Archive for the ‘Long Term Care’ Category

How to Discuss Estate Planning Without Unnecessary Drama

Friday, September 11th, 2020

Littman Krooks Retirement PlanningFamilies can usually agree on the importance of creating a New York estate plan. However, as crucial as having a comprehensive estate plan is, recent studies show that only a small percentage of couples – most of them older – have current estate planning documents in place. When those who do not have an estate plan are asked why that is the case, the most common response is that they are avoiding having a difficult conversation with their loved ones. For parents, this concern is primarily centered around not wanting to cause problems between siblings.

The first step toward drama-free estate planning is understanding what causes drama between siblings in the first place. Of course, parents cannot necessarily resolve existing sibling rivalries or long-standing disagreements between siblings, which can make the process more challenging. In addition, the estate planning process itself can cause other types of issues to arise. For example, siblings who may not communicate that often may be skeptical of the others’ motives; they may disagree on who should pay for final arrangements, or how assets should be divided. Parents can take specific steps to make the estate planning process easier and reduce the chance of starting arguments between their children.

Create a Financial Overview

littman krooks elder lawWhile a comprehensive estate plan provides a detailed explanation of where a couple wants their assets to end up after they pass on, it does little to explain to children what those assets are and where they are located. A financial overview solves this problem by providing a list of all family assets and their location. For example, parents may have bank or investment accounts that at least one child is unaware of. If a child believes assets are only made known to certain siblings, it can start to build resentment, which may grow over time. By sharing a financial overview with all children, parents can reduce the perception of favoritism.

A proper financial overview should include the following information:

  • A list of all assets, liabilities and insurance policies, as well as how they are titled and any named beneficiaries.
  • Contact information for all financial, legal and insurance professionals.
  • Usernames and passwords for all financial and insurance websites.
  • A legacy letter outlining the non-financial assets, such as family heirlooms, that parents want to pass on to their children.

By creating a financial overview, parents can not only make the estate administration process easier for the executor but can also reduce the chances of starting family conflict. However, ongoing and open communication will also be essential.

Schedule a Family Meeting

After parents create an estate plan and a financial overview, the next step is to schedule a family meeting. Both parents, as well as all children who will be inheriting assets, should attend the meeting. While ideally, family members would meet in person, if children live across the country or a family is concerned about maintaining social distance, a family meeting could be held virtually.

Topics to cover at the family meeting include:

  • Discussing the basics of the estate plan;
  • Ensuring at least one person knows the location of the estate planning documents;
  • Explaining who will be the executor of the estate, as well as any other necessary parties, such as trustees;
  • Discussing the importance of transparency and openness during the estate administration process;
  • Outlining the parents’ plan for important non-financial items, such as family heirlooms; and
  • Discussing the importance of keeping things fair and using the process to bring the family together.

For many parents, the process of discussing their estate plans with their children is a topic to be avoided. However, these are crucial conversations that must take place to increase the likelihood of a smooth and drama-free estate administration process.

Speak With a New York Estate Planning Lawyer for Immediate Assistance

Creating an estate plan to address your family’s unique needs is crucial to securing your legacy and ensuring that future generations are cared for. At the New York estate planning law firm, Littman Krooks, LLP, we have over 30 years of experience helping families effectively plan for their financial future. We pride ourselves in providing an exceptional level of service to individuals of varying net worth, helping our clients ensure that future generations are well taken care of and reducing the tax burdens on their estates. To learn more about how our dedicated team of attorneys can assist your family with its unique needs, call 914-684-1200 to schedule a no-obligation consultation today.

 

Three Tips for Caregiving From Afar

Tuesday, June 30th, 2020

When distance comes between you and an aging parent or another loved one who needs extra help, it can be especially tough to become their caregiver. A caregiver who lives an hour or more away from their parent or loved one is considered a long-distance caregiver. Although this arrangement presents many difficulties, it can also be effective and beneficial for everyone involved with a few special considerations.

