Paying For In Home Care

 Paying for in home care with a Reverse Mortgage 

Looming Cost of Long Term Care   US Govt heath and human services.    Paying for in home care.    Medicare and Aging in Place.    Aging in Place  My own nursing home horror story    

Where and How Retirees See Themselves Living   Long Term Care is getting hard to get    MIT Story on Longevity Advisors.    Health Care Costs rising at 4% a year 

Experts Tout Benefits of Reverse Mortgages to Financial Planners   In Home Care Providers    Organized Caregiver  Power of Attorney  Senior Care Options.     No Retirement Savings. 

 Women are losing sleep over this retirement savings fear  from CNBC    Signs a senior needs help at home – Unplug from Caregiving   Managing Dementia Outbursts 

 Seniors Behaving Badly in Care Facilities   Healthy Marriage While Caregiving   Caregiver Stress    NAELA JOURNAL   (comparing Long Term Care Insurance and Reverse Mortgages)


Our team has been involved in many of these situations where a loved one has a power of attorney and they have ran out of money for in home care, which is proven to increase the remainder of life substantially more than going to a nursing home. We use the power of attorney and they can use the money from the Reverse Mortgage to pay for in home long term care; usually supplemented by the social security check. Now I am on the other side of the fence as a caregiver, so I not only can help find a way to supplement income to keep your loved one at home, I also know exactly how it feels to be a caregiver to a loved one. How to pay for in home care in Birmingham, Alabama.

Q: I’m thinking about using a reverse mortgage to pay for Long Term Care, if needed, instead of paying premiums on a Long Term Care insurance policy that I may never use. I don’t have a mortgage, and my home is worth $500,000. I’m 66, my wife is younger than me, and we are relatively healthy with family history of longevity. We don’t have anyone to leave our home to. We already have the funds to pay for one to two years in a nursing home, but the reverse mortgage loan would certainly reduce the amount of our own funds we might need for such a placement. FYI: I worked for many years in the nursing home industry, and I know that most nursing home residents do not survive for much more than a year. — Alan Rubin, Wading River, N.Y.

A: The answer you get to this question depends on whom you ask. Reverse mortgage experts will say one thing: Yes. Long Term Care insurance experts will say another: No. And fee-only fiduciaries will likely detail the pros and cons to your plan, the trade-offs and some alternatives.

Let’s start with a reverse mortgage expert. “Reverse mortgages are a great way to pay for Long term care or in home care,” says Colette Gray, a senior loan officer with Home Safe Reverse Mortgage in Los Angeles area and blogger at The Reverse Mortgage Guide.

What do experts have to say? You can certainly use a reverse mortgage to pay for long term care, and your plan may very well work, says Tobe Lynn Gerard, a certified long-term care specialist. But there are “just too many unknowns” and assumptions, she says.

Reverse mortgage limits your choice to move. What to do then? Experts including Harley Gordon, president of the Corporation for Certification for Long-Term Care, in Durham, N.C., suggest using the funds you now have earmarked to pay for long term care, if you need it, and buying a combination — life/long term care insurance policy, perhaps with a one-year waiting period. Also, apply for the reverse mortgage, but use it only in the case of emergencies.

And here’s what the folks at the National Reverse Mortgage Lenders Association had to say: “If you take a Home Equity Conversion Mortgage (HECM) — the FHA-insured reverse mortgage — and establish a line of credit, and then only draw on it when you have in home care expenses, the unused line of credit will continue to increase over time and you will only accumulate interest on what you have used. In some instances, this approach might make more sense than paying premiums on a Long-term care policy.”

Ultimately, there are only a few ways to pay for long term care expenses, including nursing home costs: You can fund this expense with assets (including a reverse mortgage) and income; insurance in combination with self-funding; and Medicaid.

Bottom line: “I think he should be discussing this with his financial adviser to weigh all of the options that he has to see if a reverse mortgage is truly the best way to go,” says Gerard.

