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Trusts Simply Explained (Trust Me)

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Hey this is Greg McIntyre, the elder law guy coming to you from the observation deck on the 94th floor of the John Hancock Center in Chicago, Illinois. From here you see the whole city and beautiful Lake Michigan.

There’s a lot of wealth out there. The buildings, the families that have built here, I guarantee they have and are using trusts to control their assets well into the future. The Kennedys are a great example of a family whose trusts take care of their wealth and family. Now, you can do that and on a smaller scale than the Kennedys.

So very simply, what is a Trust?

A Trust is no different than a drinking glass. It holds your assets, directing exactly how it will be distributed. The Trust protects your assets from say a civil lawsuit. If you’re in a car wreck and you get sued, and your car insurance didn’t cover it and so they came after your personal assets, a standard Trust will protect your money against that attack. However, in a Medicaid situation where you need long term healthcare, if you have a living trust or a revocable trust, the government would still deem you in control of that money.

Wills and Trusts

The main difference between leaving things by ‘Will’ or setting up a Trust is, a Will has everything go through probate, which means they are subject to liens and things of that nature. A Trust will avoid that and the entire probate process.

Dead Hand Control

Another important thing to know is Trusts allow you to, what my law professor used to call ‘Dead Hand Control,’ or control from the grave. I picture a hand sticking up out the grave with the remote control in it, controlling everything well into the future, in perpetuity.

You can set up Trusts that provide for your grandchildren to go to college. Then distribute some of the money after college, say 25 years old, and some at 30 after they’ve reached more maturity, and maybe a final dispersal at 35.

And you can donate to charities over time. You can set up a charitable Trust to help fund a library if you wish.

Revocable or Irrevocable

The very top Trusts are either revocable or irrevocable. An Irrevocable Trust means you give up the money and appoint a trustee.

Trustees

Trusts at their base have a trustee, usually a trusted family member or a company. Trust companies will manage your assets for you. They will generally have a separate tax id number if they’re irrevocable trusts. Usually if they’re revocable trusts, you can revoke it, you can put money into it, take money out, cancel it, break the glass so to speak, and you probably want to use your same tax id number, social security number for that trust because then you won’t have to prepare a separate tax return for the trust. If it’s an Irrevocable Trust, prepare a separate tax return for it. I work with a great accountant who can help you do that.

Trust beneficiaries.

Trust Beneficiaries are the recipients of money from the Trust. They will get both the Trust income and the Trust corpus. The Trust property you put in it, (the corpus, the body of the Trust), whatever is earned from that, say your investments, that’s called the Trust income, and is be distributed to the beneficiaries upon your instructions.

Just be aware

I meet with family members all the time who say, I have a trust and we’re ready to file for Medicaid to take care of my spouse, they’re protected.

If you have what’s known as a family trust or a revocable trust, it is not protected against that Medicaid situation or long term care situation. That’s where long term care insurance and legal planning become extremely important.

To fund or not to fund that is the question.

I see a lot of trusts, and many times people are under the wrong impression. They think because they are schedule A of the trust, or their list of property on the trust says they have a house in the trust, or money, bank accounts and investments in the trust, that it’s all okay. But I have to explain, that we’re looking at your deed, it’s still in your name, your car title or your bank accounts are in your name, it’s absolutely not in the trust, they are under a false impression that they funded their trust. So, literally the glass is empty, it has nothing in it.

To put the ice in the glass, or the property in the Trust, you have to title those deeds in the name of the trust, the deed to the trust in the name of the trust. Even car titles, now I’m not a huge fan of vehicles in trust but you can do that. The bank accounts need to be in the name of the trust. It could have a separate tax id number for those bank accounts, and should if it’s an irrevocable trust that has a separate tax id, that we get from the government for you.

I hate to see a trust unfunded. I want it protecting assets, doing its job, instead of a mad scramble to fund it, or to discover too late that it is unfunded.

If you have questions about whether your trust has been funded or not, should be funded or not, then come see me. I would be glad to do a free consult if you mention this blog post.

Trust Funding Classes

I am going to start trust funding classes at our office on a regular basis on Saturday mornings. They will begin sometime in September, and we can talk about the nuts and bolts of trust funding. You can bring your trust, or if you are just interested, we can put that out in our e-newsletter.

Go to mcelderlaw.com and sign up for our e-newsletter or follow us at lawyergreg on twitter, facebook and youtube. If you get the e-newsletter and I advise that you do, I will give you the trust funding class for free.

This is Greg McIntyre, the elder law guy signing off 94 floors up in Chicago.

gregstanreduce

Make it a great day,

Greg McIntyre

Elder Law Attorney

McIntyre Elder Law

“We help seniors maintain their lifestyle and preserve their legacies.”

www.mcelderlaw.com

Phone: 704–259–7040

Fax: 866–908–1278

PO Box 165

Shelby, NC 28151–0165

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Wrong Mix of Medications Can Lead to Faulty Alzheimer’s Diagnosis

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The main symptoms of Alzheimer’s disease include memory loss, confusion and changes in personality or mood. However, these symptoms can also be caused by medications, supplements and vitamins, or a dangerous mix of these—and often results in a false diagnosis of Alzheimer’s.

The list of drugs that can cause dementia-like symptoms is long and includes:

* antidepressants                                       * antihistamines

* anti-Parkinson drugs                              * anti-anxiety medications

* cardiovascular drugs                              * anticonvulsants

* corticosteroids                                        * narcotics

* sedatives                                                * statins

 

The elderly are especially at risk of developing dementia-like symptoms because their bodies are not able to process medications as well as a younger person’s does. A lower metabolism, less lean body mass, less water in the body, and decreased kidney and liver functions make it harder to clean out toxins. As a result, drugs can accumulate in the body.

 

Also, seniors are usually prescribed more drugs as they get older. Polypharmacy is the term used to describe the use of five or more medications in people over 65. This can easily happen when multiple doctors are prescribing drugs for different ailments. The more drugs they take, the greater their risk for a damaging drug reaction.

 

Using one pharmacist can help provide a gatekeeper, but it is vitally important to have a primary doctor oversee the person’s complete list of prescriptions, over-the-counter medications, vitamins and supplements. Alcohol, or even taking someone else’s medication, can add to the problem.

 

In many cases, the cognitive symptoms vanish when medication is stopped. But don’t try to do this yourself. Work with the primary doctor to determine which medications can be reduced, eliminated or replaced without adversely affecting the person’s overall well-being. Take the bottles and containers with you so the doctor can evaluate the dosages and expiration dates.

 

More than 100 other conditions, from vitamin and hormone deficiencies to rare brain disorders to depression to urinary tract infections, can mimic Alzheimer’s disease. Some are readily treatable.

 

It’s important to know the person, be aware of medications being taken, and watch for changes in behavior. If a loved one has started exhibiting dementia-like symptoms, act quickly. Insist on an evaluation of their medications and eliminate other conditions. If dementia does exist, it is critical to start treatment as soon as possible.

 

Call me if you have any questions:

Greg McIntyreGreg_Full
Elder Law Attorney
McIntyre Elder Law
123 W. Marion Street, Shelby

 

10 Early Signs and Symptoms of Alzheimer’s

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Early diagnosis of dementia provides the best opportunities for treatment, support and planning for the future. The Alzheimer’s Association (www.alz.org) has released the following list of signs and symptoms that can help individuals and family members recognize the beginnings of dementia. If you are concerned about any of these, be sure to see a doctor and, if suggested, begin treatment as soon as possible.

  1. Memory loss that disrupts daily life. Of concern: Forgetting recently learned information, important dates or events; repeatedly asking for the same information; relying on notes, devices or family members for things they used to handle on their own. Normal age-related change: Sometimes forgetting names or appointments, but remembering them later.

 

  1. Challenges in planning or solving problems. Of concern: Changes in the ability to develop and follow a plan or work with numbers, such as having trouble following a familiar recipe or keeping track of monthly bills; difficulty concentrating and taking much longer to do things than before. Normal age-related change: Making an occasional error when balancing a checkbook.

 

  1. Difficulty completing familiar tasks at home, work or leisure. Of concern: Finding it hard to complete daily tasks, such as driving to a familiar location, managing a budget at work or remembering the rules of a favorite game. Normal age-related change: Occasionally needing help to use settings on a microwave or to record a television show.

 

  1. Confusion with time or place. Of concern: Losing track of dates, seasons and passage of time; trouble understanding something if it is not happening immediately; forgetting where they are or how they got there. Normal age-related change: Getting confused about the day of the week but figuring it out later.

 

  1. Trouble understanding visual images and spatial relationships. Of concern: Vision problems that make it difficult to read, judge distance, and determine color and contrast. In terms of perception, they may pass a mirror and think someone else is in the room. They may not recognize their own reflection. Normal age-related change: Vision problems due to cataracts.

 

  1. New problems with words in speaking or writing. Of concern: Having trouble following or joining a conversation; stopping in the middle of a conversation with no idea how to continue, or repeating themselves; having problems finding the right word or calling things by the wrong name. Normal age-related change: Sometimes having trouble finding the right word.

 

  1. Misplacing things and losing the ability to retrace steps. Of concern: Putting things in unusual places; losing things and not being able to go back over their steps to find them; accusing others of stealing from them. Normal age-related change: Misplacing items (glasses, car keys, remote control) from time to time.

 

  1. Decreased or poor judgment. Of concern: Changes in judgment or decision making, especially when dealing with money, such as giving large amounts to telemarketers; paying less attention to personal hygiene. Normal age-related change: Making a bad decision once in a while.

 

  1. Withdrawal from work or social activities. Of concern: Not wanting to participate in hobbies, social activities, work projects or sports; having trouble keeping up with a favorite sports team or completing a favorite hobby; avoiding social situations because of changes they are experiencing. Normal age-related change: Sometimes feeling weary of work, family and social obligations.

 

  1. Changes in mood and personality. Of concern: Becoming confused, suspicious, depressed, fearful or anxious; becoming easily upset at home, at work, with friends or in places where they are out of their comfort zone. Normal age-related change: Developing very specific ways of doing things and becoming irritable when a routine is disrupted.

 

Call me if you have any questions:

Greg McIntyreGreg_Full
Elder Law Attorney
McIntyre Elder Law
123 W. Marion Street, Shelby

 

 

 

The Living Legacy: If you’re searching for the ‘Key to Happiness’, then I have something important to share with you.

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The Living Legacy:

If you’re searching for the ‘Key to Happiness’,

then I have something important to share with you

It’s not out there in the world. It never was.

So what is happiness?

            It may appear different for everyone, depending on what’s important to you and

            your children, but happiness really is only one thing, and the one thing in life that

            everyone is looking for?

Most of us look for it out there in the world. We search and search in jobs, houses, money, people, booze, drugs, you name it, and sometimes we search our whole lives but only a few it seems, really find it.