New rules enacted to stop the spread of COVID-19 have made some local caregivers into, effectively, long-distance caregivers too. Social distancing and quarantine efforts kept some caregivers away for safety’s sake and shut nursing homes, hospitals and other care facilities down to outside visitors. In these cases, tips for long-distance caregivers might be useful too.

Stay Informed

Staying organized and informed is really important when you are not there in person. This cuts down on unnecessary stress and confusion and makes talking to multiple medical professionals or other caregivers easier. Keep a list of all of your loved one’s medical conditions, medications, doctors, appointments and anything else that is relevant to their care. Be sure to update this list often and to research anything with which you are unfamiliar. Take detailed notes during appointments and phone calls with other care providers.

You will need to prepare a few legal documents in order for medical staff to share information about your loved one with you. A HIPPAA Authorization form provides written consent for this. You may also want to have a medical power of attorney document prepared so you would be able to make decisions for your loved one in the event that they are unable to do so for themselves.

Collaborate With Others

Especially when there are multiple people involved in caregiving, complicated medical needs and other family members who are concerned about how your loved one is doing, sharing information and communicating often is key. Make copies of your lists and notes about your loved one’s health for other family members and caregivers or start a shared online document that can be edited as needed. Becoming the sole recorder and keeper of this information creates unnecessary stress and even resentment so, if possible, share the effort.

It is important to stay in touch with your loved one’s doctors and other professionals. Conference calls or meetings involving members of the care team, caregivers and family members streamlines the information sharing process.

Connect With Your Loved One

Being a long-distance caregiver usually means that visits cannot occur as often as you would like. Planning can keep visits productive and enjoyable, so you and your loved one can make the best of your time together.

Whether physical distance or new social distancing guidelines are keeping you apart, technology creates new ways to keep in touch and have fun with your loved one. Getting them a phone or tablet — and providing the lessons on how to use it — give a direct line of communication. You can use it to video chat, text, play games together and send pictures, all of which can keep feelings of loneliness away.

The New York estate planning law firm of Littman Krooks, LLP combines extensive legal knowledge and experience with individual attention suited to each clients’ needs. For over 30 years, Littman Krooks attorneys have brought astute, honest counsel and strong, thorough representation to every client they have served. Reach Littman Krooks at https://www.littmankrooks.com/.

 

Is Your Estate Plan Up To Date?

Friday, March 22nd, 2019

By: Amy C. O’Hara, Esq., Littman Krooks LLP

In order to ensure your existing estate plan meets your objectives, it is imperative that it be reviewed at least every 3-5 years and updated when needed.  Here are some issues that might necessitate updating your estate plan:

  • You want to avoid probate;
  • You or a beneficiary become disabled or have a long-term illness;
  • Death of a beneficiary;
  • Marriage, divorce or remarriage;
  • Birth or adoption of a child;
  • Death or change of executor, trustee, and/or guardian;
  • A change in the distribution of your estate;
  • A significant increase or decrease in your net worth;
  • Retirement;
  • Expecting to change state of domicile; and
  • Finally, any time you feel uneasy about any of your documents, making changes and/or speaking with your estate planning lawyer to make you feel comfortable with them.

Never make any changes on your current estate planning documents.  Mark-outs, interlineations and other informal changes are of no effect and will not be honored during an illness or after your death.  It is important to meet with an experienced estate planning lawyer to ensure you estate plan is updated properly to protect you and your loved ones.

 

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How to find resources for seniors in New York City

Monday, February 5th, 2018

New York City’s senior population is growing quickly. There are now more than 1.4 million New Yorkers over the age of 60, and that number is expected to rise to more than 1.8 million by 2030. At that time, there will be more older adults than school children in New York City, and seniors will account for one out of every five residents. There is a vast array of community resources available to help seniors with their daily needs, but they can be difficult to locate. New York City’s Department of Aging has an online tool that can help.

