texas medicaid: why you need to plan ahead

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7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560 TEXAS MEDICAID Why You Need to Plan Ahead

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Page 1: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

TEXAS MEDICAID Why You Need to Plan Ahead

Page 2: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

WHY YOU NEED A MEDICAID PLAN

Page 3: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Simply because you are particularly healthy at the moment doesn't mean you won't need

long-term healthcare at some point.

Page 4: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

The truth is, you don't have to be sick to need Texas Medicaid

planning.

Page 5: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

While you may not have health issues now, you simply cannot

predict how healthy they will be in 30-40 years.

Page 6: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

An unforeseen injury or illness could result in health issues that

require long-term care.

Page 7: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

In fact, more than two-thirds of all people over the age of 65 need

long-term care at some point in their lives. It would be a mistake to

fail to benefit from Medicaid planning.

Page 8: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

YOUR HEALTH IS NO INDICATOR OF WHETHER YOU WILL NEED

LONG-TERM CARE IN THE FUTURE

Page 9: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

So many people disregard the fact that illness is not the only reason you could need

long-term care in the future.

Page 10: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

If you suffer a serious injury from a car accident for example, it is quite possible that you may need long-term care in order to fully recover

from that injury.

Page 11: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

In some situations, loved ones are admitted to nursing homes not

because of illness per se, but because of the need for daily

assistance with activities such as dressing and grooming which have become more difficult as they age.

Page 12: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

In other words, you cannot only rely on your relative good health now. Your circumstances could change

and you need to be prepared.

Page 13: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

HEALTH INSURANCE IS NOT ALWAYS SUFFICIENT TO COVER THE COST OF LONG-

TERM CARE

Page 14: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Regrettably, far too many people miscalculate the actual potential cost of long-term care, which is usually quite

expensive.

Page 15: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

The average annual cost of nursing home care, for a semi-private room

in a Texas nursing facility is estimated to be between $40,841 -

$43,472.

Page 16: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Add to that the likelihood that nearly half of the Texas citizens age 65 and older need long-term care

for approximately five years.

Page 17: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

For many families that cost can be prohibitive. The unfortunate reality is that Medicare and private health insurance is typically not enough to

cover these costs.

Page 18: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

THE BENEFIT OF MEDICAID PLANNING

Page 19: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

The purpose of Medicaid benefits is to assist low-income Texas residents in paying for

medical services.

Page 20: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Because Medicaid is a needs-based program, recipients can have no

more than $2,000 in assets.

Page 21: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

The goal of Medicaid planning is to keep you from exhausting all of

your resources in order to be eligible for benefits.

Page 22: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Also, if an applicant for Medicaid gives away property or assets right before submitting an application, those transfers of property can be seen as fraudulent and result in your benefits being delayed or

denied.

Page 23: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

However, with careful Medicaid planning, you can avoid the

appearance of fraudulent transfers.

Page 24: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

SO, WHAT IS MEDICAID?

Page 25: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

One of the primary differences between Medicare and Medicaid is that Medicaid is

an income-based or needs-based healthcare assistance program.

Page 26: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Federal, state and local tax funds are used to aid eligible individuals

with paying their medical expenses.

Page 27: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Generally, Medicaid recipients are only required to pay a small co-

payment for covered medical expenses, if anything at all.

Page 28: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Medicaid will typically pay for some in-home services, but only if a

physician certifies that home care services are actually needed for

specified medical reasons.

Page 29: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

HOW IS MEDICARE DIFFERENT FROM MEDICAID?

Page 30: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Medicare is different from Medicaid in that Medicare benefits are

provided by private companies through contracts with Medicare.

Page 31: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Whereas Medicaid is run by the state.

Page 32: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Since Medicare is a federal program, eligibility and benefits are

the same all over the country.

Page 33: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Although Medicaid is no uniform in every state, coverage is typically available for eligible adults with children living below a certain income level, pregnant women,

seniors and individuals with disabilities.

Page 34: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

BECOMING FAMILIAR WITH MEDICARE

Page 35: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Medicare is a federal health insurance program available for individuals who are age 65 and

older, disabled, or dialysis patients.

Page 36: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Eligibility for Medicare is not based on need or income.

Page 37: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Instead, Medicare recipients are required to pay a portion of their

medical expenses through deductibles, along with small

monthly premiums for necessary for non-hospital coverage.

Page 38: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

TYPES OF MEDICARE COVERAGE AVAILABLE

Page 39: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Medicare is divided into two basic plans that provide different types of

coverage.

Page 40: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

Medicare Part A is an insurance plan for health care services

provided by hospitals, skilled nursing facilities, home health care

and hospice care.

Page 41: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

On the other hand, Medicare Part B is similar to basic health insurance

which covers doctor visits, outpatient hospital care and other

medical services.

Page 42: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

CONTACT US!

Page 43: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

If you have questions regarding trusts, or any other estate planning

needs, please contact The Vermillion Law Firm, LLC for a consultation either online or by calling us toll free at (888) 567-

5745.

Page 44: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

LEARN MORE ABOUT MEDICAID IN TEXAS

Page 45: Texas Medicaid: Why You Need to Plan Ahead

7616 LBJ Freeway #120, Dallas, TX 75251Phone: (972) 386-4560

(972)386-4560 www.VermillionLawFirm.com

The Vermillion Law Firm, LLC