For most people, the documents in their estate plan constitute a “someday” or a “what if” scenario, but for those people with chronic or terminal diseases the documents in their estate plan address issues that are much more immediate and certain. For this reason, the advice in the article mentioned above focuses mainly on doing whatever you can to take control of your estate planning, health care, and financial affairs right now. Some of the suggestions include:

* Finding financial and estate advisors who are comfortable discussing your situation, and can help you customize your plans to fit your needs.

* Customizing your estate planning documents, including your will, trust, or living will.

* Signing important forms right now, while you still can.

* Making use of your temporary or limited powers options in your healthcare and financial documents, giving your chosen agents the limited power while you are temporarily incapacitated to “pay your bills and file your taxes but not sell your house or make gifts of your assets.”

It may also be wise to include provisions to coordinate your estate plan with the possible need to apply for government benefits to help subsidize the cost of care, e.g. Veterans Pension Benefits and/or Medi-Cal for Long Term Care. Qualifying for these benefits often requires that very special steps be taken.

Living with a chronic or terminal disease is a unique situation and requires unique planning and preparation—planning that is best done right away, for the good of your family and for yourself. If you are concerned about these matter, please contact our office—we can help.

Structuring an estate plan with a special needs child as a beneficiary takes special consideration. Because a direct inheritance could disrupt that child’s public benefits, “some parents simply leave another child all their assets in their will. If there are three children, they might leave two-thirds to the child who lives closest to the one with special needs.”

Unfortunately this particular strategy is rife with possible dangers. The heir may be tempted to use his special needs sibling’s money for his own purposes, or could decide he’s simply tired of being a caretaker. Even worse, the heir could pass away unexpectedly, in which case the entire inheritance would go to the heir’s spouse or children, with nothing left for the special needs child.

The article gives a number of suggestions for safe and reliable ways to leave your special needs child an inheritance, including leaving property to your child in a Qualified Personal Residence Trust, setting up a housing collective, and the tried-and-true option of a Special Needs Trust. But we know that each family is going to have different needs and goals, and there isn’t one solution that will work across the board.

If you have a special needs child your very best course of action is to contact a knowledgeable and experienced attorney to help you understand your options and choose the one that will best protect your child. See Q & A’s on Special Needs Trusts.

According to the Department of Veterans Affairs website, VA Aid and Attendance is “a benefit paid to wartime veterans [or their spouses] who have limited or no income, and who are age 65 or older, or, if under 65, who are permanently and totally disabled.” Unfortunately, too many veterans and their spouses are unaware that they qualify for this benefit, or even worse, have never been informed that the program exists.

An informative article in the Washington Post quotes the VA’s deputy undersecretary for disability assistance as saying that he believes they are only reaching “about one in four eligible veterans.” Part of the reason for this is that “there are a lot of veterans where it’s been 40 years or more since they’ve been on active duty. It just doesn’t occur to them there may be a benefit from the VA.”

If you are a war veteran over the age of 65 it is very likely that you and/or your spouse qualify for Aid and Attendance Benefits. Eligibility requirements include:

• You served at least 90 days of active military service 1 day of which was during a war time period. (If you entered active duty after September 7, 1980, generally you must have served at least 24 months, or the full period for which called or ordered to active duty.)
• You were discharged from service under conditions other than dishonorable.
• Your countable family income — after subtracting care and medical expenses — is below a yearly limit set by law (The yearly limit on income is set by Congress.)
• You must need help with at least one activity of daily living: dressing, eating, walking, bathing, adjusting prosthetic devices or using the toilet. Those who are blind, living in nursing homes or require in-home care may also be eligible.

For many veterans and their families the financial assistance they receive from their VA Aid and Attendance benefits can be an incredible help. Unfortunately, the application process required to receive the benefits can be daunting. “It’s not a simple process. A&A applicants must mail the forms, copies of service records, marriage certificates, proof of insurance and medical records to the regional VA office. If a third party is making the application, an additional form, 21-22-a or 21-0845, must be completed.”

This is why many veterans ask a knowledgeable Elder Law or Estate Planning attorney to help with the application process. The right attorney can help you find and fill out the correct forms, gather the necessary records and materials, and keep track of progress throughout the entire process. If you think you may be eligible for VA Aid & Attendance Benefits, check out the information on VA Pension Benefits by clicking this link:  VA Pension Benefits.

You know what you want for your child, you want him to live as contentedly as possible, with loving guardians and engaged in activities which will bring pleasure and peace. But how can this dream be achieved on the limited assets that Medicaid recipients are allowed to have without losing their government benefits? How can responsible parents safely leave an inheritance to their special needs child? For many parents, part of the answer to that question is having a special needs trust.

Unfortunately, not all parents are aware of the benefits of a special needs trust, or how easy it can be to create one—with the right help. A special needs trust is the vessel that will hold your child’s inheritance (from you or from another source) without disrupting that child’s government benefits. It gives your child the funds they need beyond the basic living expenses provided by SSI or Medicaid.