And there’s a really good reason for this, and here it is:

What if happiness is there all along, we’re just searching in the wrong place, or in the wrong direction?

Think about this: When you meet someone and you realize, wow, this is it, what are you feeling? It’s love right? Well where are you feeling it? It’s within you. Do you ever feel love outside of you?

All your feelings are within you right, and because of that, all these feelings are choices. You choose to feel happy or sad, loving, or angry. It’s your decision whether you love someone or hate them. You base your feelings on things external to you but they’re still your feelings.

Some of you will feel empowered by this and some will be offended, angry and hurt by it. Again it’s your decision.

 

But what is a living legacy and how does it relate to your happiness?

To start with, I need to show you that love and commitment exist. That it does and can happen, even to you? I can show you what it is that gets people 10, 20, 30, 40, 50 years of love and commitment.

But time is really not a factor in your legacy. A living legacy is all times. It doesn’t matter, it’s not a race, we’re not in a happiness competition with each other.

You have a living legacy whether you know it, want it, or care.

 

So let’s ask this again. What does happiness entail?

It’s just a decision to be loving and positive no matter what.

We all have our rough days but it’s precisely at those times when we should say to ourselves, “I am going to be loving and stay positive no matter what,” and then say in your mind, “I love you” to whatever situation or person (including yourself) that is causing you to choose a negative path. Then keep saying it until you feel it.

If it seems too hard in that moment, fake it until you feel it.

It’s actually not that difficult. It’s just you making a decision and committing to it. You can do that right?

 

What is the ‘Why’ of all this? Why should you care?

You should care because underneath it all, we all want to be happy more than anything. No matter what you do in life, your position, family, role, level of success, we all want this thing called happiness, so test it.

Make a decision for one day to be happy and loving no matter what goes on, or what happens during that time.

            Here is the one big thing to help with this, because we as humans have, in general

            Failed to grasp this:   

            Stop thinking in terms of wanting to be loved,

            and instead think only of being loving.

If we all did this, consistently, it would change the world, rapidly.

 

This is an example of a Living legacy.

Ted and Terry McIntyre. 50 years of marriage. What’s the Secret?

“What does it take to hold a marriage together for 50 years?”

Mom– “Love, commitment.”

Greg– “And lots of awesome kids.”

Mom– “Who can separate with 5 kids. I think the most important thing is to love the person you’re married to, otherwise you won’t be happy, and commitment. Just make it work.”

Greg– “Dad, do you have any words of wisdom?”

Dad– “Don’t sweat the small stuff.”

Mom– “Cause there’ll be plenty of big stuff.”

Dad– “There’ll be a lot of that.”

 

    This is my family.

    This is what we work for. A lifetime devoted to personal betterment, yes, but also driven by devotion to family. To make a better life for ourselves and our children.

    They have.

    My father is the hardest working man I know.

    I remember hearing his alarm clock going off at 4:30am every morning and hearing him roll out of bed and get ready for the day. It was consistent. Like clockwork. His employers could always count on him. We, the family, could always count on him.

    Dad (Ted McIntyre) has been retired several years now and has remodeled my home almost single handedly. He is constantly working on other projects. He is very involved in his church and with friends. I always remember this one saying from my Dad: I used to play so much baseball and I would get down when I first started, when I made errors on a play. He’d say, ‘Everybody makes errors once in a while, but you’ve got to get ready for the next play cause the next batters up, the next balls coming.’ He taught me that. Great life lessons happen all the time, throughout life. It really got me ready because that’s very much how life is. Every once in a while we make a mistake, but we have to keep moving forward cause the next plays coming right. A truly great role model for me and my sons.

    My mother (Terry McIntyre), is equally hard working and creative. She was my mother and chauffeur when I was growing up, shuttling me endlessly to ball games and practices, and she worked full time as the pastor’s secretary at First Baptist Church in Shelby, NC. She was the queen of school projects, always there to push me forward and beyond. I have to say dad also helped a ton so I guess you would call him the king of school projects.

    They’ve been there more than words can say. I followed my Dad’s lead into the Navy. It worked well for him and for me. I followed his lead going to college. Man, was that a great decision! I have tried and sometimes failed to follow his lead as a Christian father, a God fearing man, tirelessly devoted to his wife, children and providing for them no matter what.

    I’m different from my parents, we all are, but they provided and continue to provide a great roadmap to follow for how to have a thriving marriage, family and be a decent human being.

    That’s their legacy. The legacy that you hang in there with your wife through thick and thin. You support each other. You made it look quite effortless but I know it takes a lot of work. You work hard for your family no matter what. You love your children unconditionally. You try to teach them the right things to do, what you consider the right things. You know what that is!

    These are the real legacies we leave our families.

    I have been married over 17 years now to my lovely wife, Stefanie. 50 years seems like a long way away. My mom told me yesterday that 25 years would be here before I knew it. She’s right. This life… time flies by so fast.

    I wish my parents a Very happy 50th anniversary.

    I hope that I can live up to their living legacy of being kind, hard working, Christian folks.

    Thank you very much for your wisdom, advice, perseverance through your marriage, and here’s to you both.

I know you are working on your living legacy out there too. I hope we all make it to 50 years of love and commitment and everything else, so choose to have a good life no matter what. It can only get better by doing so.

 

Bibliography and Resources

The Ultimate truth – Lester levenson

No Attachments No Aversions. The autobiography of a master – Lester Levenson

Love Yourself and let the other person have it your way – Lawrence Crane

The Divine Matrix – Gregg Braden

 

Call me if you have any questions:

Greg McIntyreGreg_Full
Elder Law Attorney
McIntyre Elder Law
123 W. Marion Street, Shelby

 

 

Article I Promised: Lady Bird Deeds

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Today, we’re going to look at Lady Bird Deeds, including what they are, what they do, and how they differ from traditional deeds, like regular general warranty deeds or life estates deeds. We’ll also look at how they fit into your estate planning, especially when considering the option of possible Medicaid or protecting against that.

I love these deeds because they can accomplish lots quickly. Why are they called Lady Bird Deeds? They get their name from Lady Bird Johnson, the wife of President Lyndon B. Johnson, the commander-in-chief originally responsible for implementing Medicaid.

I’ll be speaking on these deeds as they exist in the legal system of North Carolina because that’s the state where I practice law. However, many other states in the US also use and accept Lady Bird Deeds in much the same way. Let’s start by talking about why they are important to you and your estate plan.

Medicaid can put a lien on your house and take it when you pass if you have to draw on the system at any point to pay for long-term care. We’ve discussed before how 70% of seniors over 65 years of age are going to require some kind of long-term care, whether it’s in-home or at a nursing facility, before we pass. In order to qualify for Medicaid, we have to spend out of our own assets or have in place long-term care insurance and some type of plan to protect our assets. Lady Bird Deeds can help with that and be used to avoid having to give up your home at your passing to pay the lien that Medicaid may place on that house.

Let us compare Lady Bird Deeds to other deeds.  There are general warranty deeds or regular fee simple deeds, which is when you pass everything to a grantee or whomever you may appoint. You may have chosen a life estate deed. These have been around for a long time and work a bit differently than a general warranty deed. Life estate deeds allow you to give away a future interest in property. You retain what’s called a life estate or a life interest in that property which allows you to sell or mortgage said life interest.

However, it is a very limited interest. At your passing, whomever you sold that life estate, that deed would automatically be jerked from that person’s possession and passed to whomever the future interest holder may perhaps be a son or daughter. This means life estate deeds are very limited. Also, life estate deeds do count as a transfer of assets and that would stick you with a penalty or prevent you from drawing Medicaid.

 You would later have to void that transfer or re-transfer the property back to yourself to be able to qualify for Medicaid. A Lady Bird Deed is really the best of both worlds. This deed allows you to reserve a life interest in a property but it qualifies or defines that life interest as one that is like a fee simple full-ownership interest. You are still allowed to mortgage, sell, or gift the property and extinguish the future interest holder. You can control it fully, but you’ve already named a future interest holder in that Lady Bird Deed, which may be the son or daughter that you want to receive it once you pass.

A Medicaid lien will not attach to the property but because you’ve retained control of it, and it is not a countable asset transfer that will give you a penalty for time to qualify for Medicaid or otherwise deny you eligibility for Medicaid. You can literally give away the home and any surrounding contiguous property, which means property that is not separated by boundaries then go and apply for Medicaid the next day.

This works very well in North Carolina right now.

States such as Georgia and South Carolina, however, do not allow Lady Bird Deeds. At this point in time, they are allowable in North Carolina and this is a very good way, especially in an emergency situation, to transfer assets. There is a possibility in the future that the policy will change but that is always a possibility.

There are other ways to shield property, such as Medicaid Asset Protection Trusts, that are more advanced. However, Lady Bird Deeds are a simple way to transfer property and still qualify for Medicaid, while not allowing a Medicaid lien to be placed against your property. So, what should you do? By doing nothing, you risk losing your home that you have worked for. Some people have worked to pay off their home for 30+ years, meaning you have put a lot of time and energy into this property.

You would be losing, essentially, the American dream. Your home is part of that dream. Protect it by getting your property deeds in order. You can do this by using Lady Bird Deeds and other strategies, which can help save your property, but only if you take action.

Remember that a Medicaid look-back period is important in a lot of pre-planning and emergency situations involving a home. The clock is ticking, so contact an elder law attorney. You can visit our website at www.mcelderlaw.com or feel free to contact my office directly at (704) 259-7040. We would be glad to consult with you regarding the best approach to use to keep your hard earned properties, savings, and assets.

Call me if you have any questions:

Greg McIntyreGreg_Full
Elder Law Attorney
McIntyre Elder Law
123 W. Marion Street, Shelby
704-259-7040

 

Be Nostalgic about the old days: Don’t lament a lack of planning.

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nostalgia-gustavo-rondón.0.533.1149.574.960.480.cHey this is Greg McIntyre the elder law guy with McIntyre elder law. I’ve been feeling nostalgic this morning. I wrote this while at the beautiful Gardner Webb University, where I come to get a little peace and quiet every once in a while.

The reason I’m here today is I’ve been working on my book called ‘Saving the Farm, a practical guide to the legal maze of aging in America’ which should be finished in the next 2 days, but I wasn’t happy with the front and back covers for the book, so I came here to get some original photos. I went out to Lattimore North Carolina which is where my grandfather Papa Mac and Mama Mac lived on the farm. My grandfather had lived in assisted living for more than a decade.

So I was looking for wide open spaces. I had envisioned the back cover to be a farm with land and rolling hills and I got a great picture. I’ve edited it for everyone getting the newsletter, or you can see it on youtube, or our website, mcelderlaw.com, just click on the tab that says ‘elder law tv’, and you’ll see what the back cover will look like. I photographed a great barn that I’m going to use for the front cover, and applied a black and white filter to convey the mood for ‘Saving the Farm’.