Littman Krooks elder law attorneysThe Department of Aging’s Find Help tool is designed to help seniors and their family members easily find the resources they need in their area. You can search by zip code or borough, and search for the type of services you are looking for, which may include abuse prevention, caregiver resources, case management, health promotion services, home care, home delivered meals, legal services, naturally occurring retirement communities, senior centers, social adult day care and day services, transportation and geriatric mental health.

Searching by location and type of services gives you a list of providers, and by clicking on an individual result, you will be given detailed information about the service provider, including the address, phone number, hours of operation and services offered.

 

Learn more about elder lawestate planning and special needs planning at littmankrooks.com,  elderlawnewyork.com  & specialneedsnewyork.com. Have questions about this article? Contact us.


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Millennials and Estate Planning: You are Not Too Young for That!

Friday, August 25th, 2017

 

For many millennials, estate planning is not a topic that has even crossed their mind, let alone been made a priority. With more immediate concerns such as graduation from school, the start of a career, perhaps looking forward to buying a home and starting a family, the thought of planning for death or incapacity is a non-starter for many. Although people often think of estate planning as a task for later in life, there are aspects of estate planning that prove beneficial regardless of age or perceived net worth. Estate planning can include both planning for during life (“Advance Directives”) and for after death (“Testamentary Planning”), both of which are important for any person.

Advance directives, such as a Health Care Proxy and Power of Attorney will benefit any adult, as accidents and emergencies cannot be predicted, and do not discriminate by age. By having a Health Care Proxy in place, a person can dictate who will make decisions on their behalf in the event they can no longer make them on their own. In addition, a thoughtfully drafted living will can assist the appointed agent in making the choices that a person would want made, including what kind of end-of-life care they would want to be given or withheld. Another document that becomes tremendously important in the event of incapacity is a durable power of attorney, which allows the appointed agent to manage the principal’s finances.

As for Testamentary Planning documents, although many people believe that they do not have sufficient assets to warrant the creation of a Last Will and Testament of Trust, there are many aspects of such documents that are important for people of all socioeconomic situations. For young adults who are not yet married, consideration should be made for aging parents who may be on government benefits like Medicaid now or in the future. Without proper planning any amount of money received as the beneficiary of an estate can jeopardize an aging parent’s government benefits. Additionally, as greater numbers of millennials begin starting their own families, a Will or Trust is essential, not only to ensure that assets are distributed according to their wishes at death, but also to nominate a guardian for your minor children in case of your death.

Even at the exciting a fast pace beginning of life, it is never too early to make plan for the unimaginable and for the benefit of your loved ones.

 

Learn more about elder lawestate planning and special needs planning at https://www.elderlawnewyork.com and  www.littmankrooks.com. Have questions about this article? Contact us.


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NYC Program Helps Seniors with Home Repairs

Friday, May 5th, 2017

Seniors who own their own home in New York City and need help paying for repairs may qualify for the Senior Citizen Home Assistance Program (SCHAP).

The SCHAP program is administered by the city’s Department of Housing Preservation and Development (HPD), in partnership with the Parodneck Foundation. Qualifying low- and moderate-income seniors can receive low-interest repayment loans or deferred no-interest loans to prevent physical deterioration of their home or to improve living conditions. The maximum loan amount is $40,000 for single-family homes or $30,000 per dwelling unit for two- to four-family homes.

Seniors may qualify if they have owned their home within the five boroughs of New York City for at least two years, and are 60 years old or older. Income guidelines apply, and the home must have liability and property insurance.

In the case of deferred, interest-free loans, there are no monthly payments, and fees plus ten percent of the loan are forgiven after the first year. The loan is payable in full if the house is sold, but if the borrower still resides in the home after 30 years, the balance of the loan is forgiven. In the case of low-interest repayment loans, the borrower is charged with 0-3 percent interest and repays the loan over 30 years.

The SCHAP program has been in operation since 1986, and has assisted more than 1,000 senior homeowners. In addition to affordable loans, the program also offers extensive technical assistance to qualifying seniors.

To learn more about the SCHAP program, including application requirements and the loan process, contact the Parodneck Foundation at 212-431-9700, extension 313, or visit: parodneckfoundation.org/schap.