If your family could benefit from a special needs trust, please contact our office for more information. A special needs trust is not the kind of document that can be found in a software package or created from a standard trust template. The needs of your child are unique, and should be addressed as such.  For more information, click on  “Special Needs Planning”.

Getting started with your planning can feel like climbing Mt. Everest at first, especially if you’re trying to navigate through government programs and federal financial aid.  But as overwhelming as it can be in the beginning, with the right advisors the planning process can and should be a relieving and beneficial experience for all. The following article from CNN Money gives a few tips on how—and why—to begin planning for your special needs loved one.

If you would like to have a secure plan for the future but aren’t sure where to begin, perhaps the best way to start is to find an attorney in your area who specializes in Special Needs planning.  The laws and requirements for government aid will vary from state to state, but more importantly, there is no substitute for a knowledgeable expert who will listen to your family’s unique story and help you blaze securely into the future. Click here for more on Special Needs Planning.

Special needs trusts are not yet well-known, but they are gaining attention among attorneys, financial advisors, and in the mainstream media.  They are permitted by both federal and state law, and recognize the need for families to “partnership” with government to improve the quality of life for the disabled.   For Questions and Answers, and more information, visit our site at “Special Needs Planning”.

A Special Needs Trust can be useful for children or for disabled adults.  It is a far better alternative than cutting your special person entirely out of your Will or Trust, simply to avoid jeopardizing their SSI or Medi-Cal benefits.

A special needs trust can mean the difference between living an enriched life and barely getting by. If you have someone in your life with special needs, inquire about a special needs trust as a way to leave an inheritance.  It could make a world of difference.

What if there was a way that you could not only keep a record of all details, regimens and instructions, but also an easy way to update and communicate that information to any and all caregivers when anything changed?  And would it be too much to ask to have this record somehow linked to all the latest research, resources and best-practice recommendations?  Apparently it is not too much to ask, because this is exactly what the new online service, CareGiver360®, claims to provide.

CareGiver360® is the brainchild of Ken Ziel, father of a special needs son, who worried about what kind of life his son would have if anything were to happen to Ken. After much research, Ken started CareGiver360®, “an easy to use, interactive Web service that lets you create a secure Personalized Care Guide to help you manage the care of your loved one. CareGiver360® provides a wealth of caregiving resources through its searchable online library. You can draw upon this valuable resource to supplement your personal experience to create a customized, comprehensive care guide.”

CareGiver360® is a fairly new tool, but it sounds so good one has to wonder why nobody came up with the idea before. We would love to provide our clients and readers with helpful reviews, so if you’ve used the service please leave a comment letting us know how it worked for you. And we ought to mention that the service isn’t free, but at just under $10/month it’s probably not going to break the bank either.

This is something that parents of severely autistic children do need to worry about and plan for. What do you do when your child needs you as much at 50 as she did at 5?

The article “ADVICE: Planning for an Autistic Child’s Adult Years” focuses on that very question, and provides help and answers to parents who are trying to make a smooth transition from caring for an autistic child to caring for an autistic adult. This author makes a number of excellent financial recommendations, including signing up for government benefits, looking into long term care insurance, and creating a Special Needs Trust.

“If you have significant assets, consult a financial planner or estate lawyer who can help you set up a Supplemental Needs or Special Needs Trust that will specifically address how your child can benefit from your bequeathal without compromising any governmental aid.”

This sentence is probably the best advice you can get, but the phrase “significant assets” is a little misleading. Special Needs or Supplemental Needs trusts are not just for the wealthy. If you have a house you have “significant assets”. If you have life insurance policies for yourself or your spouse you have “significant assets”. When you’re talking about government benefits, “significant assets” is any amount that will make your child ineligible for those benefits, which can be as little as $2,000!  Creating a Special Needs Trust with a portion of your legacy may serve to preserve your child’s public benefits and thus enhance his or her standard of living, as your child may then be the beneficiary of BOTH public benefits AND distributions from the Special Needs Trust. Public benefits and private funding can work together for the benefit of your special needs child, provided that your bequest to that child is properly structured.

We know you want to provide for your special needs child at any age. Call our office and let us help.

There are many contributing factors to this shocking figure, but one of the main reasons the article gives is that “people with serious mental illness tend to be low on the socioeconomic totem pole and don’t often get the best available health care.”

The real tragedy in this scenario is that it doesn’t have to be this way. With the right planning—either by the individual in question or by loving friends and family—someone with a serious mental illness could still have access to the best medical care. And a special needs trust complete with provisions for an advocate or an advisory committee will provide the beneficiary with further protection; someone to ensure that his or her needs are being met, and any ailments are taken seriously by medical professionals.

With enough education and planning, perhaps we can improve the situations of those with mental illnesses… and change that shocking mortality rate as well.