216 Higgins Road Park Ridge, IL, 60068 (847) 221-0154
Paying for nursing home care may be one of the toughest things many of us will have to do. It is no secret that today’s nursing home costs are sky high and they are only going to continue rising. Most of us automatically assume that we will have to spend our entire life savings on our nursing home care. Considering the prices of nursing homes, it certainly seems that this is the truth. However, there are ways around doing so. The first thing that you absolutely must do is contact an Elder Law attorney, like myself, before you venture into the process of selecting and paying for a nursing home. Today, many people aren’t incredibly educated in areas such as Medicare, Medicaid, and VA Benefits. Therefore, they don’t know about the ways in which those programs will be able to help them save money as they begin their long-term care journey. Luckily, we do. Always remember, talk to us first. It’s as simple as that. -Anthony B. Ferraro
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Attention! Many of today’s Americans are under the assumption that VA Benefits only apply to servicemen and women who were injured or disabled while serving.  VA Benefits do largely apply to those men and women; however, there are also other VA benefits available to wartime veterans who are senior citizens currently paying for long-term care.  Wartime veterans have earned this right simply by serving our country, even if they were not injured during their time of service. Note, wartime veterans and their spouses who do not have disabilities as a result of serving are eligible for the Special Monthly Pension benefit when they are 65 and older, permanently disabled and unable to work, homebound, or in need of regular aid of another person.  The Special Monthly Pension benefit is based on the need for financial assistance, so there are income and asset limitations. If any of the above situations apply to you, I recommend getting the necessary paper work ready in order to prove you qualify for such benefits.  This may require a doctor’s visit or paperwork from the nursing home or assisted living facility stating that you or your loved one is permanently disabled. -Anthony B. Ferraro
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There are some little-known groups whose members may be eligible for VA Benefits. The good news is, there are a lot of these little-known groups, so that means that many of you may be eligible for VA Benefits without even knowing it. If you or your loved one belongs to any of these groups, and received a discharge from the Secretary of Defense, your service may meet the active duty requirements for benefits:
  • Recipients of the Medal of Honor
  • Honorably discharged veterans, spouses, or children of any military, naval, or air service
  • Women’s Army Auxiliary Corps (WAACs)
  • Merchant Marines from WWII (ocean-going service)
  • U.S. Civilians of the American Field Service
  • Women Air Force Service Pilots (WASPs)
  • WWI Signal Corps Female Telephone Operators Unit
  • WWI Engineer Field Clerks
  • Female clerical employees of the Quartermaster Corps serving with the American Expeditionary Forces in WWI
  • Civilian employees of the Pacific naval air bases who actively participated in defense of Wake Island during WWII
  • Reconstruction aides and dietitians of WWI
  • Male civilian ferry pilots
  • Wake Island defenders from Guam
  • Civilian personnel assigned to OSS secret intelligence
  • Guam Combat Patrol
  • Quartermaster Corps members of the Keswick crew on Corregidor during WWII
  • U.S. civilians who participated in the defense of Bataan
  • U.S. merchant seamen who served on block ships in support of Operation Mulberry in the WWII invasion of Normandy
  • American merchant marines in oceangoing service during WWII
  • Civilian Navy IFF radar technicians who served in combat areas of the Pacific during WWI
  • U.S. civilians of the American Field Service who served overseas under U.S. armies and U.S. army groups in WWII
  • U.S. civilian employees of American Airlines who served overseas in contract with the Air Transport Command between 12/14/41 and 8/14/45
  • Civilian crewmen of certain U.S. Coast and Geodetic Survey vessels between 12/7/41 and 8/15/45
  • Members of the American Volunteer Group (Flying Tigers) who served between 12/7/41 and 8/14/45
  • U.S. civilian flight crew and aviation ground support of Consolidated Vultee Aircraft Corp. who served overseas between 12/14/41 and 8/14/45
  • Honorably discharged members of the American Volunteer Guard, Eritrea Service Command, between 6/21/42 and 3/31/43
  • U.S. civilian flight crew and aviation ground support of Northwest Airlines who served overseas between 12/14/41 and 8/14/45
  • U.S. civilian female employees of the U.S. Army Nurse Corps who served in the defense of Bataan and Corregidor from 1/2/42 to 2/3/45
  • U.S. civilian flight crew and aviation ground support of Brantiff Airways who served overseas in the North Atlantic between 2/26/42 to 8/14/45
  • Chamorro and Carolina former native police who received military training in the Donnal area of central Saipan and were placed under command of Lt. Casino of the 6th Provisional Military Police Battalion to accompany U.S. Marines on active, combat patrol from 8/19/45 to 9/2/45