An Overview of Reverse Mortgages. For many seniors the equity in their home is their largest single asset, yet it is unavailable to use unless they use a home-equity loan. But a conventional loan really doesn’t free up the equity because the money must be paid back with interest. A reverse mortgage is a risk-free way of tapping into home equity without creating monthly payments and without requiring the money to be paid back during a person’s lifetime. Instead of making payments the cash flow is reversed and the senior receives payments from the bank. Thus, the title “reverse mortgage”.

Many seniors are finding they can use a reverse mortgage to pay off an existing conventional mortgage, to create money for a down payment for a second home or to pay off debt. Popularity is skyrocketing. Over the last five years the number of reverse mortgages nationwide has tripled. The uses of this untapped wealth are only limited by a person’s imagination.

For those seniors who are less fortunate but own a home, a reverse mortgage can allow them to remain in the home by creating extra income. It can also allow for remodeling or repairs and when the time comes to sell, the investment in the home can make it more valuable.

A reverse mortgage is a loan against the equity in your home that provides you cash advances but requires no mandatory monthly re-payments during the life of the loan. If the interest is unpaid, it can accrue against the value of your home. If you do choose to pay any portion of the interest, it may be deductible against income, as would any mortgage interest.

A Reverse Mortgage is like a conventional mortgage. As an example:
The bank does not own the home but owns a lien on the property just as with any other mortgage
You continue to hold title to the property as with any other mortgage
The bank has no recourse to demand payment from any family member if there is not enough equity to cover paying off the loan. There is no penalty to pay off the mortgage early.

The proceeds from a reverse mortgage are tax-free and available as a lump sum, fixed monthly payments for as long as you live in the property, a line of credit; or a combination of these options. These proceeds can be used for any legal purpose you wish: daily living expenses, home repairs and improvements, medical bills and prescription drugs, pay-off of existing debts education, travel, LTC and/or long-term care insurance financial and estate tax plans, gifts and trusts, to purchase life insurance or any other needs you may have. The amount of reverse mortgage benefit for which you may qualify, will depend on your age at the time you apply for the loan, the reverse mortgage program you choose, the value of your home, current interest rates, and for some products, where you live.

As a rule, the older you are and the greater your equity, the larger the reverse mortgage benefit will be (up to certain limits, in some cases). The Reverse Mortgage must pay off any outstanding liens against your property before you can withdraw additional funds.

The loan is not due and payable until the borrower no longer occupies the home as a principal residence (i.e. the borrower sells, moves out permanently or passes away). At that time, the balance of borrowed funds is due and payable, all additional equity in the property belongs to the owners or their beneficiaries.

The costs associated with getting a reverse mortgage are like those with a conventional mortgage, such as the origination fee, appraisal and inspection fees, title policy, mortgage insurance and other normal closing costs.

With a reverse mortgage, all these costs will be financed as part of the mortgage prior to your withdrawal of additional funds.

You must participate in an independent Credit Counseling session with a FHA-approved counselor early in the application process for a reverse mortgage. The counselor’s job is to educate you about all your mortgage options. This counseling session is at no cost to the borrower and can be done in person or, more typically, over the telephone. After completing this counseling, you will receive a Counseling Certificate in the mail which must be included as part of the reverse mortgage application.

Keeping money in a reverse mortgage line of credit will not count as an asset for Medicaid eligibility as this would be considered a loan and not a resource for Medicaid spend down. However, transferring the money to an investment or to a bank account would represent an asset and would trigger a spend down requirement.

If a senior homeowner chooses to repay any portion of the interest accruing against his borrowed funds, the payment of this interest may be deductible (just as any mortgage interest may be). A reverse mortgage loan will be available to a senior homeowner to draw upon for as long as that person lives in the home. And, in some cases, the lender increases the total amount of the line of credit over time (unlike a traditional Home Equity Line whose credit limit is established at origination). If a senior homeowner stays in the property until he or she dies, his or her estate valuation will be reduced by the amount of the debt.

False Beliefs. “The lender could take my house.” Homeowner retains full ownership. The Reverse Mortgage is just a loan with a lien, like any other mortgage. You can pay it off anytime you like.