I got nostalgic looking around at that old house thinking about my grandparents and remembering watching the wonderful world of Disney with my grandfather. I’d get up in the morning, smell the pancakes my grandfather made, coming down to the kitchen and eating and playing out by the barn where there were chickens, or going back to a logging operation behind the house. All kinds of memories, so I was a bit nostalgic. I went around for a few hours before I found what I wanted to photograph.

It’s a big leap between a written document and a printed book or ebook formats, so I’m working with a book designer to organize and achieve that. So look out for it, it’s going to be first on Amazon iTunes, and we’ll do a lot more to get it to everyone affiliated with our firm, or who is a client with our firm.

Now I like word origins. The origins of the word ‘Nostalgia’ comes from the Greek word ‘Nostos’, which means ‘return home’ or ‘homecoming’, and then ‘algos’, which means ‘pain’, or ‘ache’ so, return home in pain. That was different than what I thought it would be. The definition for ‘Nostalgia’ says, ‘a sentimental longing or wistful affection for the past, typically for a period or place associated with happy personal connections’.

You’re sentimental when thinking about college days, the grandparents, the kids, your own childhood, or it can be: Something done or presented in order to provoke feelings of nostalgia. An evening of TV nostalgia for instance.

Also there is the German word, ‘Heimweh’, which means ‘homesickness’. In the late 18th century these merged into ‘Nostalgia’, or ‘acute homesickness’.

For me, Nostalgia is just thinking about the past in a sentimental or a good way. What I’m cautioning you not to do, is you don’t want to lament the past in a bad way. That Greek word, ‘Algos’ or ‘pain’, you want to leave that out of your nostalgic thoughts, if you can. You want them to be as enjoyable as possible. You want your kids to be nostalgic about their memories with you. What I’m getting at is this; we want to make sure we plan ahead.

Nostalgia

Don’t lament the loss of property because you didn’t plan properly, or knowing that hundreds of thousands of dollars are spent down on a nursing home stay that could have gone to sending your kids to college. You might want to set aside money for that nursing home stay in case it happens, or make sure you’re in with your insurance agent on long term care.

It takes minimal effort to plan ahead, to put in place a General Durable Power of Attorney, so that somebody else can handle your personal business for you. Healthcare Power of Attorney, so that someone can manage life and death healthcare situations. You certainly don’t want to lament that if you don’t have it in place. Seeing an elder law attorney would help you put in place a Ladybird Deed that could save the house right now under North Carolina rules. North Carolina policy could save the house even if you need Medicaid assistance for nursing home or assisted living care. Why wouldn’t you put that in place?

Planning

That’s a no brainer. It could save a house worth tens, if not hundreds of thousands of dollars, that you worked so hard for, paid so much for and put so much blood sweat and tears into owning and acquiring. Heaven forbid that you’re incapacitated or incompetent at some time in life, where you don’t have a family member appointed to take care of your personal affairs and your cash. If you’re stuck in that situation where somebody has to pursue Guardianship over you to take over the finances, as well as healthcare decisions, that’s not good. Don’t put your family in that situation. Don’t put them in a situation where all the money is being spent down. Plan ahead for that.

We have Trust Planning that we can do for clients that can send the grandkids to college, and can make sure you have plenty of income going into your senior years, and make sure it’s protected against that spend down if you had a long term care incident or need of a stay. At least it gives you options. At least you’re not subject to the whims of the laws and the wind, whichever way it’s blowing right now in the political climate.

You think the political climate and laws change? Of course they do, and this is a perfect time to talk about it. Tax laws change, Medicaid laws will change, the look back periods change. The word on the street is they will go from 3 years for Assisted Living and 5 years for Nursing Home Medicaid, to a look back period of 5 years for Assisted Living and 7 years for Nursing Home Medicaid. And who knows how long the Ladybird protection deed will be in place? I’ve had people in the know tell me about how they wonder if that is going away soon. I’m surprised they haven’t taken it away already? So get that protection while you can. Get your foundational documents in place while you can. Look at Medicaid Asset Protection Trusts while you can. Don’t let your grandkids be nostalgic about how the old home stead now belongs to someone else, because you failed to plan to protect it and keep it in your family.

Nostalgia’s great for thinking about the right things, about the wonderful world of Disney, Disney was special back in those days. I want to say it was black and white but I know it was in color. It came on maybe at 7 o’clock on Sunday nights. Watching it with the grandparents with the smell of pancakes in the air on a Saturday morning, I can smell them right now. It was so special. Don’t let the kids and grandkids lament or be nostalgic in a way where because of a lack of planning, Johnny and Suzie didn’t get to go to college or have a chance to fulfill their potential.

I’m Greg McIntyre the elder law guy. If you need to talk to me or see me, you can follow me on twitter at lawyergreg or give our firm a call at 704-259-7040. We would be glad to set up that appointment.

So call me, I’ll be glad to talk about putting your foundations in place, putting a Ladybird Deed around the house to protect it. We’ll talk about Medicaid Asset Protection Trusts, that’s a really neat trust we draft that can help save your hard earned money and property, not just for you but for future generations.

Call me if you have any questions:

Greg McIntyreGreg_Full
Elder Law Attorney
McIntyre Elder Law
123 W. Marion Street
Shelby, NC 28150

 

Guardianship NIGHTMARES!!!

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Hey this is Greg McIntyre with McIntyre Elder Law helping seniors protect their assets and legacies. It’s been a long week, and I wanted to wrap it up for you by getting into what I’m really hot on right now, which is Guardianships.

I’m so fired up about this and so I focused this episode on Guardianship Nightmares and how you can avoid them. You just have no idea what you are subjecting yourself and your family to, and your hard earned savings that you worked for your entire life, including your home if you do not plan ahead with some basic documents. I’m telling you right now, guardianships are not good things and are not a good place to be.

If you wind up in a guardianship, all assets are frozen. It is nearly impossible to move them or to help yourself or a family member. So let me tell you what I’m talking about.

Let’s explore what types of guardianships there are.
Guardianship of the Person
Guardianship of the Estate
General Guardianship.

‘Guardianship of the Person’ means you are able to make healthcare and other legal decisions for someone okay. But that doesn’t mean manage their money.

‘Guardianship of the Estate’ means you can just manage their money but not make those other legal and healthcare decisions for them.

If you are ‘General Guardian’ you can manage their money and you can manage their healthcare and make other legal decisions.

Now some requirements for ‘Guardianship of the Estate’ or ‘General Guardianship’ are, you have to file annual inventories, keep all receipts for everything you do, and hope you are making all the right moves with the expenditure because even though I know the majority of people are acting in good faith taking care of their family members, you can get flagged for some funky stuff, and I’ll go into that in a little while. You should always petition the clerk for anything, any way you need to spend money is just a safe bet. Petition the clerk ahead of time.

I have seen clerks petition and remove a guardian okay. I have seen them petition to remove a guardian, a family member, a trusted family member who loves either their mother or sister or brother to death, and would never do anything wrong with their money but the clerk petitioned to remove them because they paid tithe. Yes you heard me right, because even if the ward has a history of always paying tithe and is so important to them, even if they are a spiritual being and trust me, you’re still a spiritual being after you are found incompetent and in need of a guardian, but if you’re paying tithe, even a minimal amount of tithe, the clerk can make a big deal out of that, like something crazy is going on because you’re contributing to the church. This is even if that person is a really strong part of the church okay, and a really great fixture at that church, it’s unreal and sad. Again I’m fired up about this because I can’t believe this happens in our society. I cannot believe it. You shouldn’t believe it either, and you should be up in arms about it, I’m telling you, because it’s horrible the way the guardianships are run today.

I have seen birthday gifts, small birthday gifts for family members that the ward, this incompetent, this family member who loves their niece or nephew or whoever, and wants to buy a little something for them. So the guardian says okay we’ll buy a little something for this child on their birthday, and you would not believe how much this is blown out of all proportions. It is made out that the guardian who is the family member, has taken advantage of this ward by buying this birthday gift for this person. And you’re hearing me right, these are actual events I have witnessed take place, so you need to be aware of that.

You need to be aware that those are potential problems and issues. And that’s just talking about small things. When you start getting into larger conveyances or expenditures, even if you’re acting in the best interest or you feel like you are acting in the best interest of your mother, dad, sister or brother, son, or daughter that you’re guardian of, you are going to be looked upon almost as the bad guy. You will be under a really harsh eye by clerks at the clerk’s office who are really going to give you a hard time. And I don’t mean a little bit, I mean a hard time. That’s happening in my community, Cleveland County all the time. I am sure this happens across the state in North Carolina. It’s harsh, it takes no prisoners and it can tear up a family and really really call out your reputation as well.

So you want to try to avoid these Guardianship nightmares. You want to stay the heck away from them, and there are easy ways to do that.

You can avoid them by putting in place Powers of Attorney. Now I don’t like short form Powers of Attorney, but let me tell you why I equate powers of attorney with guardianship.
You can put in place ‘General Durable Powers of Attorney’, that’s the same and functions the same as ‘Guardianship of the Estate’, which means you are in charge of the money, and charged with spending it correctly. You still have a fiduciary duty to take care of mom, dad, sister, brother and act in their best interests but you are not under the eye of the state. The state isn’t questioning every move you make which is a huge problem.

For example, let’s say you were in a nursing home, I have seen the state allow a person’s house fall to rot, instead of allowing any money to fix that house up. But they will let the money be spent down every single month, that’s about $5000 to $7000 dollars a month just to the nursing home, so you might as well go write a check for everything you’ve saved your entire life and write it out to the nursing home, and the state feels justified in doing that.

It’s not right, and it’s not okay. I advocate against it every single day. However, a ‘General Durable Power of Attorney’ will help you avoid this situation. It will help keep you out of this situation, and that is what you want, and that is what you need.

Again I’m not a fan of forms because they can easily be modified. Don’t print one off online that would be my advice. Don’t let your entire retirement and assets you saved and worked for your entire life be squandered by putting the state in control of it. Take control, take control now. Put ‘General Durable Powers of Attorney’ in place ahead of time. Ours are 21 to 25 pages for long form ‘Powers of Attorney’ because they really enumerate everything you can do. Our ‘Powers of Attorney’ allow your spouse to make any business decision you can make yourself, so they could just step in. Hell, my wife can’t even modify my cell phone bill because I set it up unless she has a ‘Power of Attorney’ or something like that to do so. It’s the same with Utilities if they’re in the spouse’s name. If you’re aging then go ahead and put your spouse and others on there. Everybody, aging or not, needs to have these in place but you should put multiple people on them.

