
If you or a loved one is facing a long-term care situation, a reverse mortgage can be a valuable resource to consider. This type of loan allows homeowners to tap into their home's equity to fund care costs.
A reverse mortgage is a non-recourse loan, meaning the borrower's heirs won't owe more than the home's value. This can provide peace of mind for families.
To qualify for a reverse mortgage, homeowners typically must be at least 62 years old and own their home outright or have a low balance on their mortgage.
What is a Reverse Mortgage?
A reverse mortgage is a loan or line of credit on the assessed value of your home. Most reverse mortgages are federally backed Home Equity Conversion Mortgages, or HECMs, which are loans up to a federal limit of $970,800.
Homeowners must be 62 years old to apply for a reverse mortgage. You can qualify if you have at least 50% to 55% equity in your home.
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The amount you can access depends on your age and the home's appraised value. You must keep paying taxes and insurance on the home.
A reverse mortgage is a non-recourse loan, meaning if the loan amount ends up being more than the home's value, the borrower or inheritor won't have to pay more than the loan amount owed or what the home could be sold for.
The loan is repaid when the borrower dies or moves out. If there are two borrowers, the line of credit remains until the second borrower dies or moves out.
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Things to Consider
Consider how a reverse mortgage could affect your family, especially your spouse, who may not be able to stay in the home after you pass away.
You'll also want to check if the reverse mortgage has a "non-recourse" clause, which ensures you or your estate can't owe more than the home's value when the loan becomes due.
Think about how long you plan to stay in your home, as some reverse mortgages may have higher costs and fees if you stay for a short time.
Most reverse mortgages don't require monthly payments, but you'll still be responsible for maintaining the home, paying insurance, and covering property taxes.
If you're considering a reverse mortgage for long-term care, you'll need to own the home outright or have a low mortgage balance.
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Advantages
A reverse mortgage can be a valuable option for seniors who need help funding long-term care. You can tap into your home's value without having to worry about monthly loan payments or losing ownership.
Your home is likely your biggest asset, and using its value to cover long-term care costs can make sense. This is because most people's homes are the only assets they own that are appreciating in value each year.
You can lock in the value of your home by getting a reverse mortgage now, when home values are high. This means that even if you don't need the money right away, you can still take advantage of the high value of your home.
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The income from a reverse mortgage is tax-free. This means that you won't have to worry about paying taxes on the money you withdraw from your reverse mortgage line.
Here are some key benefits of using a reverse mortgage to fund long-term care:
- You can tap an "up" asset, as most people's homes are the only assets they own that are appreciating in value each year.
- You can lock in the value of your home by getting a reverse mortgage now, when home values are high.
- The income from a reverse mortgage is tax-free.
The Downsides of Using
Using a reverse mortgage to fund nursing home costs can be a complex decision. It's essential to understand the drawbacks before making a choice.
You'll pay high closing costs, which can range from 3% to 5% of your home's appraised value. These costs can be rolled into the loan, but it's still a significant expense.
Interest accrues on the loan, meaning you'll eventually owe more than you've borrowed. This can lead to a substantial debt burden.
You'll leave less to your heirs, as the more of your reverse mortgage you use, the less equity you'll have in your home.
A reverse mortgage can deplete your home equity, leaving little value remaining when you move or pass away. This can limit your care options, especially if you're the sole owner of the property.
Here are some key downsides to consider:
- High closing costs (3% to 5% of the home's appraised value)
- Interest accrues on the loan, leading to a substantial debt burden
- Less equity left for heirs
- Depletion of home equity, limiting care options
Medicaid and Eligibility

Reverse mortgages don't affect your income limits for Medicaid, but unspent funds may impact your asset limits, making a lump sum a less than ideal option for those concerned about Medicaid eligibility.
Medicaid has strict income and asset limits, which vary by state. Payments from a reverse mortgage are not considered income, although they might be considered assets if they go unspent.
A single person's home is an exempt asset up to certain limits, generally $713,000 or $1,071,000 in equity, depending on the state. If they go into a care facility for 12 consecutive months or more, they would have to sell the home and pay off the reverse mortgage.
In the case of a married couple, the person remaining in the home, the community spouse, can stay in the home for the rest of their life. The state may put a lien on it and attempt to recover the expenses that Medicaid paid for the institutionalized spouse’s care after the community spouse dies.
Unspent funds from a reverse mortgage can accumulate and put you over the asset limit, forcing you to spend funds unnecessarily to maintain eligibility.