 

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Nursing Home Residents Will Soon Have Greater Rights

Tuesday, November 22nd, 2016

Update (12/1/2016): “The rule was supposed to take effect Nov. 28, but the American Health Care Association, an industry group that represents most nursing homes in the U.S., filed a lawsuit in October to block the rule, which it called “arbitrary and capricious.” To read more, click here.

 

A rule change by a federal agency will provide nursing home residents with major new legal protections by preventing facilities from forcing disputes into arbitration.

littman krooks long-term-careThe Centers for Medicare and Medicaid Services (CMS), part of the Health and Human Services Department, issued a rule preventing nursing homes from requiring that residents resolve disputes in arbitration rather than through a lawsuit. The rule applies to all facilities that receive federal funding, protecting the rights of 1.5 million residents. The arbitration ban is one of several new nursing home regulations promulgated by CMS, including new standards for nutrition and infection control.

Many families must make the decision about a nursing home under time pressure and in emotional turmoil, and they often are not able to consider the implications of all the contract terms. Nursing home contracts often contain fine print requiring that disputes be resolved through arbitration, taking away the right to sue for elder abuse, neglect and even wrongful death.

The nursing home industry said that the rule change, “clearly exceeds the agency’s authority.” Arbitration has reduced legal costs for nursing homes, but advocates for seniors say that it has prevented residents and their families from getting justice. Officials in 16 states and the District of Columbia had urged government action, arguing that private arbitration kept patterns of abuse hidden.

The new rule goes into effect on Nov. 28. It does not apply to contracts signed prior to that date, but current nursing home residents or their families can review their contracts and attempt to renegotiate or choose to move to another facility. After Nov. 28, nursing homes may still ask for a dispute to be settled through arbitration, but residents and their families have the right to file a lawsuit instead.

 

Join us for a free workshop on estate planning, “Plan for Your Future and Avoid Guardianship” on December 7, 2016 at the Greenburgh Library from 10:00 AM-12:00 PM. Registration is required because seating is limited. For more information or to register, click here.


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Westchester to Receive $3.3 Million Grant for In-Home Senior Services

Tuesday, September 27th, 2016

Governor Andrew M. Cuomo recently announced that the Westchester County Department of Senior Programs and Services will receive a $3.3 million grant for in-home services for seniors.

Gov. Cuomo said that the funding would help older New Yorkers continue to live in their homes with dignity and would improve their quality of life.

New York State’s county-based Area Agencies on Aging will receive a total of $50 million through the Expanded In-Home Services for the Elderly Program to help seniors remain in their homes and communities. The program is intended to maximize independence, providing the assistance that seniors need in order maintain a high quality of life in their communities. This may prevent the need for more expensive care, the cost of which is often borne by Medicaid.

The services are designed to help lower income seniors who may have functional impairments and need help with activities of daily living. The in-home services program provides non-medical supports such as assistance with cooking, shopping and getting bills paid.Littman Krooks Elder Law

State Senator Sue Serino, chain of the Senate Standing Committee on Aging, said that both seniors and the community at large benefit when people are able to age in place. When seniors maintain their independence costly nursing home placement is prevented. The program is expected to benefit nearly 70,000 New York seniors.

To be eligible, seniors must not be eligible for similar services such as Medicaid, must be 60 years of age or older and must be able to reside safely in the community. It is not necessary to show that there is a medical need for the services.

 

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Medicaid Asset Transfers: What Are The Rules?

Tuesday, June 21st, 2016

For many families, paying for a loved one’s extended stay in a nursing home would be difficult without the help of Medicaid. However, in order to qualify for the program, a person’s income and assets must fall within certain limits.