When Michael Jordan fouls out he needs somebody to come off the bench, so your ‘Attorney in Fact’, the person who is acting as you when you can’t because of a healthcare problem, even if it’s temporary, you know if that person can’t act, you do not want to put the state in place, you just don’t want that. Stay the heck away from that okay. We want to go ahead and put a second person in place, a second trusted family member like a son or daughter. You can go as deep on that bench as you want, 2 or 3 people sitting on the bench ready to come in and fill in for a husband or wife who is your primary ‘Attorney In Fact’.

Now why is that important?

If your primary is suddenly unable to fill in and you have no second, then you are at the mercy of the state. The family would either be stuck and unable to move assets or access accounts, or save their home, or the alternative would be seek guardianship but then the assets are frozen solid.

You’re stuck unless your spouse has a ‘Power of Attorney in place’ and multiple people on them. Let’s say you have early onset Alzheimer’s and you’re in your 60’s to early 70’s, and your wife or husband has a good 20 or 30 years ahead of them. All the money is being spent down, and the spouse is in my office crying because all the money is going away, and you didn’t act ahead of time to put in place the ‘General Durable Power of Attorney’.

I see this situation on a regular weekly basis at least and it’s sad, because then you are looking at a Guardianship to do anything, and the state is going to lock it down. They have no mercy, they do not care that you are going to be destitute if all this money is spent down. That’s where you need the ‘General Durable Power of Attorney’, so let’s put those in place ahead of time. It’s very important.

‘Healthcare Powers of Attorney’ will replace ‘Guardianship of the Person’. Now ‘Guardianship of the Person’ is where you are going to have a court proceeding where a family member will be appointed to make healthcare decisions for you. That isn’t so burdensome and over governed okay. That’s a little more reasonable and gives you a little more leeway to make healthcare decisions, legal decisions in the best interests of the ward.

I like to appoint a quarterback. I look at the huddle as being the family. The quarterback goes and meets up with the family and says hey look, Mom’s in this situation where she needs this healthcare procedure, there is a couple of options here for the procedure, what should we do, let’s take a consensus, let’s work this out. One person is going back to the doctor. Only one. Don’t have the sister or brother flying in from another state, that haven’t seen you for 20 years and all of a sudden they have a different idea of how to care for your mom, and the family has been doing that for the last 5 years okay.

Appoint one person because who is the healthcare facility supposed to listen to? Which son or daughter trumps the other if there are conflicting opinions about healthcare? There probably will be. It puts the doctors, the facility and the administration and staff of a healthcare facility really at a disadvantage to make life and death decisions for that member, and life saving measures, including just general healthcare.

So you can avoid a Guardianship situation or a ‘General Guardianship’ or ‘Guardianship over the Person’ by putting in place ‘Healthcare Powers of Attorney’ ahead of time. Those should be separate documents from the ‘General Durable Powers of Attorney’. We call it ‘Durable’ by the way because it’s survives incapacity, mental incompetence or mental disease, or disability. So when you really need it, it is going to be active. If it doesn’t have that clause in it, it does not survive mental incapacity, mental disability or mental incompetence. So you want to make sure you have that in place.

In closing, Guardianship nightmares exist. They happen every single day. It’s a cold hard process, it’s a process of law and unless you want your estate eaten up by attorneys fees or just spent into the ground with no choice, and a guardian with no choice of what to do, put those 2 documents in place ahead of time.

I’m Greg McIntyre the Elder Law guy with McIntyre Elder Law, helping seniors protect their assets and legacies. I’m fighting for you every single day, as hard as I can, I guarantee it, just ask my clients. If you need to reach me or talk to me, call me at 704-259-7040.
Have a great weekend.

Call me if you have any questions:

Greg McIntyreGreg_Full
Elder Law Attorney
McIntyre Elder Law
123 W. Marion Street
Shelby, NC 28150

Hospice’s ‘We Honor Veterans’ Program

in Articles by Greg McIntyre Comments are off

I love doing the elder law report and I was looking at the blogs and we’ve done around 72 shows, somewhere around there, but today’s is especially close to my heart because we are focusing on the Hospice ‘We Honor Veterans’ program. I talked with the Reverend Doctor Terry Floyd and he is a Hospice Veterans Coordinator and Chaplain at Hospice Cleveland County. Terry has been a chaplain at Hospice Cleveland County for 9 years now. We talked about the chaplain services that Hospice provides, and about upcoming events and other things you can participate in that may be very special and relevant to your experience. So without further ado let’s get started.

Life is special, everybody above ground reading this, celebrate your life today because that’s what we’re going to talk about.

So Reverend Rick you’ve been a pastor for 12 years at the same church, and then 9 years with Hospice and now you’ve taken on a new role with the ‘We Honor Veterans’ program.

That’s right, and I’m very excited about the We Honor Veterans program, it gives us a chance to serve our veterans and tell them one last time how much we care, and not only tell them but show them how much we care.

Not just lip service but back that up with actions.

Every soldier has a face, a name, a unique experience, they have had triumphs and victories during their service to our great country and so it gives us the opportunity to serve them as we entrusted them to take care of us, now we want them to trust us and take care of them.

So let’s talk about your general chaplain duties. They’re different from the veterans role you’ve taken on now in addition to your chaplain duties, but you’ve been doing this chaplain thing with Hospice for 9 years and to me that is amazing because this has to wear on you. Hospice is taking care of patients in home, who are not always in the best physical condition and you’re coming in to offer comfort, solace, spiritual relief, not just to the patient but the family as well.

In my experience dealing with Hospice workers who are all amazing, they are ministering and caring as much for the family as they are for the patient who’s getting treatment, and you are probably no different.

Yes and I would add that we go into the home and also into facilities in the counties we serve. We serve Cleveland, Gaston and Lincoln Counties and we go in and serve the patients and the families, and you know the question is asked many times, do we serve the patient more or the family, and I think we serve them both really. Depending on the family they may have a different need, what we need to give them so we meet them where they are. We always say they are the captain of the ship.

First, talking about it wearing on you, you’ve been there 9 years, so as an attorney let me relate it to what I know. I have worked as what I like to call a ‘door lawyer’ for a long time before I was an elder lawyer. I dealt with criminal law, civil suites, divorces tearing families apart, using my talents in ways that I was not always proud of, and at the end of the day it was very stressful for me and wore on me. That compiled day after day, year after year and that’s why a lot of times trial attorneys will check out early. They have really high rates of suicide, substance abuse and early death because it’s a stressful job. I had to develop ways to cope, luckily I had a great church family, I have a great wife who supports me and loves me, and I had a reason to really work hard everyday and show up, which was our children.

When I first became an attorney we had 2 children and now 6, so daddies got a reason to go to work. And I’ve whined and complained and moaned and my wife is the kind who is going to tell me to pick myself up by the bootstraps and get out to work. And she should, I need that support. In elder law it’s a little bit different. It’s a feel good area of law for me because I help people and it’s a win-win for the families, which I love about it but it took me a long time to find my way to that path. I had to develop coping mechanisms to deal with my job everyday. I would imagine it is sometimes overwhelming the job you do day in day out with patients?

You’re right, I deal with grief, death and dying everyday, and it’s hard seeing people die, it’s even harder for me to see the heartbroken families. I try to care for that by realizing that God has called me to this vocation, and I call it the sticking stuff and if it wasn’t for that simple element, there have probably been days when I walked away that I would not want to come back. But I love what I do because I don’t see it as a job, I see it as a ministry, and so to make sure I take care of myself and my co-workers and staff because I’m not only charged with the responsibility of taking care of families and patients but also the staff of Hospice Cleveland County. So one of the things I try to do is, I know my day ends mentally when I get into my truck, and my truck is a little loud, I’ve been told it roars the seat of the secretary when I pull into the driveway. So when ever I start the truck up I know my day has ended there and I’m going home.

When I first started Hospice it wasn’t that way. I couldn’t sleep for three weeks because I would see dead faces, and eventually over time that went away. My supervisor she has a coping mechanism, I love it, she says, when I walk in the door and place my keys in a bowl and hear them ringing, then I become a mother and a wife and I separate myself, so we do have to have boundaries so that we don’t burn out but going back to the divine appointment of vocational calling is what my main thrust of moving on is all about.

When you say ‘calling’ that really resonates with me. I feel like what I do is also a calling. I can look back on my life and see everything that lead me to the point I’m at now, so I think that’s great to have a calling, that’s what we all need. What you do is amazing, so how do you offer chaplain services to Hospice patients and families, you go in home right, and how do you make that initial contact with the family?

Well, we always call before we go out, and so when we have permission to go out and visit we walk in, and when I first came to work for Hospice one of the questions during my interview was, ‘what will you do with a family when you first meet them?’

My answer was simple, develop a relationship. So when I walk in I am invited in to holy ground into their home so I tread very carefully and delicately to develop a relationship with folks. And I know this may not make sense to a lot of folks but it’s kind of like going to a mechanic when you pull your car up and a mechanic can listen to what’s going on with that motor and determine a diagnosis of what is going on.

I know some of our patients live long enough we discharge them from our care but also there are some who are not going to be with us long. I don’t have a lot of time in cases so I have to expedite the development of a relationship with these folks and I do that by listening to what I’m saying and I look around their wall to see if they have any religious artifacts sitting around, valuables, if they do if they don’t, I listen to what they are saying, what they’re talking about, where they have no peace, where they have concerns, if they have ambivalence with family. We can’t fix every family but we do our best to pull families together and pull pastors in, and our pastors are great in the community about servicing their people, but to pull everyone together so the person when it comes time to take their last breath, that they have as peaceful and good a death as they can have.

I know it’s strange for us to say, well to have a good death, and that’s hard to talk about but there are deaths that are not so good, but I would have to say that in my time with Hospice I’ve only been around one situation that it was just a different spirit in the room is the best way I can describe it, and it was scary. So, but our nurses do a great job of pain management, they are experts at what they do. Our social workers are fantastic and they’re reaching out, getting to know the patient and with veterans they also do their military checklist to know that veteran. Our grief councilors, cna’s, I’ll tell you our patients love our nurses and cna’s, they’re the ones who keep them out of pain and clean but also new studies are out now that say one of the major concerns at the end of life now is the psychological and spiritual aspects, so we try to offer a balance of taking care of the physical and spiritual and psychosocial of our patients and family.

So sometimes you go in and would you see who needs your services the most, is it the patient or the family members?

Well the patient in most cases has already dealt with their illness and what they are going through and are more realistic than the family, and so depending upon the family, I would say the family mostly but then again if you have a patient who, I had a patient once who cried every time I walked in the door. I felt so bad because the chaplain represents death or dying. When I make a telephone call to follow up with the care giver, first thing I’ve learned to say is everything is okay because they’re going, what’s wrong with mom or what’s wrong with dad, so I try to be very careful in that area.

