When it comes to property ownership, the type of ownership you choose can have significant implications, especially if you or your spouse may need long-term care in the future. Two common forms of joint ownership are Tenants by the Entirety (TBE) and Tenants in Common (TIC). Understanding the differences between these can be crucial for asset protection and Medicaid eligibility.
Tenants by the Entirety: A Shield for Married Couples
Tenants by the Entirety is a form of ownership available only to married couples in some states. Here are its key features:
Unity of ownership: Both spouses own the entire property together.
Right of survivorship: If one spouse dies, the surviving spouse automatically becomes the sole owner.
Creditor protection: Generally, creditors of only one spouse cannot attach the property.
Advantages for Medicaid Planning:
Protection against Medicaid liens: In many cases, if one spouse requires nursing home care and qualifies for Medicaid, the state cannot place a lien on the TBE property.
Asset preservation: The healthy spouse may retain ownership of the property without affecting the other spouse's Medicaid eligibility.
Example: John and Mary own their home as Tenants by the Entirety. If John needs to enter a nursing home and qualifies for Medicaid, the state cannot place a lien on their home to recover Medicaid expenses after John's death, as long as Mary is still living there.
Tenants in Common: Flexibility with Less Protection
Tenants in Common is a more flexible form of ownership that can be used by any number of individuals, related or not. Its characteristics include:
Separate ownership interests: Each owner has a distinct share that can be sold or transferred independently.
No right of survivorship: An owner's share passes to their heirs upon death, not automatically to the other owners.
Limited creditor protection: A creditor can potentially force the sale of an individual's share.
Implications for Medicaid Planning:
Vulnerability to Medicaid liens: The state may place a lien on the Medicaid recipient's share of the property.
Potential impact on eligibility: The value of the individual's share is considered an asset for Medicaid eligibility purposes.
Example: Bob and Alice, a married couple, own a vacation home as Tenants in Common with their friends, Carol and David. If Bob needs nursing home care and applies for Medicaid, his share of the property could be subject to a Medicaid lien, potentially forcing a sale of his interest.
Choosing the Right Ownership Structure
For married couples concerned about potential long-term care needs, Tenants by the Entirety often provides better asset protection. However, it's not available in all states and may not be suitable for all situations.
Factors to consider:
State laws: Check if your state recognizes Tenants by the Entirety.
Long-term care plans: Consider the likelihood of needing nursing home care.
Estate planning goals: Evaluate how each ownership type aligns with your overall estate plan.
Other assets: Assess how the property fits into your broader asset protection strategy.
It's important to note that Medicaid rules are complex and can vary by state. While proper property ownership can help protect assets, it's just one piece of the Medicaid planning puzzle. Other strategies, such as irrevocable trusts or transfer of assets, may also play a role in comprehensive Medicaid planning.
Consulting with an experienced elder law attorney is crucial to navigate the complexities of property ownership, Medicaid eligibility, and asset protection. They can help you develop a tailored strategy that balances your need for long-term care with your desire to preserve assets for your spouse and heirs.
Remember, proactive planning is key. Don't wait until a health crisis occurs to consider these important decisions about property ownership and long-term care planning.

