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Medical Forum / Diseases and Disorders / Alzheimer's / January 2005

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Reverse Mortgages?

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theltcexpert - 30 Dec 2004 01:40 GMT
Has anyone out there had the experience of using a reverse mortgage to
pay for care? Wondering what anyone may have experienced.
Thanks!
Valerie VanBooven RN, BSN, PGCM
www.aginganswer.com
Dennis P. Harris - 30 Dec 2004 03:14 GMT
> Has anyone out there had the experience of using a reverse mortgage to
> pay for care? Wondering what anyone may have experienced.

IMHO this is a way for banks to take advantage of seniors who are
in a financial bind.  you might check out if it would work out
better financially to sell the house and invest the proceeds in
an annuity.  if there are children that want to purchase the
house, you could carry the mortgage and have a bank act as the
escrow agent.  that way, the mortgage becomes an income stream
instead of the house being an asset.

personally, i wouldn't do any of these things without discussing
them with an attorney experienced in elder law, including
medicaid lookback provisions and estate planning.
Romeo Raabe - 30 Dec 2004 17:29 GMT
Actually banks don't make reverse mortgages, the Federal government
does.  A bank may act as the sales agent, but its strictly a government
program as they lose money on most of them.  You get to live in your
house as long as you keep it up and pay the taxes, regardless of how
much you may end up owing against the house.  At the end (death or
leaving the house)the house is the only collateral for the loan and no
other assets or money are paid back if you owe more than the house is
worth.
It can let you use the equity to pay for care at home, versus selling
the house to move into a facility.  Since you can't take the house with
you when you go, its not that bad an idea for some situations.
Counselling is mandatory for your protection.  You can preview how much
you can get from a reverse mortgage at www. reverse.org and follow the
links to the reverse mortgage calculator.

> Has anyone out there had the experience of using a reverse mortgage to
> pay for care? Wondering what anyone may have experienced.
> Thanks!
> Valerie VanBooven RN, BSN, PGCM
> www.aginganswer.com
Mary_Gordon@tvo.org - 30 Dec 2004 18:23 GMT
Not completely true - there are several types of reverse mortgages
offered by various government agencies AND commercial ventures :

* the US federally insured Home Equity Conversion Mortgage (HECM),
administered by the Department of Housing and Urban Development (HUD)
* single-purpose reverse mortgages, usually offered by state or
local government agencies for a specific reason
* proprietary reverse mortgages, offered by banks, mortgage
companies, and other private lenders and backed by the companies that
develop them.

Mary G.
Jo Ann Malina - 31 Dec 2004 15:18 GMT
Mary_Gordon@tvo.org is alleged to have said:
> Not completely true - there are several types of reverse mortgages
> offered by various government agencies AND commercial ventures :
[quoted text clipped - 6 lines]
> companies, and other private lenders and backed by the companies that
> develop them.

There are also what I think are called viatical settlements.  They
became popular when AIDS was a quickly fatal disease.

The way it works is, A is sick and can't work and needs income, but has
a life insurance policy and no heirs that need to collect on it (like
minor children). B has money.  So B becomes A's beneficiary and pays A
a steady income while A is alive. When A dies, B receives the insurance
money.  It pretty much depends on A having taken out the life insurance
policy before becoming ill.

The reverse mortgage reminds me of a similar French practice -- you buy
an elderly person's house, they continue to live in the house until
they die, then you get possession of the house.  Usually, the old
person does not live terribly long, but in one case, a woman lived to
be well over 100 and outlived the man who had bought her house decades
earlier...

Signature

Jo Ann Malina, make spamthis best to find my address
Our charity begins at home, and mostly begins where it ends.  --Horace Smith

theltcexpert - 31 Dec 2004 18:46 GMT
Thanks all, this tells me something about the topic- most of us don't
understand it- or have received misleading information one way or
another. Im going to Baltimore for training on the matter next week,
and hope to get the right information from the right people. I'll let
you know what happens!
Valerie VanBooven RN, BSN, PGCM
www.aginganswer.com
www.theltcexpert.com
Howard Goldstein - 31 Dec 2004 20:07 GMT
:  There are also what I think are called viatical settlements.  They
:  became popular when AIDS was a quickly fatal disease.
:
:  The way it works is, A is sick and can't work and needs income, but has
:  a life insurance policy and no heirs that need to collect on it (like
:  minor children). B has money.  So B becomes A's beneficiary and pays A
:  a steady income while A is alive. When A dies, B receives the insurance
:  money.  It pretty much depends on A having taken out the life insurance
:  policy before becoming ill.

