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long term care

Q&A: Home loans may help with long-term care costs

May 26, 2025 By Liz Weston Leave a Comment

Dear Liz: You recently responded to an elderly couple who planned to move into assisted living, but were concerned about capital gains taxes on the sale of their home. You suggested an installment sale or renting out the home as possible options. While not for everyone, another possibility is a home loan or a reverse mortgage to cash out tax free.

Answer: Reverse mortgages have to be repaid if the borrowers die, sell or permanently move out of their homes. If one of the spouses planned to stay in the home, a reverse mortgage might work, but not if both plan to move to assisted living.

A home equity loan or home equity line of credit might be options if the couple have good credit, sufficient income to make the payments and a cooperative lender. A tax pro or a fee-only financial planner could help them assess their options.

Filed Under: Home Sale Tax, Mortgages, Q&A Tagged With: assisted living, HELOC, home equity line of credit, home equity loan, long term care, long-term care costs, paying for assisted living, reverse mortgage

Q&A: An aging relative is spending her nest egg on round-the-clock care. What happens when the money runs out?

October 22, 2024 By Liz Weston

Dear Liz: A family member is 90 and lives by herself at home. She has around-the-clock caregivers paid for by her investment accounts. Her teacher pension pays for all everyday expenses. She is high maintenance and unwilling to accept she will one day run out of money for caregivers. What would you suggest?

Answer: That depends on how much money she has, and why you’re asking.

In-home, round-the-clock care can be mind-bogglingly expensive. The median cost nationally for 24/7 at-home caretaking was about $24,000 a month in 2023, according to Genworth’s latest “Cost of Care” survey. By contrast, the median cost for a private room in a nursing home was closer to $10,000 a month.

Not many people could pay for around-the-clock care for long, but your relative may be one of the exceptions. If she has enough savings to pay for care for a few years, then perhaps she’s making the calculated gamble that she’ll run out of breath before she runs out of cash. (And if she’s the suspicious type, she may be convinced your concern is more for your potential inheritance than her well-being.)

Once her resources are depleted, though, her situation could become pretty bleak. Her income may be too high to qualify for Medicaid, the government program that otherwise might pay for nursing home care. (In California, the program is known as Medi-Cal.) Perhaps her home could be sold to pay her care. If not, she might have to turn to relatives for financial help.

If you’re one of the relatives she would turn to, then you can certainly let her know how much help you could afford to give her, if any. But first, suggest a session with an elder law attorney who can review her situation, calculate how long her resources might last and offer suggestions for managing her care bills. She may be more willing to listen to a professional third party than to her family. You can get referrals from the National Academy of Elder Law Attorneys at www.naela.org.

Filed Under: Elder Care, Q&A Tagged With: caregivers, long term care, Medi-Cal, Medicaid

Q&A: The fine print on deducting medical expenses

October 7, 2024 By Liz Weston

Dear Liz: I take $5,000 per month out of my brokerage account (and the $1,400 in taxes when I withdraw the money) for my husband’s Alzheimer care facility where he now lives 24/7. Can I only claim that on my taxes under medical expenses if I itemize my deductions on my taxes? I don’t have any other deductions.

Answer: Your husband’s expenses may be enough to justify itemizing even if you don’t have other deductions.

The standard deduction for married couples in 2024 is $29,200. To itemize, your deductions would need to be higher than that amount. Furthermore, medical expenses must exceed 7.5% of your adjusted gross income to be deductible, notes Mark Luscombe, principal analyst for Wolters Kluwer Tax & Accounting.

If your husband meets certain criteria, however, the deduction can include the expenses related to meals and lodging at the facility as well as the medical care portion, Luscombe says.

A licensed healthcare professional must certify annually that your husband is chronically ill and living in the care facility due to medical necessity, he says. A tax pro or the facility itself can provide further details.

Filed Under: Q&A, Taxes Tagged With: long term care, medical expenses, Taxes

This week’s money news

June 26, 2023 By Liz Weston

This week’s top story: Smart Money podcast on tipping, and managing high credit card annual fees. In other news: If you should financially support adult kids, how to use ChatGPT to plan your next trip, and if you can’t afford long-term care.

Smart Money Podcast: Nerdy Tips on Tipping, and Managing High Credit Card Annual Fees
Feel less awkward about tipping with our Nerds’ tipping tips. Then learn about credit cards with high annual fees.

Should You Financially Support Adult Kids?
45% of parents with a child 18 or older spend an average of over $1,400 per month supporting their kids financially, excluding adult kids with disabilities.

How to Use ChatGPT to Plan Your Next Trip
Though they have limits, language models like ChatGPT can act as personalized travel guides for your next trip.

What If You Can’t Afford Long-Term Care?
From reverse mortgages to hybrid insurance, here are some avenues available to people who can’t afford the care they need.

Filed Under: Liz's Blog Tagged With: ChatGPT to plan a trip, financially supporting adult kids, long term care, managing high credit card annual fees, Smart Money podcast, tipping

Tuesday’s need-to-know money new

June 7, 2022 By Liz Weston

Today’s top story: Should you use a reverse mortgage to pay for long-term care? Also in the news: A new episode of the Smart Money podcast on giving family and friends money, a look at the Metro affordability report for first-time buyers, and the easiest ways to make your cell phone bill cheaper.

Should You Use a Reverse Mortgage to Pay for Long-Term Care?
A reverse mortgage can provide a crucial stream of income to pay for long-term care costs, but there are some limitations.

Smart Money Podcast: Giving Family Money, and What’s Happening With Inflation
This week’s episode starts with a discussion about when and how to give your family and friends money.

First-Time Home Buyer Metro Affordability Report – Q1 2022
Two years into the pandemic-era housing market, affordability falls again, making a bleak first quarter for first-time home buyers in 2022.

The Easiest Ways to Make Your Cell Phone Bill Cheaper
Your attention span is already prisoner to your phone; your wallet doesn’t have to be, too.

Filed Under: Liz's Blog Tagged With: cell phone bill tips, long term care, Metro affordability, reverse mortgage, Smart Money podcast

Friday’s need-to-know money news

June 3, 2022 By Liz Weston

Today’s top story: Don’t let your first car be a $30K mistake. Also in the news: House Democrats push Treasury, IRS for repeal of rule blocking state and local taxes cap workaround, should you use a reverse mortgage to pay for long-term care, and the easiest way to make your cell phone bill cheaper.

Don’t Let Your First Car Be a $30K Mistake
Buying your first car right now isn’t easy, but with the right prep you can find a car that won’t become a burden.

House Democrats push Treasury, IRS for repeal of rule blocking state and local taxes cap workaround
Three House Democrats are still pushing for relief on the $10,000 limit on the federal deduction for state and local taxes, known as SALT.

5 ways to get around high credit card interest rates
Credit card interest rates have started going up.

Should you use a reverse mortgage to pay for long-term care?
Someone turning 65 has nearly a 7-in-10 chance of needing long-term care in the future, according to the Department of Health and Human Services.

The Easiest Ways to Make Your Cell Phone Bill Cheaper
Your attention span is already prisoner to your phone; your wallet doesn’t have to be, too.

Filed Under: Liz's Blog Tagged With: cell phone bills, first car, IRS, local taxes, long term care, reverse mortgage, tips, treasury

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