I bet you have experienced tons of different stories and situations over the last 9 years, are there any without naming names or anything, are there any you could share with us today?

Well, I’ll start off with one, it’s the first one that comes to mind. I met this lady and her family, they didn’t live in the best of conditions but they were the most precious family I ever met. She was lying crossways on her hospital bed. Her pain was controlled but if she moved a lot she was in pain. She invited me to sit on her hospital bed and lean back on a ton of pillows and we sat there or lay there for quite some time just talking, good old down to earth folks and that’s what I am, just an old country boy and we lay there and talked. So I got a call back the next day and went out there and she was actively dying, and on the bed where she was dying she called myself and her husband. She had talked previously about her husband being the close kind gentleman she ever met and how good he was to her, and she proceeded to tell her husband, I want you to meet the chaplain, he’s just like you are, he’s one of the most kind and gentle man I’ve ever known in my life next to you. And I just thought someone lying on their death bed fixing to take their last breath and she died within 4 hours that day, and thought that much of somebody like me. That’s one story that comes to mind.

I just debated telling this one or not, but we had a family who was just great. When I first met him he had a problem with his lip and he slobbered really badly and when I first met him and talked to him about the second or third visit he wanted to make things right with his God and he did and we prayed. But I got to learn that this family loved to talk about flagellation, and his days in high school and it’s okay to laugh, I need some support here. So he liked to talk about that.

Who doesn’t like to talk about that come on, I started that in kindergarten and never stopped.

So anyways it brought them comfort and joy his times in high school and his home, and his mother was a caregiver and would talk about how really bad it was at times, they would laugh until they cried. I was reminded of a country song that says we laughed until we cried. And every time I left that day the social worker and I and the nurse sometimes, we would just shake our heads and laugh about this patient who was dying. He was with us for about a year and a half but he loved to talk about this issue and it brought them so much comfort so we met them where they were.

I’ll share one more to bring it back down a little bit. We had a veteran under our care, passed away not to long ago, and as I walked in he shared with me how Hospice Cleveland County had showed him more respect than anyone over the years for his service to our country. We took him a wreath, a red, white and blue wreath that one of our volunteers makes. We talked and made a connection. We talked about his service, he was a man of faith and here he was in a wheelchair and I started out the door after we had prayed and he saluted me, and myself being a former soldier, I snapped to attention and saluted him. I walked out with tears in my eyes that someone who was on their last leg of this life would salute me and it just brought a camaraderie between the two of us that he started requesting me to come out and visit with him almost every other day. That’s a story that will hold dear in my heart and burn in my mind until the day I’m gone.

That’s a great story, all those are great stories including the funny story right, but in that grim situation, if the family accompanied by the chaplain who is bringing spiritual services there and talking about those issues with the family and peace can also have some comedy, some levity in their lives to cut through, that’s great.

You talked about meeting the family where they are, if the family deals with issues like that by joking, you can go down that path too, you’re a jokester and if they want to be serious you can accommodate that too. You’re very used to rolling with or fitting in situations like that, especially going in to those stressful and intense situations, you’ve got to be.

So yes, let’s talk about the new role, the ‘We Honor Veterans’ program, because that’s where we ended with a veterans story where you took a patriotic wreath out there. It sounds like you’re really making sure those veterans are honored as they might not get that full honor, or feel that from the rest of the citizens, community and family throughout their life, you make sure they feel that when Hospice is involved. Tell me about that, what is the veterans program and does that work differ from your regular chaplain duties?

I think it was about 2010 the national Hospice of Palative care organization started this program ‘We Honor Veterans.’ It’s simply a way to say thank you and let our veterans know they were and are appreciated in this life and when I took on this role I’ve learned that one out of every four deaths is a veteran, so 25% of our 2.4 million deaths each year is a veteran. So we have 680’000 veterans a year who die and so puts us about 1800 a day passing away and leaving us, so those are strong statistics that we deal with and only 33% of our veterans are enrolled in the service which means 67% have a lot of benefits that they may qualify for, such as we talked about before, ‘Aid and Attendance’, or Funeral Rites and Rituals or Grave Markers and things of that nature. They also qualify for back pay and pension but it all depends on the veteran, what war they served in and what era. If it was service connected or not service connected and by those terms I mean by service connected, if their disability or illness was a result of being in the armed force or been in war or something. Non connected means it wasn’t.

We had a patient the other day, our social workers really do a great job to try to get all the help they can for our veterans and families, we found out that one guy was receiving Aid and Attendance but couldn’t receive anymore because his illness was not service connected. So we had done all we could but the Veterans Administration was helping them greatly and I’ve met with Debra Kahn at the VA here on Marion Street in Shelby several times, and they’re there to serve our veterans, and that’s our main resource. If our social workers don’t know, they go there or to an elder lawyer such as yourself.

Debra does a great job helping veterans in Cleveland County, and every county out there will have a representative I believe in their county or should, where veterans and their families can check about benefit programs, things of that nature.

You were speaking about veterans Aid and Attendance. In truth, Aid and Attendance is a life long benefit that if you qualify in a health care crisis, you get paid a check that can be used to pay for in-home care, assisted living care, nursing care, adult day care or any service like that, and for two married veterans it’s up to about $2750 a month, or for a single veteran or if only one of a couple is a veteran it would be $1788 a month for the veteran, and it goes down from there. The spouse of a veteran can qualify, the spouse of a deceased veteran can qualify so that’s a really nice benefit and it’s not advertised because the VA doesn’t have enough resources to get it out there.

And there are so many benefits and what blows my mind is 67% of our veterans are not enrolled or signed up, they may not even know. We had a patient who came under our care a couple of weeks ago and they were veterans and we asked well have you applied, no, why not, and they just didn’t know.

I’ve had people sit down with me in my office and I’ve had to convince them that veterans Aid and Attendance benefits are a good thing and a real thing. They don’t believe it, they’re like, is that benefit really available, can I be eligible for it. What I do is, I’ll pull up somebody off the news, you know there is a 5 minute news piece that CBS news or one of the big news organizations did years back, and I’ll show them in my conference room and say, here I‘ll let these guys tell you about it, and they’re like wow, that’s a real benefit. Yes it is but Debra Kahn and the VA doesn’t have the resources to really broadcast that information throughout the counties and to everyone. That’s one reason I do radio shows like this and events, even speaking to Hospice who’ll listen about everything that veterans could be eligible for, or seniors could be eligible for.

That’s one thing that we’re trying to do is also educate our patients who come under our care and the community. I’d say that taking on the new role in the ‘We Honor Veterans’ program at Hospice Cleveland County that I’ve had the opportunity to meet some great people with the VSO’s which are the Veterans service Organizations, such as the American Legion and the Veterans of Foreign Wars, I’ve been involved down at the Post 4066 in Shelby and they are just great people willing to help Hospice Cleveland County in any way we can to reach out to the veterans and to make sure they are getting what they need. We are currently working on getting together a veteran to veteran interest group so that we have our volunteer veteran’s going out to visit our veteran patients who all have unique needs, which we talked about earlier in the program. So I’ve had the opportunity to meet some great people and everywhere I go it’s appreciated, so I don’t think you can go wrong talking about veterans.

You know, we want to help all our seniors but you are taking on this role, We Honor Veterans program and implementing that through Hospice. Do other Hospice’s out there in the other counties of North Carolina, do they have a We Honor Veterans program?

They do, not all Hospices have done that. The statistics I saw a little over 100’000 Hospice’s have participated in this but not only Hospice but the funeral services in the Gaston area is actually a level 4 We Honor Veterans. When I came into this we were at a level 1 and I turned in the paperwork two weeks ago for our level 2, so we’re on our level 3 now. What that simply means is, there is some guide lines set up in place that allows Hospice’s and other organizations who become involved in this to stay focused on our veterans and to learn more about the veterans and to do more. For example, I have in obtaining a different level I need to do so many presentations within our staff, within the community, within VSO organizations, I need to stay in contact with our local VA, state Hospice, so there is a lot of footwork in getting out and doing these things to earn the levels. It’s not all about earning a level it’s about caring for our veterans and making sure they get what they need and the honor and respect they deserve so greatly.

You know there may be people out there right now reading this who are wondering how they can get in touch with you, how can I have this gentleman or this program come out and minister to my veteran, the veteran in my life, one who may be suffering from illness right now, who needs to be honored, who needs to be cared for right now, how can someone get in touch with you and your team?

They can just call Hospice Cleveland County at 704-487-4677 and our receptionist will put in touch the person you need to speak with.

Do you have any up coming events?

Yes we do we have a veteran to veteran interest group coming up that’s going to be held on May 24th that’s a Tuesday, we have two separate times, a 10am and 5.30pm and we do this so it’s convenient to working folks but this is a veteran for volunteers, it is specifically for veterans who want to volunteer for veterans because a veteran can have something in common with another veteran and we have already seen a good response from some men and women who are going to be involved in this.

I’d love to see tons of veterans participate in this and other events you have coming up. I really appreciate you talking with me, just digging deep and talking about the seriousness of what you do, and the awesomeness of what you do, and what Hospice does honoring veterans and helping seniors and their families as they go through a healthcare crisis.

I’m the elder law guy, Greg McIntyre of McIntyre Elder Law. If you need to contact me my number is 704-259-7040.

Call me if you have any questions:

Greg McIntyreGreg_Full
Elder Law Attorney
McIntyre Elder Law
123 W. Marion Street

Shelby, NC 28150

Helping Homeless Veteran’s ‘Foothills Veteran’s Stand Down’

in Articles by Greg McIntyre Comments are off

We’re going to talk a little today about Veterans issues. We’re going to cover a lot of veteran’s issues on the blog today. We do this quite often, from talking American Legion to Veterans Aid and Attendance to many different aspects of veteran’s lifestyles and care and needs. That’s some of what we’re going to get into today but the main focus is going to be on Veterans Stand Down and caring for homeless veterans and how Veterans Stand Down does just an amazing job and Foothills Veterans Stand Down specifically, catering to counties in western North Carolina. I’m very glad to have Dr Rick Vandett with us today to talk about that.

So let’s just get into Dr Rick, I know there was a Stand Down in Hickory that happened on April 29th.

We call it the Foothills Veterans Stand Down. It was held at the Hickory American Legion Fair Grounds on April 29th, the opening ceremonies started at 9.00 in the morning and went to 3, it was listed to end at 2 but if we hadn’t met the needs of the veteran’s we stayed as long as necessary.

Veteran’s started coming in the gate at 8.30 so we made sure they were in place so we could provide a meaningful opening ceremony. We had local JROTC programs in the area that came together to do a color guard and provide services throughout the event. We had a pledge of allegiance, someone sang the national anthem, and I made some opening remarks and another speaker came in also. We had a key note speech from a former veteran who was homeless and who had been saved through a number of agencies working and helping him, and now he’s trying to pay forward that by helping other veteran’s.

