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Medical Forum / Diseases and Disorders / Alzheimer's / May 2006

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The accountant is back!

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A R Pickett - 29 May 2006 17:53 GMT
After some traveling and some computer difficulties.  Hope everyone is well,
and that the Memorial Day weekend is a time for pleasant memories of your
loved ones.

In response to a question posed several weeks ago.

I am now retired, but in my working life I was a tax accountant

Deducting medical expenses paid for another depends on several things - and
far too complicated to explain well in a newsgroup.

But briefly

1 - the expenses must be for a medical purpose, to alleviate or care for the
symptoms of a medical condition.  Most nursing home costs qualify.  SOME
expenses in assisted living or "supported independent" situations qualify.
The good facilities usually provide data annually on what portion of their
fees are "medical expenses"

2 - the expenses must be incurred for someone who is your dependent.  Family
members by blood or adoption CAN be your dependent IF you provide more than
one half of their support.  So for example:

Nursing home monthly cost                                       $3,000
Social security/pension benefits/other income            2000
shortfall pd by family                                               1,000

The nursing home resident is NOT a dependent.

However bump the costs up to $3500, and reduce the pension/SS to $1,300 and
the shortfall is $2200, which is more than one half and you are supporting
that person.  Claim the personal exemption AND put the medical costs into
the formulas used for itemized deductions.

I want to caution you that this is a VERY simplified discussion, and like
all advice received via the Internet discussion groups, it may possibly be
worth MUCH less than what you have paid for it.  I advise anyone who thinks
they may be incurring expenses which fall into the deductible area to
consult a professional tax service.  H & R Block, a CPA, an enrolled agent
are all good possibilities.  Ask around to insurance agents, banks, etc to
get referrals to people in your community.

On a related topic - adjusting the assets/income of a person requiring
nursing home care is dicey and should only be attempted with the advice of a
good eldercare issues attorney.  And yes, their services will be expensive.
But the guidelines for qualifying for Medicaid are quite strict, and full of
traps for those who don't understand the guidelines or are attempting to
meet them without professional advice.

Hope this helps

A R Pickett  aka Woodstock

"Sometimes the facts threaten the truth"
Amos Oz, prize winning Israeli author

Read my book reviews at:
http://www.booksnbytes.com/reviews/_idx_ws_all_byauth.html

Remove lower case "e" to respond
lesanne - 29 May 2006 18:39 GMT
Thanks AR, I wondered where you were :). Actually I WAS a CPA before becoming a nurse, I wanted your opinion because I have not been working in that field for the past 15 years or so. When you didn't respond I went to the IRS publications and read up on it :). Mom is going to be able to deduct this on her own tax return. She has substantial retirement income (a nice monthly chunk that covers the nursing home costs). She is no one's dependent. She meets the qualifications listed in the publication covering this, medical need, skilled nursing facility etc. I got a copy of her care plan and admission orders to keep in case of audit. We are good to go. Thanks for taking the time to answer this. I would have had to research it before I filed her return anyway, I am certainly aware of how squirrelly these things can be.  

Signature

Les

 After some traveling and some computer difficulties.  Hope everyone is well,
 and that the Memorial Day weekend is a time for pleasant memories of your
 loved ones.

 In response to a question posed several weeks ago.

 I am now retired, but in my working life I was a tax accountant

 Deducting medical expenses paid for another depends on several things - and
 far too complicated to explain well in a newsgroup.

 But briefly

 1 - the expenses must be for a medical purpose, to alleviate or care for the
 symptoms of a medical condition.  Most nursing home costs qualify.  SOME
 expenses in assisted living or "supported independent" situations qualify.
 The good facilities usually provide data annually on what portion of their
 fees are "medical expenses"

 2 - the expenses must be incurred for someone who is your dependent.  Family
 members by blood or adoption CAN be your dependent IF you provide more than
 one half of their support.  So for example:

 Nursing home monthly cost                                       $3,000
 Social security/pension benefits/other income            2000
 shortfall pd by family                                               1,000

 The nursing home resident is NOT a dependent.

 However bump the costs up to $3500, and reduce the pension/SS to $1,300 and
 the shortfall is $2200, which is more than one half and you are supporting
 that person.  Claim the personal exemption AND put the medical costs into
 the formulas used for itemized deductions.

 I want to caution you that this is a VERY simplified discussion, and like
 all advice received via the Internet discussion groups, it may possibly be
 worth MUCH less than what you have paid for it.  I advise anyone who thinks
 they may be incurring expenses which fall into the deductible area to
 consult a professional tax service.  H & R Block, a CPA, an enrolled agent
 are all good possibilities.  Ask around to insurance agents, banks, etc to
 get referrals to people in your community.

 On a related topic - adjusting the assets/income of a person requiring
 nursing home care is dicey and should only be attempted with the advice of a
 good eldercare issues attorney.  And yes, their services will be expensive.
 But the guidelines for qualifying for Medicaid are quite strict, and full of
 traps for those who don't understand the guidelines or are attempting to
 meet them without professional advice.

