Fire Insurance loss proceeds and medicaid

by Jane
(Gatlinburg, TN USA)

We were recently victims of a tragic firestorm back on November 28th, 2016 and lost everything. We are receiving the proceeds of our homeowners insurance. My husband is a cancer patient and has extreme RA and takes expensive meds. He draws SSI and I have been drawing my SS benefits for a little over a year. I turn 65 in December and I have received the forms to fill out. Asking about cash and bank accounts etc.


We plan to use these proceeds to purchase another home but may not find something before December when I am suppose to go on medicaid or medicare. Will this lump sum cause my husband to lose his medicaid? This isn't income, it is to replace our home. Our home would not have been counted against us if we had not lost it in this tragedy. Our income is too low to qualify for a loan so we will need that money to replace it.

His meds and treatment could wipe us out quickly if he were to be taken off of medicaid. Almost thinking a divorce would solve the problem!!!? Would it...if the proceeds were put in my name as the home was in my name and the check will be made out to me. Thank you so much. I am crazy with worry on this!

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Sep 11, 2017
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Proceeds from home and Medicaid
by: K. Gabriel Heiser, Esq.

Under the Medicaid rules, if a home is sold, the proceeds must be reinvested within three months of the sale. Whatever is not reinvested by then is counted as an asset, and will cause the homeowner to have too much in assets to qualify for Medicaid.

As soon as the proceeds are reinvested in a new home, one which the community spouse will live in, the proceeds will no longer be countable.

NOTE: If the applicant is married and on Medicaid, and at the time of sale the house is titled solely in the name of the Community Spouse, the extra proceeds may be safely retained by the Community Spouse and will not cause the nursing home spouse to become ineligible for Medicaid.

That’s because of the federal statute that states that the assets of the Community Spouse cannot be deemed available to the nursing home spouse starting with the month after the month in which the nursing home spouse is declared eligible for Medicaid coverage.

As far as I know, the proceeds from the insurance settlement on the destroyed house will follow the same rules set forth above.

Sep 12, 2017
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Not-counted Resources
by: Jane Morris

Thank you J.G Heiser for your input.
I just very recently received the information about SSI resources that do not count against you as resources. This is in their booklet:

-disaster relief assistance which we do not count as income

-cash received for the purpose of replacing an excluded resource (for example, a house) that is lost, damaged, or stolen is not counted for 9 months.

-some trusts

So, I have found some helpful things, but the time factor in my case is what is now unclear, as we received a portion of the insurance but not all, yet, or enough to replace our house. But I am making small steps forward with everyone's help in looking for this information.
Thank you so much for your attention, time and for your input. And thanks so much for this website too!

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--by Beth Heikkinen
Marquette, Michigan
I just want to thank you for this site. It answered my questions. I think many people that do research on the net take it for granted and when they find what they are looking for they forget "someone put time, money, etc into providing me with this information."

Thank you!


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