Many Americans rely on Medicaid when fighting diseases. But there's a catch. Often, states try to recoup the costs after the recipients die.

As Salvatore LoGrande fought cancer and all the pain that came with it, his daughters promised to keep him in the white, pitched roof house he worked so hard to buy all those decades ago.

So, Sandy LoGrande thought it was a mistake when, a year after her father’s death, Massachusetts billed her $177,000 for her father’s Medicaid expenses and threatened to sue for his home if she didn’t pay up quickly.

“The home was everything,” to her father said LoGrande, 57.

But the bill and accompanying threat weren’t a mistake.

Rather, it was part of a routine process the federal government requires of every state: to recover money from the assets of dead people who, in their final years, relied on Medicaid, the taxpayer-funded health insurance for the poorest Americans.

This month, a Democratic lawmaker proposed scuttling the “cruel” program altogether. Critics argue the program collects too little — roughly 1% — of the more than $150 billion Medicaid spends yearly on long-term care. They also say many states fail to warn people who sign up for Medicaid that big bills and claims to their property might await their families once they die.

  • ZerlynaEnglish
    12•9 months ago

    I have two friends whose mom/grandma had to sell their houses before they had coverage for nursing home. I have my name on my dads so I at least get half.

    • @[email protected]
      14•9 months ago

      You should look into putting it in a trust. When someone dies and leaves you an asset the tax basis resets. In other words, if you sell it afterwards, you only pay tax in the increase in value after the death. If you’re already part owner, the tax basis on the part you owned starts when you became part owner. Having a lawyer set up the appropriate trust is cheaper than you’d probably think.