Federal rules state that to qualify for Medicaid nursing home coverage, a person must have no more than $2,000 in “countable” assets. However, New York State has more generous rules, so for New York residents in 2016 the limit is $14,850 for a single person. If a married person needs nursing home care, there are protections for a spouse who remains outside. In this situation, the community spouse has a maximum threshold of &74,820 to $119,220 ($14,850 for the institutionalized person and $119,220 for that person’s spouse). Certain types of resources are exempt, such as up to $828,000 of equity in a home and one motor vehicle.

Littman Krooks Elder LawIf you have countable resources above the limits, you may be told that you need to “spend down” your assets, paying for nursing home care yourself, until you reach the resource limits, at which point Medicaid begins covering the cost. This is what happens in many cases. In other cases, a family may anticipate the need for long-term care and wish to transfer assets to the next generation ahead of time, in order to preserve the family’s resources while still qualifying for Medicaid. This is an excellent strategy, as long as the Medicaid rules are followed.

Medicaid has a five-year “look-back” period for transfers of assets. A person applying for Medicaid must disclose all financial transactions for the previous five years. During this time, any transfers of assets for less than fair market value may prevent the person from being eligible for Medicaid. (However, in New York State, the asset transfer rules do not apply for recipients of Medicaid for home care services.) In addition, invalid transfers may result in a costly penalty period during which ineligibility may continue even after assets are spent down.

To avoid ineligibility and penalties, it is important to plan ahead. Transfers made more than five years in advance are not affected by the rules. There are also important exceptions to the asset transfer rules as well as legal strategies including certain trusts that can help preserve assets while ensuring eligibility. As you can see, Medicaid planning is very complex and it is essential to have help from a qualified elder law attorney.

 

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Seniors & Mental Health: Is it Mental Illness or Aging?

Sunday, May 22nd, 2016

Seniors are more at risk for mental illness than the general population. According to the Centers for Disease Control and Prevention (CDC), about 20 percent of people age 55 and older experience some kind of mental health concern. Not only are more seniors affected by mental illness, nearly one in three affected older adults does not receive treatment. By learning more about this often-misunderstood problem and watching for warning signs, we may be able to help elders in need get treatment.

Littman Krooks Elder LawMost people are aware that seniors are more at risk for Alzheimer’s disease and other cognitive impairment. About 11 percent of seniors have Alzheimer’s disease, but it is crucial to understand that cognitive decline is not a normal part of aging. Therefore, changes such as increased forgetfulness, confusion or disorientation should be taken seriously. With a prompt diagnosis, seniors can benefit from treatment earlier, and any necessary changes to their living environment can be made in order to keep them safe.

Seniors are also at risk for depression and mood disorders. According to the CDC, in a 2006 survey, 10.5 percent of people age 65 and older said they had received a diagnosis of depression at some time in their lives, and 5 percent had current depression. Another 7.6 percent received a diagnosis of an anxiety disorder at some time in their lives. Anxiety disorders can include a variety of problems, such as phobias, post-traumatic stress disorder and obsessive-compulsive disorder, including hoarding syndrome. Many seniors fail to seek treatment, in part because some people mistakenly believe that depression is a condition natural to aging.

Mental health concerns can have consequences beyond the symptoms of the condition itself. Untreated mental illness can lead to social isolation, take away from seniors’ independence, and cause physical problems and additional medical concerns. That is why it is important for seniors to take preventive measures, and for their loved ones to be aware of warning signs.

Studies have shown that preventive measures can alleviate mental health problems. The risk of depression and anxiety can be lowered as a result of better physical health. Simple exercise three times a week can be even more effective than prescription medication. Research also indicates that keeping the mind active, through social activities, games and puzzles, and communication with friends and family, can decrease the risk of mental health disorders.

Loved ones and caregivers should watch for changes that may indicate mental health concerns for seniors.

Warning signs include:

  • social withdrawal,
  • a depressed mood that lasts longer than two weeks,
  • memory loss,
  • confusion,
  • feelings of worthlessness or guilt,
  • unexplained physical changes, such as in dress, weight or hygiene.

If any of these symptoms appear, discuss them with the family doctor. Treatment such as counseling or psychiatric care can help seniors get on the right track to healthy aging.

 

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