
You're considering a reverse mortgage, but you're also concerned about how it might affect your Medicaid benefits. The good news is that you can still make informed decisions with the right information.
Medicaid is a needs-based program, which means that your eligibility is determined by your income and assets. A reverse mortgage, on the other hand, is a type of loan that allows you to borrow money using the equity in your home.
One thing to keep in mind is that a reverse mortgage does not affect your income or assets in the eyes of Medicaid. However, the proceeds from the loan may impact your eligibility for Medicaid, depending on how you use them.
The key is to understand how the loan works and how it might affect your Medicaid benefits. By doing your research and seeking professional advice, you can make an informed decision that meets your needs.
Eligibility
Medicaid eligibility is impacted by reverse mortgages in various ways. Payments from a reverse mortgage are not considered income in most states, but unspent balances can increase an individual's countable assets.
In some states, reverse mortgage payments may be considered assets in the month they're received. This is why it's essential to check your state's Medicaid manual to understand the specific rules.
A single person's Medicaid eligibility is affected by the constant asset limit of $2,000 in most states, making it challenging to qualify for benefits if they have unspent reverse mortgage payments. If they move into a nursing home, they may not qualify for a reverse mortgage or be forced to pay back an existing one.
Qualification for One Person
A single person's Medicaid eligibility is affected by a reverse mortgage, as any unspent payments from the loan will impact their eligibility for benefits.
Most states have a constant Medicaid asset limit of $2,000, meaning that any unspent reverse mortgage payments will count towards this limit.
If a single person moves out of their home and into a nursing home, they may not qualify for a reverse mortgage or will be forced to pay back an existing reverse mortgage.

The home itself is an exempt asset up to certain limits, generally $713,000 or $1,071,000 in equity, depending on the state.
If a single person with a reverse mortgage goes into a care facility for 12 consecutive months or more, they (or their heirs) would have to sell the home and pay off the reverse mortgage.
Marriage Eligibility
Married couples may be able to use a reverse mortgage to supplement their income while maintaining their lifestyle within the community.
To qualify for Medicaid with a reverse mortgage, the community spouse must ensure the payments are payable only to them, not both spouses. This is crucial to avoid affecting the institutionalized spouse's total assets and Medicaid eligibility.
A reverse mortgage can be a viable option for married couples, but only if the community spouse is within the required asset limitations at the time of application.
The state Medicaid agency only looks at the institutionalized spouse's assets going forward, so once eligibility is achieved, reverse mortgage payments will not affect their spouse's eligibility.

Married couples should discuss the impact of a reverse mortgage on their case with the state Medicaid agency or an elder law attorney before making a decision.
If the community spouse expects to require nursing home care in the near future, a reverse mortgage might not be the best option, as they will need to pay off the mortgage debt once the individual is no longer able to live in their home.
Understanding Reverse Mortgages
You can get a reverse mortgage from a mortgage lender approved by the Federal Housing Administration (FHA), or from a lender offering a proprietary reverse mortgage.
Reverse mortgages work by allowing seniors to borrow money from their home's equity, which can be taken out as a lump sum or in monthly payments.
To qualify for a reverse mortgage, seniors can use it for any purpose they want, such as paying for home care or home modifications.
Keep in mind that reverse mortgages come with interest rates and other fees that need to be paid back, which can affect your eligibility for Medicaid and other government programs if you receive too much income from the loan.
How Mortgages Work
Reverse mortgages work by allowing seniors to borrow a certain amount of money from their home's equity. This can be taken out as a lump sum or in monthly payments for as long as the borrower chooses.
A reverse mortgage is a loan that comes with interest rates and fees, which need to be paid back with the loan. It's essential to understand these terms before signing on the dotted line.
Seniors can use the borrowed money to cover living expenses, pay off debts, or fund home repairs. The loan amount is based on the home's value and the borrower's age.
It's crucial to read all the terms of the loan carefully to avoid any surprises down the road. A financial advisor can help you understand any potential implications of a reverse mortgage on your existing benefits.
What Is a Spend-Down?
A spend-down is a way to qualify for Medicaid benefits by spending down your non-exempt assets. You can do this by using up your resources so that you're eligible for Medicaid.
The rules around spend-downs are strict, and there's a look-back period where you can't give away assets or sell them for less than their market value. This period is typically 60 months.
You'll need to carefully plan and manage your finances to qualify for a spend-down, as states closely monitor your spending and assets.
Things to Consider Before Making a Decision
The amount of money you borrow through a reverse mortgage will count toward your Medicaid eligibility.
It's essential to be aware of this factor, especially if you're relying on Medicaid for healthcare expenses. If you're not, you might want to reconsider your financial situation.
The proceeds of a reverse mortgage may be excluded from your assets for Medicaid eligibility purposes, but only if you check with your local state agency about the specific rules and regulations that apply to your situation.
This can be a game-changer for some people, but it's not a guarantee. It's crucial to verify the information with your local state agency.
If you have a spouse who is not on the loan, the proceeds of the loan may not be considered when determining Medicaid eligibility.
This is a crucial consideration if you're planning to use Medicaid in the future. It's essential to factor this into your decision.
If you don’t spend all of the money you get from a reverse mortgage, it may eventually count towards your assets and affect your Medicaid eligibility.
It's easy to get caught up in the excitement of receiving a lump sum, but it's essential to think about the long-term implications.
The interest on a reverse mortgage will also be added to your taxable income each year, so you should be aware of the potential tax implications.
This is an often-overlooked aspect of reverse mortgages, but it's essential to consider the tax implications when making your decision.
Key Factors to Consider:
Frequently Asked Questions
What is the biggest problem with reverse mortgage?
The biggest problem with reverse mortgages is that they can lead to significant debt and loss of home equity due to compounding interest and high fees.
Does having a mortgage affect Medicaid?
Having a mortgage does not affect Medicaid eligibility, as your home is not considered a countable asset. However, your home's value and any other assets may still impact your Medicaid qualification.
Sources
- https://www.krausefinancial.com/blog/how-does-a-reverse-mortgage-affect-medicaid/
- https://www.investopedia.com/reverse-mortgage-and-care-facility-5270873
- https://www.kcmortgageguy.com/resources/does-a-reverse-mortgage-affect-medicaid-benefits
- https://www.farrlawfirm.com/reverse-mortgage/critter-corner-reverse-mortgages-affect-medicaid-eligibility/
- https://www.illinoisestateplanningandelderlawblog.com/illinois-medicaid-planning-private-reverse-mortgages/
Featured Images: pexels.com