Montana Long-Term Care

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Montana participates in the federal/state long-term care partnership program which provides additional asset protection for those who have a qualified partnership LTC insurance policy. Medicaid will pay for long-term care, but only if a person has few assets. Some Montanans may need to “use up” their assets to qualify if they do not have a LTC insurance policy to pay for that care. There is a separate kind of insurance available in Montana that can protect you from the need to spend down your assets to qualify for Medicaid long-term care assistance. This is called a “long-term care partnership plan.”

When a Montanan who has purchased a qualified Montana Long-Term Care Partnership insurance policy needs care, benefits will help cover the costs of care up to the maximum lifetime limit (often called the pool) of the policy. If the lifetime limit is reached and the individual still needs care, any assets equal to the value of the policy limit will not be included when a determination is being made about the person’s eligibility for Medicaid.

While some people think they can “give away” assets to family in order to qualify for Medicaid, this is no longer the case. Federal law requires a period of Medicaid ineligibility if people give away assets or transfer them for less than their fair market value within a certain time period. This time period is known as the “look-back period.” In 2006, the look-back period for the transfer of assets changed from 36 months (3 years) to 60 months (5 years). A partnership long-term care policy will protect assets and additional “dollar-for-dollar” asset protection if your policy is a partnership policy.

Long-Term Care Medicaid spend down is $2000. A spouse’s minimum asset allowance is $24,720.

Most states have reciprocity with other states' long-term-care partnership programs including Montana. This means if you move from or to Montana your partnership asset protection follows you as well.

The state of Montana also offers tax incentives in addition to the federal tax incentives that are available.

A limited credit is available for the expense of caring for certain elderly family members (which includes premiums paid for LTC insurance coverage). The amount of credit is determined based on the taxpayer’s adjusted gross income and cannot exceed $5,000 per qualifying family member in a taxable year ($10,000 for two or more family members).

A deduction is allowed for all premium payments made directly by the taxpayer for LTC insurance policies or certificates that provide coverage primarily for any qualified long-term care servicesfor the taxpayer, the taxpayer’s parents, or the taxpayer’s grandparents. In order to take this deduction, the premiums must not have been deducted elsewhere on your tax return when you determine your Montana adjusted gross income.

A variety of products are approved in Montana for Long-Term Care planning.

Montana Long-Term Care Costs

Home Health Aide Average Monthly Rate $4,576
Homemaker Services Average Monthly Rate $4,576
Adult Day Care Average Monthly Rate $2,468
Assisted Living Average Monthly Cost $3,919
Skilled Nursing Home Semi-Private Monthly $7,006
Skilled Nursing Home Private Average Monthly $7,310