“I can be thrown out of my own home.” Homeowners can stay in the home if they live with no payment requirement.
“I could end up owing more than my house is worth.” The homeowner can never owe more than the value of the home at the time the loan is due.
“My heirs will be against it.” Experience demonstrates heirs are in favor of Reverse Mortgages.
The following material was taken from an article titled” The Future in Reverse” by Rosana Remake

Live Free of Monthly Payments. Cutting expenses is an issue for retirees living on fixed incomes. The most common use of a reverse mortgage is to pay off an existing mortgage, thereby eliminating what is typically the largest monthly household bill.

Avery Chenowith, a retired Marine Corps colonel, lives with his wife at Leisure World senior retirement community in Landsdowne, Va. Chenowith, 65, thought he had to pay off his first mortgage before he could think of getting a reverse mortgage. When he learned that wasn’t the case, he used a reverse mortgage to pay off his condo and leave him without a mortgage payment for as long as he and his wife live there.

“Now, without that mortgage payment, we are saving $1,400 a month. That’s $16,000 a year. We don’t have a worry in the world, and as our money builds up, we can take trips abroad.”

Dream Come True. In addition to eliminating mortgage payments, consumers can also draw on the equity in their homes. The cash can be used for just about anything: Buying a second home, taking vacations or realizing a lifelong dream-like buying a plane.

Thomas Hardington, 84, of Munhall, Pa., had been flying planes since World War II. He belonged to a flying club when a friend offered to sell him a plane. His granddaughter mentioned the idea of a reverse mortgage to purchase the plane.

“It sounded good,” Hardington says, “So we had the house appraised. It appraised at $149,000 and I got around $80,000.” Hardington used a portion of that money to buy his plane and the rest he tucked away in an escrow account. “The interest on the escrow account is more than what I could get in a bank,” he says. I’m thinking of buying a condo down in Naples, Florida and may use what I have in escrow to do that.”

Reverse mortgages may not be a fit for every situation, but they are worth considering. They can help people through a financial rough spot, provide financial security or a boost in lifestyle.

Reverse Mortgages and Long Term Care Insurance. According to recent statistics, about 60% of the population will require some form of long-term healthcare services during their remaining lifetimes. A combination of home care, assisted living and nursing homes stays can last three to five years or longer. A senior’s average stay in a nursing home is about 2.5 years and the costs can easily exceed $90,000 annually. Home care can be expensive as well.

Most Americans recognize the need for a long-term care insurance program to both protect their assets and relieve any potential burden on their families. One major obstacle often voiced by seniors is, “How do I pay for this insurance?” Many seniors no longer have the income necessary to pay the premiums for long-term care coverage and most are not comfortable utilizing their savings for this purpose. While an individual can always ignore the issue and simply rely on the state Medicaid to provide such future care, this option may not always be the best one since a senior wanting Medicaid is required to spend down his assets to $2,000 or less before qualifying for these government programs. In addition, a healthy spouse at home may be left with inadequate income and assets because of seeking Medicaid benefits. Also, many states favor nursing homes for Medicaid services and relying on this welfare program will in most cases take away the options of receiving care at home or in an assisted living.

Traditionally, seniors have had three choices for funding the possibility of needing pay to help for chronic illness and professional care. Self-funding these expenses with personal savings, ultimately utilizing the government welfare programs, or purchasing insurance with existing income. Now there is a fourth choice available – taking advantage of the opportunities offered by reverse mortgage programs.

Proceeds from a reverse mortgage loan for paying LTC insurance are typically set up as a monthly income to ensure money is available through the life of the policyholder.

The American Home ownership and Economic Opportunity Act of 2000 (H.R.5640) signed into law on December 27, 2000, supports the use of reverse mortgage proceeds for both LTC and LTC insurance.

It can seem complicated but I can make it seem simple. Let someone local help you with it. Scott Underwood “Alabama’s Reverse Mortgage Guy” has an office in Birmingham that covers the Greater Birmingham area including Chelsea, Warrior, and Jasper. Huntsville office to cover Decatur, Madison, and Guntersville.