  • The operational Analysis Group of the Office of Scientific Research and Development, Office of Emergency Management, which served overseas with the U.S. Army Air Corps from 12/7/41 through 8/15/45
  • Honorably discharged members of the Alaska Territorial Guard during WWII
You or your loved one must have served in active duty for 90 consecutive days (either in the U.S. or abroad), at least one day of which was during a period of war, in order to meet these requirements.  That does not however mean that you must have served overseas, you could have served either at home or abroad. -Anthony B. Ferraro CPA, MSTax, JD
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Today I want to give you a brief lesson on what you need to know when selecting an elder law attorney.  Remember that an elder law attorney’s practice focuses on the areas of estate and longevity planning, Medicaid, special needs trusts, and VA benefits for those over the age of 65. Unfortunately, you will see general practitioners who also identify themselves as elder law attorneys.  The fact of the matter is, drafting simple wills and trusts DOES NOT make an attorney an elder law attorney.  Sure, wills and trusts are certainly part of the elder law process at times, but elder law consists of so much more than that. What is not often communicated to the public is that wills really only control what happens after you die.  Therefore, today’s seniors really need both an estate and longevity plan.  A longevity plan will allow for seniors’ families to know what their wishes are in the event that they become incapacitated before they die. A traditional estate plan (a.k.a. death plan) is designed to do three things:
  1. Minimize estate taxes
  2. Avoid probate court
  3. Distribute assets from the deceased person to his or her heirs
Elder law, on the other hand, is death planning plus long-term disability and care planning. I call all of this together “longevity planning.” In order to help yourself identify an  elder law attorney, ask the following questions:
  1. How many Medicaid applications does the firm do in a year?
  2. How many veterans does the firm assist with VA aid and attendance benefits per year?
  3. How many Elder Law oriented estate plans has the firm done this year?
  4. Are your powers of attorney documents tailored to senior issues?
The bottom line is, because the issues are so complex, you deserve to work with somebody who is experienced in elder law, not just estate planning. -Anthony B. Ferraro
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Assuming the role of a caregiver for a loved one with Alzheimer’s is very hard. It can be a struggle, both physically and mentally.  As an Alzheimer’s caregiver, you are going to be approaching challenges that are both new and frightening. Alzheimer’s is a complex disease and it can affect your loved one in many different ways.  Someone with Alzheimer’s may struggle doing simple tasks such as getting dressed or eating.  The typical Alzheimer’s patient will also face confusion and, therefore, you will receive repetitive questions and see odd behavior. In a situation like this, it is normal to feel trapped.  However, I am here to assure you that there are ways to make you and your loved one’s journey through Alzheimer’s easier. First off, I suggest that you abferrarolaw.com/senior-resource-kits/alzheimers-resource-kit/.  There you will find many tools on how to cope through the Alzheimer’s journey, including the recording called, “Caring for and Communicating with the Alzheimer’s Patient.” Other helpful information covered on the above website includes paying for the cost of Alzheimer’s care, discovering hidden VA benefits, and how to approach crucial legal documents. -Anthony B. Ferraro
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Thinking about how you are going to cover the expensive cost of nursing home care is certainly a scary thought.  However, you have options.  Medicaid can help. Unfortunately, Medicaid assistance is not available to everyone.  Medicaid will cover the nursing homes costs for individuals who have run out of money and other resources.  For those who qualify, Medicaid covers nursing home expenses.  Medicare does not cover most nursing home expenses, so Medicaid fills that void. In truth, Medicaid is a very complex process.  So, before you begin to look into it, it is very important to consult an Elder Law attorney to avoid some very common mistakes. The biggest mistakes people makes include:
      1. Letting a nursing home, social worker, or the state Medicaid department complete your Medicaid application.
      2. Assuming there is nothing you can do because it is “too late” and there is nothing you can do to help your or your family save money because you are within five years of applying for Medicaid.
      3. Not letting an elder law attorney deal with the State Medicaid department for you.
These common mistakes can cost you large amounts money.  It’s important to consult with an Elder Law attorney to guide you through the minefield of public benefits, especially Medicaid. More to follow. -Anthony B. Ferraro
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Alzheimer’s has been termed “The Long Goodbye” due to its devastating effects that last for many years.  When our loved ones have Alzheimer’s, it doesn’t only affects them, it affects us.

