocialSecurity2016, new Medicare enrollees, seniors who have greater than $85,000 of income per year and those who are eligible for both Medicare and Medicaid. In 2016 the Part B premium will increase to $121.80 per month for those individuals not subject to the rate freeze. Individuals with income between $85,000 and $107,000 will pay $170.50, those with income up to $160,000 will pay $243.60, those with income up to $214,000 will pay $316.70 and those over $214,000 will pay $389.80 per month. Income is based on 2014 income tax returns and specifically the modified adjusted gross income number. If you have taken a lump sum from your IRA or otherwise received a one time amount that is counted as income and that has pushed your income to a higher level than normal, you can expect
Major Changes to Social Security on the Horizon (Part 2) #SocialSecuritychanges
Last week we were discussing some of the changes to Social Security that will be happening in 2016. Let’s look at some more. Under current rules, if a married beneficiary applies for Social Security benefits between age 62 and full retirement age (currently 66), he/she will receive whichever is the highest benefit – their own or their spouse’s. Waiting till full retirement age to claim your own benefits allows yours to grow by 8% a year while you are collecting the spousal amount. That option will no longer be available to most beneficiaries. However, anyone who is 62 or older by the end of 2015 is exempt from this change. They’ll still be able to apply for spousal benefits at age 66 while allowing their own benefits to grow. Remember, however, that since the file and suspend strategy #fileandsuspend will be eliminated, this will only work if the other spouse is receiving Social Security benefits. This strategy requires careful consideration. Couples whose benefits are roughly equal may not want to go this route if they want to allow both of their benefits to grow. On the other hand, if they have unequal benefit amounts it may make sense for the
Major Changes to Social Security in 2016
Budget negotiations between Congress and President Obama have resulted in some significant changes to Social Security that will take away some of the strategies that married couples can use to increase their benefit payouts. The “File and Suspend” strategy will be gone by May, 2016. Under this option the higher wage earner files for his/her benefits at full retirement age (currently 66) and then immediately suspends the claim. This allows the benefit amount to continue to increase by 8% until age 70 at which point the wage earner reclaims the benefit, netting a higher amount. By filing and suspending at 66 the lower earning spouse can collect spousal benefits, usually one-half of the amount at age 66. The rule change will eliminate this option so that no one will be able to collect when a claim is suspended. Anyone currently receiving benefits under this strategy will be grandfathered and will continue to collect. This strategy is also still an option for those considering it until the change becomes effective, probably in May, 2016. The file and suspend strategy also has been a way to collect benefits retroactively. In the normal instance, Social Security does not permit going back more than
I Just Got a Rate Increase on my Long Term Care Insurance Policy (Part 3)
Last week I was reviewing with you Jim’s dilemma. He received a notice of a rate increase frin his long term care insurance company. I went through with you the options outlined in that letter. For some people in Jim’s situation Option B may be the way to go, redesigning their policy. For example, if you have a policy that, with the inflation rider, covers $450 a day for lifetime you probably have more coverage than you need. A simple solution would be to reduce the daily benefit and switch from lifetime coverage (which most companies don’t offer anymore) to a lifetime cap of 4 or 5 years. In many cases that could dramatically reduce or entirely eliminate the rate increase you face. There is, however, another concern to be aware of. There are far fewer insurance companies offering the type of traditional long term care insurance that Jim has than there were 10 or 20 years ago. As rate increases for these policies become more commonplace healthier policyholders are more likely to look to switch to other ways to pay for long term care. As I have talked about in previous posts on this blog, there are some
I Just Got a Rate Increase on my Long Term Care Insurance Policy (Part 2)
Last week I was telling you about a call we get with increasing frequency. Jim received a letter notifying him of a rate increase of 60% on his long term care insurance premium. He wanted to know what he should do. The letter explained that the increase is not based on a change in Jim’s age, health, claims history or really anything specifically about Jim. The reason for the increase is that the insurance company underestimated the number of claims and the amount paid out on those claims when it set the premium at the time Jim purchased the policy. In other words, it must raise the premium to be sure it will have enough money to cover future claims. The insurance company can’t do this unilaterally. It must get approval first from the New Jersey’s Department of Insurance. Often times, the State will approve a smaller increase or will grant the desired increase but spread over a period of several years. The State also requires the insurance companies to offer their policyholders options rather than simply raising the premiums. Let’s go back to Jim’s letter. He currently has a policy that provides a benefit of $300 per day