So it was a very moving experience to start with and we provided a myriad of opportunities for the veterans that we can talk about as we go along.

Just in reading about Veteran’s Stand Down or the Veteran’s Stand Down organization nationwide and FVSD (Foothills Veterans Stand Down), a few things stood out to me.
First, it’s a great organization, it is not funded by but endorsed by the US department of Veterans Affairs, and there’s an aspect of veterans helping veterans there, as well as community involvement from private organizations and private citizens.
At a stand down, you will go to a county, set up and there will be sponsorships for a table so organizations have a chance to come in and set up booths, as well as opportunities for a big celebration and festival where everyone can come out, meet and greet, maybe have some good food, hang out and learn more about how to take care of our vets.

The idea is to provide a bunch of services and opportunities to help all our veteran’s. We focus primarily on homeless and needy veteran’s but the event is open to every single veteran regardless of their economic status because we want people to get involved and just become more aware of the kinds of things that are offered.

A stand down itself refers to the concept of standing down from battle. I was in Vietnam and when you stood down from battle that meant you went back to the rear, had opportunities to have hot showers, meals, clean clothes, stuff like that and just sort of a day or two to recuperate and re-energize.

Over time we have found that especially with the Vietnam era vets, a lot of these people have fallen on hard times, and to me it’s unconscionable to have a homeless veteran. People who have served this country we cannot turn our backs on them, and so the idea of a stand down has evolved to provide a day where we can symbolically do the stand down from battle, where we can provide hot showers, good meals, clothes.

There are lots of other opportunities as well. When a veteran goes to our stand down he’ll register with the VA, and this is not a VA sponsored event. Most stand downs are, but the Hickory area, the Foothills area is all volunteer and community based. So every penny donated goes 100 % to support our veterans. So the veterans will register through the VA, once they come into the exhibit hall, there are medical services provided right there for them to start with, like physicals, check up to see if there’s anything major so referrals can be made. We have shuttles going to the Catawba Valley Community Dental Lab where we have 6 or 7 area dentists who have taken the day off, they have volunteered their time to provide dental services or cleanings, pulling some teeth, doing preliminary x-raying, if there is more substantial things needed, then they can make referrals. We actually have an oral surgeon who was there examining people. If necessary we’ve had a number of veterans who have not had quality dental care cause of their own situations.

You’ve got to take care of your teeth.

That’s one of the things when they go through our medical section, our medical people are checking their teeth as well, and if they need to be referred, the van takes them to the dental lab. We just want to make sure we take care of whatever needs our veterans have.

So that’s what the Foothills Veteran’s Stand Down and the Stand Down organization is about overall in a nut shell. You can go to foothillsstanddown.com it’s a great website, it’s simple, it conveys what you stand for, what you do in western North Carolina and has a link there that say’s ‘get involved’ okay. You can click that link, find out how you can get involved. There’s a form section on the right where you can fill out a volunteer application, agency application, sponsorship, or you can be a t-shirt sponsor.

We talk about veterans on a regular basis, but what we rarely do is for people out there who have not been involved in the military, and I know there are a lot of people who haven’t been, who are really supportive, understand about what it means to serve, what the dangers are to serve, how it affects you, and you spoke about Vietnam era veterans and man, you guys had it rough.

It was difficult, but one of the heart warming things any of us now see is how the troops coming back from Afghanistan and Iraq are being treated by our country. There’s a lot of respect. I have a grandson who served in Afghanistan and he told me the story of coming through the airport and people standing up and applauding him. And that’s wonderful because every single man or woman who serves deserves that kind of respect.

It would probably make a veteran want to cry, just to be happy and overwhelmed.

It most certainly would. But it wasn’t like that coming back from Vietnam. For the Vietnam era vets it wasn’t quite like that. If you look back in history, the Vietnam era, that whole time frame, the 60’s and early 70’s was a very very divisive period of time in our American history. And the Vietnam war was a very divisive war and those of us coming home were seen as symbols of that divisive war. And so there was no standing up and applauding when we came home, which is why today, many Vietnam veterans when meeting each other for the first time will often say ‘Welcome Home’, because no one ever said welcome home to us, we sort of give it to each other, even 50 years later is something special that this group has, a sort of camaraderie among all the Vietnam vets. It was a difficult time for all of us but for any man or woman in a hostile zone it is very very difficult. You don’t think about death because that would just keep you from doing your job.

You went into the Air force is that right?

That’s correct. In 1962 I enlisted in the air force specifically because I did not want to live in pup tents, eat out of mess kits and play around with rifles.

And some how you wound up in the army, living out of pup tents.

Exactly, doing that very thing. I got assigned to Fort Bening Georgia, where I spent two and half years, and at Fort Bening a group was formed that eventually became the 1st Air Cavalry Division that in 1965 went to Vietnam. It was the summer of 1965 we had our first big input of soldiers and marines and sailors into Vietnam and I was part of that group in 1965. I spent 7 months with the 1st Air Cavalry and then the last 5 months with the 1st Infantry Division, as you say living out of pup tents, eating out of mess kits, playing with rifles so I outfoxed myself really well.

But I’m sure you grew from that experience.

I think you could talk to many veterans and you’re a veteran yourself and as you get older you’ll realize that your time in the military colors and shades a lot of what you do with your life, but I think for the Vietnam folks, simply because how history has looked at that particular war and those of us who were involved in it, that one year for most of us colors all of our lives, and I’m 71 years old and that one year still impacts me today.

And now we see our troops coming back from Iraq and Afghanistan and the suicide rates are super high.

One of the things our country is missing I believe Greg is that we don’t have a transition period for people coming back from the battle zone. We train them how to fight but then when they come back, do we train them how to assimilate back into society. Many people do it very easily, many cannot. I also belong to a group that meets, in fact they are meeting right now in Hickory called ‘Veterans Helping Veterans’. We try to reach out to Vietnam veterans, Korea veterans, Afghanistan, Iraq veterans, to help them assimilate because a lot of them as you say are suicidal.

I don’t want to put that label, I think that, yes some are suicidal but I don’t think it starts out that way necessarily. It’s so stressful when you’re on all the time when you’re in a combat zone okay, and you know that, and it’s high stress particularly, and then when you transition out of that and what you’re doing in that zone, it’s a different ball game.

Well PTSD is very real, it is, and some people can adapt and assimilate, others have an awful lot of difficulty and I think we’re missing a piece to help those people. We should be looking for and providing as much help, Stand Down is a small small small way to do it.

This is what I talked about with American Legion and now with Stand Down okay, is the sense of community. I feel like our world war two veterans who also had the same issues right, imagine the stress they were under in world war two marching through Germany, my grandfather that’s what he did, he was infantry, machine gunner, part of a 3 man machine gun group, and you know they’re going through so much stress at that time, but when they came back there was the ticker tape parades for them. Vietnam veterans got left out of that.

You’re right, no sense of closure, and I’m sensing a lot of Iraq and Afghanistan folks coming back there’s that same thing. World war two you got closure because you won the war.

And you had community, and I think for me it’s community, that’s what is lacking right now. The veterans from world war two came back and rolled into American legion and there is still such a huge community of American Legion members, I’m a member of American Legion.

Probably one of the youngest in there.

Yes, and I have my father-in-law over in the western North Carolina district for American Legion, and there is a push to involve younger members, because where are the kids now coming back from Afghanistan? Are they enrolling in the Legion and being welcomed with open arms, all their peers in one community group that they can talk too and associate with, no. There’s the VFW (Veterans of Foreign Wars), there is all these groups created for and by veterans. I just don’t see that with the younger generations.

You’re actually correct, I’m an American Legion member myself and we have talked about the need to go out and find where these young folks are so we can let them know what’s out there because a lot of them do not know, and they often see the American Legion as a bunch of old folks that’s not for them. We have to make it inviting enough and relevant enough for them to give them other options.

I couldn’t agree more, I think that sense of community can save a lot of lives of people coming back, and it was certainly unfair regardless of your feelings on the Vietnam war on either side, the people and the kids that were over there fighting were fighting for our country, doing what they were told and were not treated fairly when they came back.

There’s a line that I often use when I give presentations, regardless of how you feel about the war and I agree, and that line is ‘you don’t have to hate the warrior to hate the war’. However you feel about the war that’s fine but don’t take it out on those men or women who have served.

And then really getting into what Foothills Veterans Stand Down does is, it caters to and provides for homeless veterans. Homeless people anywhere is not a good thing. We are the richest country on planet Earth and we’ve enjoyed so many decades and decades of leading the world economically, and for us to have homeless people on the streets period, is not a good thing.
I have been involved with the Cleveland County Rescue Mission and Men’s shelter a number of ways for years and recognize there is a need in any community out there to take care of our homeless. For veterans, people who have signed on the dotted line, on to battle and are putting their lives on the line to die for the rest of us, and their families, and then coming back and really not receiving proper treatment, not getting the welcome, not having the sense of community and because of things that are not there fault like PTSD or other issues they maybe dealing with, or develop as a result of trying to treat yourself for issues like that, through substance abuse, alcohol or anything like that, wind up where they are not viable civilian employees. They don’t fit, they don’t fit in the round hole of society that they come back to and wind up on the street. They especially need help, they deserve help from this country and from every citizen that’s here. Those are my feelings on it.

I agree and as an attorney you have probably had, as you have tried to help needy and homeless people that the government red-tape sometimes gets in the way of providing our veterans help. Our veterans who come back if they have been wounded physically or emotionally or both shouldn’t have to go through reams and reams and miles and miles of red-tape just to get served.

I’m going to say something and it’s going to make some people happy and some people mad. I love the VA, I hate the VA, that’s how I feel about it. I am a VA US department of Affairs certified Attorney to deal with, submit and guide people through benefit planning for Veterans Aid and Attendance benefits. This is a lifetime benefit that can be used to help a veteran couple, a single veteran, a spouse of a veteran or widow of a deceased veteran with a monthly paycheck for life that’s hanging out there.

The VA doesn’t advertise it. But it takes I used to say 6 months for those applications to go through. We just had one approved last week where there was a $10,000 back-pay plus $1788 dollars on going every month, to help care for someone with in-home care, that’s a big bonus for that family and to be able to receive that care at home to take care of that aging veteran whose really in bad shape, so those things are great but the problem is it’s not advertised, and it’s somewhat guarded and it now takes more along the lines of 8 months to a year to be approved. On top of that in the presidential race, it’s a political football, the veteran’s issue.

