- Seek competent advice. There are a maze of legal questions involved. The National Elder Law Foundation has a list of qualified lawyers by state.
- It’s important to keep very careful records for the payment of all bills and expenses. Avoid paying bills with cash.
- If you’re a family caregiver (a son, a niece or cousin, for example), and your name is on any household bills such as utilities or the mortgage, you will be accountable for any related debt. If bills are only in your mother’s or aunt’s name, the utility can still seek payment from the estate.
- In many states, spouses are responsible for each other’s medical bills. However, there also are “spousal impoverishment” laws to prevent spouses from going broke paying for each other’s medical care. Ask your attorney to go over how these affect you.
- Close to 30 states have what’s known as “filial responsibility” laws. Those require adult children to pay for a parent’s unpaid medical debts, such as those to hospitals or nursing homes, when the parent cannot. At this time, these laws are often not enforced, but it is possible that these laws may begin to be enforced in the future.
- Medicare only covers rehabilitative care (not palliative care) in a nursing home, and only up to (but sometimes less than) 100 days. Medicaid covers nursing home care, but you must qualify and apply for Medicaid coverage.
- Some nursing home contracts contain “guarantor language” that require a family member to be personally responsible for unpaid nursing home charges. Have your attorney review any nursing home contract before you sign it.
- Special care must be used when dealing with your loved one’s 401(k), an IRA, or other qualified plan because a mistake can cause irreversible tax penalties and consequences.
- A power of attorney can often help you avoid guardianship court, but in some circumstances. Be sure to ask your attorney to prepare these for you as part of your estate plan.
- Although most people prefer to avoid the time and expense of probate, there are some circumstances where probate is desirable, including when you may want to extinguish possible claims against the estate.
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