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10 Cards in this Set

  • Front
  • Back
What is the community spouse resource allowance?
The amount that the non-institutionalized spouse may have in exempt assets.

Currently $109K (indexed for inflation)
doesn't include home or other exempt assets
What are additional exempt assets?
Home
real property generating income
household goods
jewelry (wedding/engagement + up to $100)
one car per resident
term life
whole life up to $1500
burial
$2000 in cash
Is a home an exempt asset?
yes, if the nursing home resident subjectively intends to return and checks "yes" on medi-cal application.
What is medicare
Federal health insurance program for elderly and disabled.
if eligible for SS, eligible for medicare
medicare only pays for skilled care (typically by doctor or nurse for under 3 months), not custodial care
What is custodial care?
health care involving ordinary activities of daily living, such as feeding, bathing or dressing.
How much will medicare pay for skilled facility?
After 3 weeks, patient's family pays a $141 per day copayment
What is Medicaid?
A form of welfare for long-term institutional care; a joint federal-state program.
What is medi-cal estate recovery?
an unsecured claim by Medi-Cal upon the death of a Medi-cal recipient (and her spouse, if any)
What is the amount of a Medi-cal estate claim?
the lesser of:
1. the amount of medi-cal benefits provided
or
2. the value of the ill spouse's estate at time of death
What are ways in which Medi-Cal recipients protect the home?
Give interest in the house to the well spouse

Give house to a loved one and sign an affidavit saying that Medi-Cal recipient can return home whenever she wishes.