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Loan Options

Reverse mortgages can be a valuable loan option for seniors who need help funding long-term care. They provide access to funds without requiring monthly loan payments or losing ownership.
You can use a reverse mortgage to cover care costs while staying in your home, which is particularly advantageous for aging in place. This allows you to preserve other assets like savings accounts and investments.
Reverse mortgages can be used for any purpose you want, including paying for home care or home modifications that might allow a person to remain in their home. This flexibility makes them a popular choice for seniors who want to stay in their homes as long as possible.
To trigger a reverse mortgage payback, you must leave the house for more than 12 consecutive months, fail to pay property taxes and homeowners insurance, or fail to maintain the property.
Marital and Co-Borrower Situations
A reverse mortgage can have more than one borrower, and co-borrowers may be spouses or someone else. This can be beneficial for couples, as the co-borrower can remain in the home and continue collecting mortgage proceeds after their co-borrower dies or moves into a care facility for 12 months or longer.
If a spouse is listed as a co-borrower on the loan, they can remain in the home and continue to collect payments from the reverse mortgage. This same rule applies if a co-borrower isn't the other borrower's spouse.
For reverse mortgages, spouses fall into three categories: co-borrowing spouse, eligible non-borrowing spouse, and ineligible non-borrowing spouse. The rules for these categories can be complex, but it's essential to understand them to ensure that your spouse is protected.
A co-borrowing spouse can remain in the home and continue collecting payments from the reverse mortgage. An eligible non-borrowing spouse may also be able to remain in the home, but they must meet specific criteria, including being legally married to the borrower, living in the property when the mortgage closed, and still residing in the property as their principal residence.
Here are the criteria for an eligible non-borrowing spouse:
- The loan can't be in default for reasons such as failure to pay property taxes or insurance premiums.
- The non-borrowing spouse must have been legally married to the borrowing spouse when the mortgage closed and still be legally married to them.
- In cases where a couple was forbidden by law to marry based on gender when the mortgage closed, the non-borrowing partner may be eligible if they were in a “committed relationship” with the borrower at the time that the mortgage closed and was legally married subsequently.
- The non-borrowing spouse must have lived in the property when the mortgage closed, and it must still be their principal residence.
Ineligible non-borrowing spouses, on the other hand, can't remain in the home if their spouse moves out for longer than 12 months. At that point, the reverse mortgage comes due, and other family members or anyone living in the home must also move out or buy the home and pay off the mortgage.
Paying for Care and Coverage
Medicare Part A will pay for the first 20 days of care at a skilled nursing facility, but after that, there's a co-pay for days 21 through 100, and all costs are your responsibility after 100 days.
Reverse mortgages can provide a crucial stream of income to pay for long-term care, but there are some limitations, such as the requirement that you live in the home.
You can use a reverse mortgage to pay for in-home care, adult day care, or temporary stays at care facilities, and the funds are tax-free. The balance can never exceed the property's value.
The great advantage of an HECM is flexibility, with options including term, tenure, line of credit, modified tenure, and modified term funding methods.
Here are some funding options available with a reverse mortgage:
- Term: Equal monthly payments for a fixed amount of time
- Tenure: Equal monthly payments as long as the borrower is alive and residing in the home
- Line of credit: On-demand funding within a set parameter
- Modified tenure: A combination of line of credit and tenure
- Modified term: A combination of a line of credit and term loan
If you need to use long-term care, funds from a reverse mortgage can be used to pay for it, but you must not reside elsewhere, such as a nursing home or assisted living facility, for more than 12 consecutive months.
Frequently Asked Questions
Is a reverse mortgage a good idea for an elderly person?
A reverse mortgage can be a good option for elderly individuals who need to supplement their income or cover living expenses, but it's essential to carefully consider the pros and cons before making a decision. It can provide financial relief, but may also impact inheritance or require ongoing payments.
What is the biggest problem with reverse mortgage?
The biggest problem with reverse mortgages is that they increase your debt and decrease your equity, as interest is added to your balance every month. This can lead to a significant loss of home value and financial security.
Sources
- https://consumer.ftc.gov/articles/reverse-mortgages
- https://www.nerdwallet.com/article/mortgages/homeownership/reverse-mortgage-long-term-care
- https://virtuallawoffice.com/reverse-mortgage-long-term-care/
- https://www.investopedia.com/reverse-mortgage-and-care-facility-5270873
- https://www.investopedia.com/can-reverse-mortgage-pay-for-long-term-care-5223138
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