Do I have to pay back Medicaid if I sell my house?

Asked by: Dr. Claudine Vandervort  |  Last update: September 18, 2025
Score: 4.5/5 (16 votes)

Basically, once the home is sold, the sales proceeds will take you over the asset cap (only $2,000 for a single person, for instance) and this can take you off Medicaid. But, if the family/applicant acts to protect the proceeds, (i.e., spend down), the Medicaid applicant will not lose their Medicaid.

Can I lose my Medicaid if I sell my house?

When you sell your home. You will be way above the asset limit. (Home is not considered an asset until you die). The money from the sale of a home is considered an asset and you will lose your Medicaid because you have the extra cash. (Unless you have ``some'' terminal illness).

Do you have to pay back Medicaid if you inherit money?

California stands apart from the other states. In CA, Medicaid (Medi-Cal) recipients can gift inheritance, which is considered “income”, the month in which it is received. Furthermore, Medi-Cal recipients have no asset limit, and therefore, can have unlimited assets and still be eligible for long-term care benefits.

What assets are exempt from Medicaid estate recovery rights?

Assets that are generally exempt from Medicaid estate recovery include:
  • Property jointly owned by the decedent (the deceased) and another person.
  • Life insurance proceeds paid directly to a designated named beneficiary.
  • Assets placed in a trust prior to the death of the decedent.

What happens to Medicare if I sell my house?

When you sell your home, the profit is considered taxable income. This increase in income could potentially push you into a higher Medicare premium bracket.

How Does Selling a Home Affect Medicaid? - Weekly Video (B)

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Will I lose my benefits if I sell my house?

You Will Not Lose Your Benefits by Selling Your Home

Therefore, selling a home while retired can not render you ineligible for benefits, although it could expose a larger portion of your benefits to federal and/or state income taxes.

Does Medicare go after your house?

However, if there is a probate process in place for their estate then Medicare can try to take those assets as part of that process. It is important to note that if all the owners of a house (or other assets) are on Medicare then the government can take it because it does not belong solely to one person.

How do I protect my assets from Medicaid look back?

By transferring your assets into an irrevocable trust, you effectively remove them from your ownership, thereby protecting them from Medicaid's asset requirements. However, it's important to note that once assets are transferred to an irrevocable trust, you no longer have control over them.

Does Medicaid always do estate recovery?

Estate recovery is required for enrollees ages 55 and older who use LTSS, including enrollees eligible for Medicaid through the Affordable Care Act's Medicaid expansion.

Is a house an asset for Medicaid?

Homes are noncountable assets.

If the house is worth quite a bit and the owner has gained equity in it, Medicaid will only ignore a certain amount: $713,000 in most states, and $1,071,000 in high-cost states like California, New York, and Connecticut.

How much can Medicaid take from an estate?

A Medicaid agency cannot collect more from one's estate than the amount in which it paid. For example, if the state paid $153,000, but one's estate is worth $300,000, Medicaid can only take $153,000. With MERP, all states are required to seek recovery from the deceased Medicaid recipient's “probate estate”.

Does the IRS know when you inherit money?

In general, any inheritance you receive does not need to be reported to the IRS. You typically don't need to report inheritance money to the IRS because inheritances aren't considered taxable income by the federal government. That said, earnings made off of the inheritance may need to be reported.

Will I lose my Medicare if I inherit money?

Medicare eligibility is based on age, illness and/or disability status rather than income. Inheriting money or receiving any other windfall, such as a lottery payout, does not bar you in any way from receiving Medicare benefits.

How do I protect my inheritance from Medicaid?

Special needs trusts help you to manage inheritance money so it won't count toward income-based benefits like Medicaid and Supplemental Security Income (SSI). The money in special needs trusts must pay for expenses your government benefits don't cover.

How can I avoid losing my home to Medicaid?

Medicaid cannot take one's home if they live in it and their home equity interest is under a specified value. In other words, the home is exempt; it is not counted towards Medicaid's asset limit of $2,000 (in most states). Home equity is the home's value after subtracting any debt against it.

Will I lose my Medicaid if I inherit a house?

An inheritance will be counted as income in the month it is received. Therefore, if you receive an inheritance and the amount puts you over the income limits, you will be ineligible for Medicaid benefits for at least that month.

What happens if I sell my house while on Medicaid?

Note: California stands apart from the other states. CA eliminated their Medicaid (Medi-Cal) asset limit effective 1/1/24. Medi-Cal applicants and beneficiaries can have unlimited assets and still be eligible for Medi-Cal. They could sell their home and it have no impact on their eligibility.

How far back can Medicaid go to recoup payments?

There are also two state exceptions when it comes to the Look-Back Period – California and New York. There is no Look-Back Period for HCBS Waivers in California, and it's 30 months (2.5 years) for Nursing Home Medicaid, although that will be phased out by July 2026, leaving California with no Look-Back Period.

How to avoid nursing home taking your house?

7 Ways to Protect Your Home From Being Taken
  1. Purchase Long-Term Care Insurance. ...
  2. Sell or Transfer Assets. ...
  3. Create a Medicaid Asset Protection Trust. ...
  4. Choose Home Health Instead. ...
  5. Form a Life Estate. ...
  6. Purchase a Medicaid-Compliant Annuity. ...
  7. Pay With Your Life Insurance Policy.

What is the Medicaid five year rule?

While Medicare does not impose a look-back period, Medicaid uses a 5-year window to review an applicant's financial transactions and ensure they did not transfer assets to allow them to qualify for benefits. Violating these rules can lead to significant penalties, delaying eligibility for much-needed care.

How often does Medicaid check your bank account?

Medicaid agencies can check your account balances for bank accounts at any financial institution you've used in the past five years. They will check when you submit an application and on an annual basis, but checks can occur at any time.

What happens to your house when you go on Medicaid?

The House Is Exempt

This applies to any real estate owned by the applicant or recipient. Recipients can own up to $750,000 in home equity interest (an amount subject to change often), clearly making the primary residence the most significant exempt asset for real property.

Will I lose Medicare if I sell my house?

What Happens to My Medicare if I Sell My House? Selling your home could lead to higher Medicare premiums if your taxable income sees a boost. Although your Medicare benefits shouldn't change when you sell your home, your monthly premiums may. It depends on whether the sale of your home affects your taxable income.

What assets are exempt from Medicaid estate recovery rights near?

Assets generally exempt from Medicaid estate recovery include:
  • Property jointly owned by the deceased and another person.
  • Life insurance payouts are paid directly to a named beneficiary.
  • Assets placed in a trust before the decedent's death.
  • Irrevocable funeral reserves used for funeral costs.