Introduction: The Veterans Aid & Attendance Non Service Connected Disability Benefit can be a god-send to families trying to afford the costs of assisted living or in home care. Most of the cases that we see show the family spending about $1000-2000 more than they have coming in. Not a particularly good situation. The benefit can pay over $24,000 per year in tax free benefits, depending on the facts of the case.
Problem: Due to recent media attention focused on perceived abuses to approaches to becoming eligible, a bill was introduced in Congress last year to make changes. That bill never made it out of committee and, therefore, died at the end of the Congressional session. A new bill was introduced this year (S 748). It is in committee now.
Income Test: The income test requires that income after medical expenses be less than a certain amount in order for the VA to pay anything. For most of the families that we see, at the time of writing this article, that cut off amount is roughly $2100 for veterans and $1100 for surviving spouses. For each dollar that one is below that cut off, the VA generally will pay one dollar of benefit up to the maximum allowed. If there is more going out in medical expenses then there is coming in, then the VA will pay the maximum amount. Generally, 100% of in home care costs and room and board at an assisted living facility are considered a medical expense. The $1000-2000 of benefit generally makes a world of difference in the family’s financial picture.
Net Worth Strategies: For those who are not currently eligible due to net worth, many strategies are available to obtain eligibility. And therein lies Congress’ concern. If a family has too much net worth, under present law, assets can be transferred to the children without any penalty. Often this is done through the use of a QVap Trust. If not done correctly, this might create a problem for later Medi-Cal eligibility (Medicaid in other states), but it is not a factor for the VA benefit under the current rules.
New Law Changes: The new law would create a 36 month look back period to determine if any gifts were made. If gifts were made, a period of ineligibility would result based on a specified formula. This period of ineligibility, depending on the circumstances, would run against both the veteran and, after his demise, the surviving spouse.
Income Strategies: There are also many strategies available for those who are not currently eligible due to the income test. One strategy involves employing a child as a caretaker or care coordinator. The child might be acting as the caretaker anyway. If done correctly, this can create eligibility and allow the family to acquire an extra $2000 in VA income. The proposed law would not affect this strategy.
Annuities: Annuities are currently another approach that is often used, sometimes with very poor results. Probably because of the overreaching of at least some insurance agents in this arena, the proposed law creates various impediments to using annuities.