It makes me happy that the veterans issues are being discussed but it makes me angry in the same breath that none of those guys or gals running have ever served in the military. None of them, not one single day, and they’re all blabbing about veterans issues and I just don’t see how they can care to identify. That’s my personal opinion. I’m happy it’s being discussed but it makes me angry they are discussing it and they don’t have to be subject to the veterans health care system which is great in some ways, and even though the personal things that I have dealt with have made me extremely angry with talking about red-tape, it’s hard to get anything done sometimes when you are dealing with a government agency.

You mentioned that many of us veterans don’t know what’s out there and that’s the kind of thing that we try to provide at the Stand Down. A lot of the vendor tables and agency tables are information sharing tables so the veterans will at least know and try and get connected to the various agencies that will provide that support and just get that knowledge, that awareness that’s out there for them.

So if you are a veteran out there or not, and you want to get involved, or you are a civilian who wants to support veterans, or you are an agency or company out there who has an interest and a need to help homeless veterans and to help veterans in general, you can participate. Go to foothillsstanddown.com or call Rick at 828-302-0293. If you want to show your support for Veterans Stand Down and the many veterans out there who are suffering because of what they did for our country, give us a call.

I’ll tell you my own personal experience of being a veteran okay, for the other veterans out there or the people who don’t know, I in no way had it rough okay. I did serve during a war time window during the Gulf War so I am eligible for veterans health care and I was stationed in Chicago and enlisted in 60 degree below wind chill factor in boot camp marching outside, and I was the A-Rock okay. The A-Rock in the Navy, I enlisted in the Navy, I stepped up because we could not in our division which was about 80 men, we could not get it together and find someone with decent rhythm and march us around, so the first week or so was an exploratory process of trying people out. A-Rock is second in command, plus I knew that if you did a good job in boot camp, you could get additional rank coming out of boot camp. But I did not know where I was going to be stationed, I didn’t know what I was going to be doing coming out of there. I really enjoyed the camaraderie of boot camp, I didn’t enjoy at first getting yelled at but that subsided, they still yelled but I knew they were coming from a good place and my drill instructors, my drill sergeants they really cared about me. So in the Navy if you are an A-Rock you can call cadence in a number of different ways. So if I’m marching 80 men, I’m probably going to call cadence and I’m probably going to sing it. I’m from the South so I like to think I have a little bit of soul down there somewhere so that’s how I called cadence. So if we were marching down the street and Great Lakes Illinois is the military base, I might march 80 men something like this:

“One two ehoa hay oh up, day a ho I want to a day a ho up, two a way a ho up, two a ehoa hay a oh up, day a ho a want to a hay a oh up, two a day a hoa up to a want to a ehoa hay a ho up”

Something like that okay, and it would go on and on from there in different ways and we would have plenty of songs we sang and things of that nature but I had a blast in boot camp doing that, being second in command of the division and getting in ridiculous shape, I was skinny when I came out, skinny and with really short hair.

And so I was stationed in San Diego California, well first I went to Memphis to a school for 9 months, then went 3 months to an A school at Virginia Beach and then went to San Diego and one thing I figured out, my dad was in the Navy too, was if you’re in the Navy, you are not probably going to be stationed at a base in Nebraska or somewhere, you’re going to be on the coast, which is alright to me. Then I started getting on aircraft carriers, went around the world, circumnavigated the globe once on the USS Nimitz and then did a middle east tour, both ships were in the middle east, on the Constellation and the most stressful part, you talked about the one year you had in Nam that affected your whole life, I still remember showering with gas masks on in the Gulf because there was a huge threat, a lot of threats coming from Saddam at the time that they were going to send out these missiles and release the poison gas, some kind of biological weapon, so we were walking around the ship and we were on high alert in gas masks. Even taking a shower you had to keep your gas mask on. I haven’t forgotten that.

Anytime you take someone from a normal civilian life and put that same person in a threatening situation of a war zone, that even if it’s one day, one incident, it can color and affect you in many many ways. And I just hope most people understand that and appreciate what veterans do and look for ways to help when they come home.

Because your adrenalin and stress level is just pumping and high all the time, and even then I think that gets heightened to a new level if you’re under fire or if you’re on the ground to another level, and then you come home. It would be hard to know what to do with myself for a while. I think I would need to be re-acclimated.

I think there ought to be some structured ways to make that happen for a lot of people who need that kind of structure, who need to know how to assimilate, to provide education, jobs, that’s one of the things we do at Veterans Helping Veterans in the Hickory area, that will have a lot of people come who are looking for places to work, places to live, and so we can connect them to various agencies to help make that happen.

So can you tell me about some specific instances where veterans Stand Down has helped veterans in our community and how veterans Stand Down specifically helps veterans in western North Carolina.

There are so many vendors that are there that touch other people, but one of them we have is Avalon Farms out of Statesville area, and it’s therapy through animals and horses, things of that nature. And so this person who runs the program had some information and we decided to take a number of veterans, got us some vans, just took them out to the farm, just to see what it was like. We had 3 of our veterans who connected so much with the animals, horses mainly, that they could just put there hands on a horse and almost, not necessarily talk to the horse but emotionally bond. It was like that horse was taking the pressure and the stress away from the veteran onto it’s self so to speak that the veterans have gone back there a number of times and when you get where you feel there are avenues to get rid of the stress, the next step, number one to having a more secure life and a stable life.

More productive.

Exactly, you mentioned earlier about people who will self medicate sometimes and do that because they don’t know they have other options. I believe in the Yahoo philosophy of life, have you heard of the Yahoo Philosophy of Life, Y-A-H-O-O?

I have not heard of that.

You – Always – Have – Other – Options. That’s what yahoo stands for and we try to get that across. You can have the option of choosing something self destructive, or there is another step you can take. And we deal with people who don’t know what that step is. We try to provide positive steps for them, to get where they want to go takes one step at a time and each step they take they get a little more secure, a little more confidence in themselves because we try to provide a safety net for them so they can succeed. Not everybody succeeds. Some people fall back into bad habits but we have found the homeless apartments to live, we have found jobs, we have been very fortunate with our public transportation area with Greenway Transportation, they volunteer drivers and they volunteer vans to get veterans to places they need to go. The social security office for example. It’s people coming together from agencies that provide help, and our job is to help them understand there is a lot of help out there. Your job for example, a lot of people don’t know what you can provide, as you get the word out and our job at the Stand Down is to help get the word out.

Absolutely. I could talk about this subject all morning. I have been honored to talk with Dr Rick Vandett from Foothills Veterans Stand Down and this has been the elder law report. I’m the elder law guy Greg McIntyre, if you need further information on veterans Aid and Attendance or any estate planning deeds, protecting your assets and legacies, call me on 704-259-7040.

Call me if you have any questions:

Greg McIntyreGreg_Full
Elder Law Attorney
McIntyre Elder Law
123 W. Marion Street, Shelby
704-259-7040

NC SHIIP Program Revealed

in Articles by Greg McIntyre Comments are off

Elder Law Report 070
NC SHIIP Program Revealed

You know I was in the military, I was in the Navy and today I heard I was going to discuss the SHIIP program today, and I thought I might be getting shipped out again and be leaving for another 6 months. That’s not at all what the SHIIP Program is. I talked with Melinda Houser with the Lincoln County Extension Center Service who is a family councilor and coordinator for the SHIIP Program, and also Valerie Spearman who is a volunteer councilor since 2003 with the Lincoln County Extension Service.

These programs exist as I understand it, in all communities in North Carolina, not just Lincoln County. We cover 16 counties and very proud to do so and want to make sure we speak to Lincoln County but also relate that to the rest of western NC as well. So the SHIIP Program, tell me about it.

SHIIP’s been around since 1986 and North Carolina was one of the first states and also a showman for the SHIIP Program cause a lot of states model their program after North Carolina, and it’s one of the top ones, it’s been recognized so many times.

It stands for Senior Health Insurance Information Program.

We have open enrollment beginning October 15th through December 7th and it is full speed ahead, 9 until 3 everyday.

We have a satellite office down in Denver, it’s a Christian ministry. We set up an office down there so we can reach the people in the eastern part of the county. One thing that is so interesting is how much money they have saved citizens of Lincoln County. They’ve saved thousands of dollars. It was over four hundred thousand dollars ($400,000) last year.

Explain it to me. I know it’s insurance, I know it involves seniors and is it health insurance, is it a Medicaid supplement?

It’s strictly prescription drug cost.

What happens is we had 22 I think different plans for North Carolina eligible participants and a lot of times the prescription drug plans will drop a Medication or go up on the cost of the prescription drug plan, so what we do is put in all their medications and try to find the lowest cost prescription drug plan for them for the year. So if your drug costs $500 and your plan has dropped that particular drug, if you didn’t change plans you would be paying $500 dollars for the cost of that particular drug. So we may be able to change it to one that would cost $15 dollars for the cost of that same drug.

And you can do that because you’re plugged into all the information.

Yes, Medicare has an online system for us, so we go online and we give people options, but we do not tell you which plan you should use. We give you the information, and typically focus on the top 3 lowest cost plans for the individual, and we view those with them. A lot of times they may not want to go with a particular plan because each particular drug plan is associated with our pharmacies, and there’s preferred pharmacies and then just your normal pharmacy that covers the Part D plan. If you go to a preferred pharmacy you can save more money. So some people don’t want to change to the particular pharmacy that was with that plan so they may choose to pay a little bit more. Or there may be a plan that has a deductible of $360 dollars that they don’t want so they may pay a little bit more to keep from having to pay that particular deductible, because January, February, March, people don’t have a lot of money cause they spent all their money at Christmas time, so they want a plan that doesn’t hit them up front for the $360 dollars. So they may not always choose the lowest cost plan but we do help them find the plans that will save them the most money.

Another issue that I think is relevant to talk about is, a lot of people think well I’m not sick, I don’t take medication, I don’t need a drug plan, and I say what if you have a heart attack or a stroke tomorrow what are you going to do? And so people don’t and they have to pay a penalty. They have to pay a penalty from now on?

It never goes away and it’s around 3 cents, 3.7 cents I think per day until you take a plan, and that penalty will never go away, the lowest will be added to the lowest premium cost.

So you get penalized, it costs more in an emergency when you need it than from planning ahead right?

If you do not take out a plan, between November and December if you do not select a plan, in January if you suddenly get cancer god forbid, you can’t just go get a plan. You cannot enroll until November of the year then it will be effective for the next year. So it’s not easy to get a plan to help you, it’s better to be preventive. Be proactive towards the cost of your prescription drugs, because when you sign up the plans aren’t that expensive. $18.75 was the lowest cost and we have some that go up to $88 dollars per month but I seldom sign anybody up for those plans. It’s just because the plans that cost more doesn’t mean it’s the best plan for you. Each person is different, if your neighbor is paying $18 dollars and we’re telling you the lowest cost plan for you is $33 dollars, your neighbor is not taking the same medication your taking. Everything is based on the particular drugs you are taking at the particular time, so you maybe paying more than your neighbor or you maybe paying less than your neighbor but you will still be paying less than if you didn’t have a plan.