However, there is still hope: hope in learning how to cope with Alzheimer’s.  As of today, there is no official cure for the disease, but by taking the simple steps many Alzheimer’s caregivers are using to cope, we can regain some peace of mind.

By visiting the website below, you will gain access to the Indispensable Alzheimer’s Resource Kit.  This is a helpful tool that will assist you in providing stress-free care for both you and your loved one, as well as ways to pay for Alzheimer’s care without going broke.

abferrarolaw.com/senior-resource-kits/alzheimers-resource-kit/

I also encourage you to visit www.AlzheimersHope.com, which is an internet community that will give you the opportunity to connect with Alzheimer’s caregivers from around the world.

You are not alone in your journey through Alzheimer’s, and the above websites will assure you that there are many others experiencing the same thing as you.

If you have any other questions about Alzheimer’s or any other legal-related issues, please call my office at (847) 292-1220.

-Anthony B. Ferraro

Attorney-CPA

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Recent studies indicate that only 48% of those 65 and older have financial powers of attorney. Worse yet, less than 60% have health care powers of attorney.  Caution: Boomers and Seniors –  Estate Planning is not just for the rich! Furthermore, estate planning is not just about death and dying but rather about living in the second half  of your life. This involves consideration of the following: 1. How to cover living expenses during the elder years and  retirement years, 2. How to access Medicare in the best way possible, 3. How to make the correct Social Security “take” options, 4. How to qualify for Medicaid to pay for nursing home care that Medicare won’t cover (which by the way is most of your nursing home care) 5. Finally obtaining the right powers of attorney, wills and/or trusts after receiving the correct counseling so you can determine which approach personally fits you the best. So let the conversation begin about: – social benefit programs (Medicare, Social Security, Obamacare, Medicaid, etc.) – transferring assets to and from joint ownership, – the variety of trusts that are used based on the advice of competent counsel such as: _standalone third-party special needs trusts, _self settled special needs trusts, _special needs trusts for a disabled love one, – powers of attorney that have built into them not just what the standard form contains but other important provisions that only competent elder care counsel can insert that will help you the senior,  but not hurt your agent from a fiduciary responsibility or tax standpoint. You know that much has been discussed over the years about automated document production software that is easily available through the Internet. All these systems can create plenty of paper, but they cannot create the professional judgments that go into the formation of a document that will serve you and your needs. For example, there is no  document creation software that can make professional judgments for you, personally, about: – tax provisions, – investment and property management provisions – principal/income provisions, – the ability of fiduciaries to appoint agents, – specific gifts to persons, – whether a “pot trust” or separate trusts are better for younger beneficiaries, – disposition of tangible personal property items, – issues pertaining to expenses and tax/cost apportionment, – how to handle IRA’s,  401-k’s, and  insurance policies, annuities, etc., that are not        covered in your      will or trust, and – how to deal with special beneficiary problems for either minor or adult disabled      persons. Finally lets start discussions about basic asset protection, such as: – how much liability insurance should you carry? – when you should buy long-term care insurance? – what type of long-term care insurance you should buy (traditional or hybrid)? – what sort of asset protection entities might help you (corporation v. LLC etc.)? – in what jurisdiction should they be formed (Illinois or elsewhere)? – should your home be in a trust or in tenancy by the entirety or something else? –  what is the appropriate way to use 529 accounts? – what is the appropriate use of UTMA custodial accounts? – what sort of protection can we derive from retirement accounts? – what sort of asset transfers are appropriate to protect against litigation and/or creditors? – what sort of asset transferring can be done to protect against the devastating cost of nursing care     $6,000 to $10,000 a month) at the end of life?  Boomers and Seniors: Think you’re done? The truth is most of us have not even started.       .
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