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Tax Breaks for Long-Term Care

About Attorney Rudy D. Beck St. Charles Estate Planning and Elder Law Attorneys Rudy D. Beck practices primarily in the areas of estate planning and elder law. He typically deals with Medicaid planning, asset protection planning, long-term care crisis planning, probate and trust administration, guardianships, the preparation of living trusts, wills, durable powers of attorney, asset protection trusts, insurance trusts, and applications for VA Aid & Attendance and Medicaid Benefits. Mr. Beck frequently presents seminars to other attorneys and to the general public concerning VA Aid & Attendance benefits and Medicaid benefits, the use of trusts for asset protection planning purposes and the growing importance of Elder Law. Mr. Beck is a member of The Missouri Bar, the St. Charles County Bar Association, and the National Academy of Elder Law Attorneys (NAELA). Mr. Beck received his BA degree from Knox College in Galesburg, Illinois in 1971 and his Juris Doctor degree from the University of Missouri-Columbia School of Law in May of 1974, and upon recommendation of the School of Law he was recognized in “Who’s Who Among Students in American Universities and Colleges” in 1974. After serving as a 1st Lieutenant in the United States Army, he began his private practice in St. Charles, Missouri in December of 1974. Through April of 1975 to April of 1977, Mr. Beck was elected and served as City Attorney for the City of St. Charles, Missouri and at the same time, started to build his private practice. Over the years, Mr. Beck has been actively engaged in his community. He has served as a member and board member of the St. Charles Kiwanis Club and as chair of its Scholarship Committee. He served for over 45 years as a board member and two years as president of the Boys and Girls Club of St. Charles County, voted as their Man of the Year for 2002 and was inducted into the Missouri Area Council Hall of Fame in 2023. Mr. Beck was a charter board member of St. Charles Crime Stoppers; president of the Alumni Association of the University of Missouri School of Law; a member of the Endowment Committee for Duchesne High School; served on the Governmental Affairs Committee of the St. Charles Chamber of Commerce; served as chairman and as member of the Administrative Advisory Committee for the St. Louis Catholic Archdiocese and has been involved in numerous other community service projects. Mr. Beck received the Champion of Older American Awards presented by SSM Healthcare System. In 2002, he was elected to the Board of Directors for the Missouri chapter of the National Academy of Elder Law Attorneys (NAELA), served as its treasurer for the 2005-2006 year and then as president for 2008-2009 fiscal years. In April of 2005, Mr. Beck was selected for membership in the American Association of Trust, Estate and Elder Law Attorneys (AATEELA). Mr. Beck is the co-founder of the national organization, Veterans Advocates Group of America (VAGA) and is co-author of the publication Don’t Go Broke in a Nursing Home. He served on the Enterprise Bank Advisory Board (1998 to present) and is on the Board of Directors for the Sts. Joachim & Ann Care Service (2014 to present). estate planning attorney Rudy D Beck Attorney & Founder Watch Our Estate Planning Masterclass How to Not Go Broke in a Nursing Home...Even If You Think It’s Too Late Register For a Spot Get Directions 2777 W. Clay Street St. Charles, MO 63301 Get Directions Book a Call We encourage you to book a free phone consultation with Beck, Lenox & Stolzer Estate Planning
The IRS allows some limited tax breaks on medical expenses and insurance premiums related to long-term care.

The skyrocketing costs of long-term care (LTC) can ruin your retirement savings. The U.S. Department of Health and Human Services found that 27% of Americans turning 65 this year will have at least $100,000 in long-term-care costs, and 18% will require care costing more than $250,000. Tax breaks for long-term care expenses can ease the sting a little, states Beck, Lenox & Stolzer Estate Planning and Elder Law, LLC, LLC.

Kiplinger’s recent article entitled “Deduct Expenses for Long-Term Care on Your Tax Return” says that if you need LTC, you may be able to deduct a portion of the costs on your tax return. If you purchased a long-term-care insurance (LTCI) policy to cover the costs, you may also be able to deduct some of your premium payments. Since retirement planning includes long-term care, it’s important to know how these tax deductions can help to offset overall costs.

Long-Term-Care Costs

The IRS allows you to deduct unreimbursed costs for long-term care as a medical expense, if certain requirements are met. This includes eligible expenses for in-home, assisted living and nursing-home services. The long-term care must be medically necessary and may include preventive, therapeutic, treating, rehabilitative, personal care, or other services. The cost of meals and lodging at an assisted-living facility or nursing home is also included, if the primary reason for being there is to receive qualified medical care.

The care must also be for a chronically ill person and provided under a care plan prescribed by a doctor. The IRS says that a person is “chronically ill,” if he or she can’t perform at least two activities of daily living. These are things like eating, bathing, or dressing. They must be unable to do these without help for at least 90 days. This condition must be certified in writing within the last year. A person with a severe cognitive impairment, like dementia, is also considered chronically ill, if supervision is needed to protect his or her health and safety.

To get the deduction, you have to itemize deductions on your tax return. However, itemized deductions for medical expenses are only allowed to the extent they exceed 7.5% of your adjusted gross income.

An adult child can claim a medical expense deduction on his own tax return for the cost of a parent’s care, if he can claim the parent as a dependent.

Insurance Premiums

The IRS also allows a limited deduction for certain LTCI premiums. Similar to the deduction for long-term-care services, this has to be an itemized deduction for medical expenses. Again, only premiums exceeding the 7.5% of AGI threshold are deductible. (Note that self-employed individuals may be able to deduct premiums paid for LTCI as an adjustment to income without having to itemize.)

In addition, the LTCI policy is required to satisfy certain requirements for the premiums to be deductible. The policy can only cover long-term-care services, so the deduction only applies to traditional LTCI policies, not “hybrid” policies that combine life insurance with long-term-care benefits. This deduction also has an age-related cap. For 2021, the cap is $5,640 if you’re older than 70, $4,520 if you’re 61 to 70 and $1,690 if you’re 51 to 60. (For those 41 to 50, it’s $850, and for 40 or younger, it’s $450.)

These deductions can be valuable for people in their seventies and older. For more information about tax breaks for long-term care, or to speak with one of our financial partners, contact Beck, Lenox & Stolzer through our website at https://beckelderlaw.com/

Reference: Kiplinger (March 23, 2021) “Deduct Expenses for Long-Term Care on Your Tax Return”

 

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