It sounds like were preaching the same thing. I talk all the time about thinking ahead and how it’s cheaper to have Powers of Attorney in place, General Durable Power of Attorney, Healthcare Power of Attorney and Living Will, and maybe some deed planning to protect property against a tragic situation that might happen with healthcare, and it costs much more to do that in an emergency to protect it than it does to plan ahead, it costs a fraction.

You get a lot of people like that who don’t even know there is programs out there for assistance and it’s called the Extra Help Low Income Subsidy. That’s another program we have if someone who comes in and says, well I can’t afford that for my medicine, we look at their assets and if they have any additional benefits. A lot of times people think well I must make too much money or when they look at the cost of their house or things like that but what we look at is the money that they have, and their checking account, and their IRA, if they have a pension fund, and if they qualify for assistance, then they may pay no more than a $1.35 now to $2.65 for their prescription drugs. We have other options for people to look at as well as the actual cost of their medication.

We work closely with social security, DSS, we all combine together as a coordinated program really because a lot of people go to DSS and get on some of their programs and social security and we have an in-line thank goodness with social security and DSS. We work together and are supportive on that.
What DSS does is if someone applies for Medicaid and they send them to us, in the past your prescription drugs used to be a part of Medicaid and now it’s not, it’s separated out, once you turn 65 or go on disability you may qualify.

Once you qualify it would be Medicaid.

People who might not qualify for full Medicaid might qualify for assistance with their prescription drugs, they work separately now. If you have what’s called Full Subsidy and Partial Subsidy. Full subsidy would pay for your Medicaid as well as your prescription drug plans, partial would pay for your prescription, it could pay for your part B premium which is $166 dollars this year and it will also pay all your medications. And it may pay 75% of your cost for medication, if you don’t qualify for full or partial subsidy.

This year if you’re an individual and qualified for the partial subsidy, if you didn’t qualify for Medicaid, you’ve an income limit of $1485 dollars a month. Your resource and asset limits are $13640 dollars. That does not include your home or your cars. It just includes your actual money available to you.
If you’re a married couple living together, your monthly income is then $2002 dollars and fifty cents. Your assets limit is $27250 dollars. So if you come in to seek help with us and you say you can’t afford your medication, we may then send them to the DSS, or they can talk to someone in social security, or we can fill out the application for them for the low income assistance.

And that’s really important, if you think about the things that are available, but we also have people who are on disability who are aged in their 20’s, 30’s, 40’s and they have signed up for these programs and it saves them bunches of money, because a lot of these people are married and have children and there is really a financial hardship for them.

So you know people who are trying to pay for food versus medication?

Yes, lots have come in, it’s sad. We’re trying to do everything we can and a lot of times even if people don’t qualify for the assistance, there are other options which are available. Some of the pharmaceutical companies offer assistance on drugs, unfortunately most will not offer assistance if you’re on partial, even so we bend the line and try an find those companies for them. A lot of times I’ll send them back to their doctor, cause the doctors don’t really know what the patient is paying for the medication, and just say look, I can’t afford this medicine is there a program out there that will pay for it, and most of the doctors were aware of this. One in particular is the people who are diabetics. Some of the diabetic insulin shots are covered 100% once you go into the gap, and the doctors know this and can help them with that, paying for their meds and get it covered free for the entire year.

Another is Helping Hands, occasionally you can get Helping Hands to help with your drug costs.

I’ll print out what the actual cost of the drugs are and I’ll say, go to your doctor and let them know what you’re having to pay. Is there another drug out there that might be a lower cost for you that would do the same thing.

Another drug, more generic, something that can do the same job only cheaper. That sounds like a great program and I’m thinking the community in Lincoln County are extremely blessed to have you.

We have 5 councilors and they are all busy and have done a great job, we’re one of the top counties in North Carolina as far as what they have accomplished, reaching people and saving money. There are a few people that can’t be helped, we’ve had one or two with a situation, there’s nothing worse.

I’ve heard of the SHIIP Program but I wasn’t familiar with it in depth, and that’s something we do on the elder law report is bring information that really may not be advertised in the community as much as needed for the public and for seniors.

So you have 5 councilors there and I know the Lincoln County Extension Service is extremely active in the senior community. How many years?

The Part D part started in 2006 that’s when the prescription drug program came into effect was 2006. We’ve been very involved since then.

The sad thing is it changes so much and people don’t know what’s happening, that‘s the reason we have this program to inform people about the drug benefit change.

Any benefits program changes, for instance you just gave a lot of information about a Medicaid Benefits Program. I do Medicaid Crisis Planning for families all the time but it’s a totally separate program okay than what you’re dealing with. Even the word Medicaid can encompass so many different programs it is unreal.

People are embarrassed about that sometimes but they shouldn’t be embarrassed about this.

So let’s talk about that for a second alright. You’re entire life you pay taxes, sometimes up to 45 to 50 cents on the dollar, if you look at property taxes, income taxes, any kind of sales tax you’re paying, and you’re working hard for this money in all types of industry in Cleveland or Lincoln County or somewhere in western North Carolina, or wherever you may be.

So you take that little 45 to 50 cents on the dollar that you’re left with and try and accumulate things during your life and then, this is what I call the middle class trap, because if you’re really super poor you’re going to get benefits, and you understand that I think, you don’t love that but, if you’re rich, you’re going to plan for that, you don’t need it, you’re going to legally protect yourself. But as a hard working middle class American you feel guilty to go access a benefit, that’s what I see many times but they don’t understand that they pay for that benefit, you created it with your tax dollars. Now it may have dwindled because of, not your fault but dwindling social security, those things are misappropriated or re-appropriated by the powers at be all the time, that money is moved around for different reasons. But it should be there for seniors. You created that pot of money by all your hard work and through all that money you were missing in your pay checks all your life. To access these programs, you talked about asset limits for married and single people, I deal with asset limits for people going into a nursing home or assisted living, at that point you’re asked to spend down all the money you worked so hard for, or that little bit of money you were able to scrounge out of your paycheck, before you can access the benefit you paid for, it makes me mad.

That’s their system, that’s the system we struggle with and then on top of that there’s guilt by the people who need to access it because of their hard working mentality and don’t want to freeload right, so they don’t access it .

I’ll probably get hate mail because of this but bring it on.

I try to put people at ease and the way I do that is by saying, hey my mother in law was on Medicaid in South Carolina. I don’t see any stigma to being on Medicaid because a lot of times you can’t live on their social security, for $400-$500 dollars a month, you can’t live on that.

That’s the food versus prescription drugs,

Right, and one thing we have done in the Christian Ministries who told me if you come in and somebody tells you they’re having to choose between medicine and food, we’ll bring you boxes of food up there they keep in the offices to give to them. It’s Lincoln Christian Ministry. We work closely with them so people don’t leave hungry. A guy that I helped, he said you’d be surprised how many ways you can make Ramon noodles.

We have hungry people in our county. We want to help people anyway we can, we’ve tried to work closely with social security, DSS, Christian Ministry, all of the local areas just to find help for people. There’s just so many in need, we’re passionate about this.

One thing I want to mention is Fraud, we emphasize that too and I want to share something with you on this.

Examples of fraud and abuse is happening everywhere, and we’re talking about people being billed by the hospital or by doctors, billing for services, supplies and equipment that were not provided, this can happen. I want to mention you get a Medicare summary that comes in and people need to look at that Medicare summary and see because we’ve had people charged for things that didn’t even happen in a hospital, or go to a doctors office and find things you’re being charged for, and people are human they make mistakes we know that but people need to be aware of that.

Another thing is having fraudsters calling Medicare beneficiaries and asking for their Medicare number, people getting phone calls from people for their information and some people have been robbed for thousands of dollars.

People give their information over the phone, their Medicare number and whatever. People have been taken and in our county, I know that for a fact. I have turned in 3 different fraud cases to the department of insurance, so these people need to be aware of this, it’s happening in our county, it’s happening in all counties because people are out for money for whatever they can get, drug money or whatever.

So this is happening to people and one thing I want you to remember is, don’t give out your Medicare number to anyone who asks, only your doctor or other Medicare providers should need it. Another thing is don’t give your Medicare number to telephone calls I mentioned that, or door to door salespeople.

We have a case happening in Denver City two years ago. Two people came to this lady’s door and said they wanted to talk about her insurance, and this one man detained the lady about insurance, the other went through the house and just robbed her blind. She wasn’t aware of what was going on with it, and then they left and that was it. They took all kinds of things from the house. So, people are not supposed to knock on your door and say I’ve got this particular insurance program I’d like to talk to you about, Medicare or whatever, no, that’s a problem, it shouldn’t happen but it is happening. I want to emphasize this over and over.

I meant to add we have other programs, we have 4H which is youth and leadership and then I do a program on nutrition and other stuff too. I have another organized group ECA (Extension Community Association) and there’ll be lots of projects in the community for different organizations and we teach a lot of different classes.

We did one yesterday on nutrition, and we did a potato garden with herbs, there is all kinds of things going on that you might be interested in. In the meantime we have a grant for this program-ship. I have a grant that I operate every year. It’s proper insurance, it’s not a lot of money but with our supplies we do education programs, we did a Medicare program not long ago, and had about 75 people there. We go to churches and do our programs and do special supplies with this grant money, it’s only about $3000 dollars which isn’t a lot of money for one year so.

Well, I thank you for the noble work you’re doing. I appreciate it, and if anyone wants to get in touch with you to learn more about the Lincoln County Extension Service, you offer much more than the SHIIP program, all kinds of activities and classes and other things that you can get involved in there, and you have raving fans that come there all the time I know, I’ve been interactive with some of them but how can they get in touch with you?

Okay, we have a phone number, it‘s 704-736-8461.

If you don’t live close to downtown Lincoln County or to Denver, there’s a SHIIP number through the North Carolina Department of Insurance, it’s 1-855-408-1212 and they can give you the name and location of the nearest SHIIP office for you, or they can actually answer your questions there too.

Well thank you so much.

Every community has something similar, a 5 year extension service, your senior services SHIIP Program, councilors who you can talk to about how you can save money on your prescription drugs and how they can help you or a loved one.

This has been the elder law report, I’ve had a lot of fun learning today along with you.

I’m Greg McIntyre, the elder law guy and Elder law attorney with McIntyre Elder Law. If you have any other questions or need any other information about this information or other planning services, you can call our office that’s McIntyre Elder Law on 704-259-7040.

Call me if you have any questions:

Greg McIntyreGreg_Full
Elder Law Attorney
McIntyre Elder Law
123 W. Marion Street, Shelby
704-259-7040

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