Unfortunately the viatical settlement community seems to be lousy with
scam artists.  I'm certain there are good ones out there somewhere,
but caution is advised.

:  The reverse mortgage reminds me of a similar French practice -- you buy
:  an elderly person's house, they continue to live in the house until
:  they die, then you get possession of the house.  Usually, the old
:  person does not live terribly long, but in one case, a woman lived to
:  be well over 100 and outlived the man who had bought her house decades
:  earlier...

I think we can do this here with the sale of a remainder interest
while keeping a life estate.  There may be benefits to this, but its
essential to pay heed to Dennis' suggestion elsewhere in the thread to
consult with someone competent in elder la to minimize the chances of
the good idea turning into a nightmare.  (Eg., seller goes into a
nursing home, now what happens to the house?  Does anyone want to rent
a place where they'll have to phone someone every morning to see if
they have to move out because the life tenant died?  Did medicaid get
all mussed up?  Did the elder have creditors at the time of sale?  etc
etc etc)
Mary_Gordon@tvo.org - 31 Dec 2004 21:51 GMT
Some good information here

http://www.reverse.org/

Mary G.
Howard Goldstein - 31 Dec 2004 23:42 GMT
:  Some good information here
:
:  http://www.reverse.org/

Do you (or does anyone) have anything positive to say about reverse
mortgages in in general, or the NCHEC in particular?  I can't find
anything objective about this NCHEC organization other than references
to it on AARP and the FHA webshites which, IMO, lack objectivity, the
former because of commercial ties and the latter due to our
administration.  Googling NCHEC brings up a bunch of creditors (spit)
who have no reason to 'dis' someone in favor of the latest scheme to
extract dollars from people.

Perhaps I'm just too cynical.  Post-dot.com-blowout these days I'm
just a simple bankruptcy attorney (along with, as Macrae put it in too
many words, an "AC"), who has taken too many good elderly folks into
bankruptcy due to med bills, and I get asked about this a lot and have
no useful advice to render other than to describe the legal risks and
take the numbers to an accountant.
theltcexpert - 02 Jan 2005 16:25 GMT
I recently watched an aging family member go through bankruptcy
proceedings - and I think we could have avoided that if we had known
about reverse mortgage. Here's what really interests me though- let's
say a 78 year old unhealthy person cannot qualify for or afford
long-term care insurance, but wants to stay in their home for as long
as possible- private pay home care---seems to me that a reverse
mortgage could help that person stay at home longer.....so the bank
takes the house when the person dies.....well, if that person went into
a nursing home on medicaid instead of the reverse mortgage-- the govt
would do a mandatory estate recovery anyway- which essentially means
selling the house upon that person's death.

It seems like a viable alternative in some cases...not for everyone-
but in some cases.
Thoughts?
Valerie VanBooven RN, BSN, PGCM
www.theltcexpert.com
www.aginganwer.com
www.firstcallprogram.com
Howard Goldstein - 02 Jan 2005 20:07 GMT
:  I recently watched an aging family member go through bankruptcy
:  proceedings - and I think we could have avoided that if we had known
:  about reverse mortgage.

May I ask what kind of debt was involved?  A typical elderly br client
I see needs to get out from under medical expenses in the five figure
range, then come credit cards used used to live on, and so often it
doesn't break my heart anymore, debts for obligations cosigned for a
child who defaulted and doesn't contribute a penny back to the parent.

:  Here's what really interests me though- let's
:  say a 78 year old unhealthy person cannot qualify for or afford
:  long-term care insurance, but wants to stay in their home for as long
:  as possible- private pay home care---seems to me that a reverse
:  mortgage could help that person stay at home longer.....so the bank
:  takes the house when the person dies.....well, if that person went into
:  a nursing home on medicaid instead of the reverse mortgage-- the govt
:  would do a mandatory estate recovery anyway- which essentially means
:  selling the house upon that person's death.

Folks reading this shouldn't assume it applies to them not knowing
which state the 78 yo lives in, what kind of lead time there is for
planning, assets, debts, in other words far too many things to get
into in a netnews article.
theltcexpert - 03 Jan 2005 00:06 GMT
She incurred her own debt- partially due to not making ends meet, and
in part because of dementia...no children took any money from her. In
fact, it was her grandchildren who went down to her small vacation
cabin and realized that the electricity had been shut off- due to
non-payment. She didn't even realize that she hadn't paid the bill. If
they hadn't made the trip, I don't think anyone would have dug deeper-
and found out how much debt she really had. She is not a frivilous
person, very frugal. Medical expenses and medications were part of the
problem along with dementia.
Valerie VanBooven
 
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