 Hope this helps

 A R Pickett  aka Woodstock

 "Sometimes the facts threaten the truth"
 Amos Oz, prize winning Israeli author

 Read my book reviews at:
 http://www.booksnbytes.com/reviews/_idx_ws_all_byauth.html

 Remove lower case "e" to respond
A R Pickett - 29 May 2006 19:05 GMT
Lesanne wrote - Thanks AR, I wondered where you were :).

You're welcome!

I'm glad to be back on line!  And please, call me "Woodstock"

Your approach - to find out from IRS publications is the best approach.
It's almost impossible to discuss every possible important fact in a
newsgroup like this - and spending my working hours figuring things out and
then explaining them is a big reason why I retired!  ;-)

Signature

A R Pickett aka Woodstock

"Sometimes the facts threaten the truth"
Amos Oz, prize winning Israeli author

Read my book reviews at:
http://www.booksnbytes.com/reviews/_idx_ws_all_byauth.html

Remove lower case "e" to respond

Alan Meyer - 29 May 2006 20:01 GMT
A wonderful author.  Oz once said that his neighbors combed their
hair before passing by his window for fear of appearing in his next
book with uncombed hair.

> Read my book reviews at:
> http://www.booksnbytes.com/reviews/_idx_ws_all_byauth.html

Delightful reviews Woodstock - short and precise, but giving just
what a reader needs to decide whether to read a book.

Thanks.

   Alan
A R Pickett - 30 May 2006 03:01 GMT
Alan wrote - > "A R Pickett"  wrote

> A wonderful author.  Oz once said that his neighbors combed their
> hair before passing by his window for fear of appearing in his next
[quoted text clipped - 7 lines]
>
> Thanks.

Thank you, Alan - I'm glad you enjoyed them - I'm still not paid for writing
reviews, but I keep hoping to find a market.  It's a challenge to write a
review to intrigue a potential reader, but not give too much of the plot
away.

I upload reviews to that website about once a week, so check back and see
what's new sometime!

I've read two books by Oz - I've seen the adjective "luminous" to describe
writing more than once.  The first and only time I thought that I could use
that word appropriately was when I read A TALE OF LOVE AND DARKNESS.  Just
superb, and I couldn't resist choosing a sig line from his book.

Signature

A R Pickett aka Woodstock

"Sometimes the facts threaten the truth"
Amos Oz, prize winning Israeli author

Remove lower case "e" to respond

COOKIE - 30 May 2006 21:02 GMT
> Alan wrote - > "A R Pickett"  wrote
>
[quoted text clipped - 36 lines]
>
> Remove lower case "e" to respond
COOKIE - 30 May 2006 21:05 GMT
> Alan wrote - > "A R Pickett"  wrote
>
[quoted text clipped - 36 lines]
>
> Remove lower case "e" to respond

hello i am currently studying health care and am researching effects of
dementia on carers and sufferers, would like to hear from anyone who
has been affected by dementia in any way. I would like to know your
views on the support systems available at present. many thanks claire
Alan Meyer - 30 May 2006 23:09 GMT
> ...
> hello i am currently studying health care and am researching effects of
> dementia on carers and sufferers, would like to hear from anyone who
> has been affected by dementia in any way. I would like to know your
> views on the support systems available at present. many thanks claire

Claire,

You probably want to post this again as a new topic instead of a
response to "The accountant is back".

If you do, please tell us more about your studies and perhaps ask
some specific questions.  What kinds of support systems are
you researching?  What specific questions do you have about them?

    Alan
COOKIE - 31 May 2006 16:22 GMT
> > ...
> > hello i am currently studying health care and am researching effects of
[quoted text clipped - 12 lines]
>
>      Alan

Hello alan this is the first time i have used a newsgroup and am not up
to speed on the functions. i'm not sure how to start a new topic but i
can tell you that i am studying health and social care before going on
to university to hopefully qualify to become a community psychiatric
nurse. i have worked in a care home for the past five years and am
still humbled by people who care for their relatives with dementia at
home for as long as they can and appear to cope fantastically.I am
researching support systems for carers of relatives with dementia and
am struggling to find anything. If anyone has any ideas i would be most
greatful, thanks for your time
                                    claire
Tumbleweed - 31 May 2006 17:22 GMT
>> > ...
>> > hello i am currently studying health care and am researching effects of
[quoted text clipped - 15 lines]
> Hello alan this is the first time i have used a newsgroup and am not up
> to speed on the functions. i'm not sure how to start a new topic

click on 'start a new topic' !!!!!

Signature

Tumbleweed

email replies not necessary but to contact use;
tumbleweednews at hotmail dot com

Alan Meyer - 31 May 2006 21:18 GMT
> Hello alan this is the first time i have used a newsgroup and am not up
> to speed on the functions. i'm not sure how to start a new topic but i
[quoted text clipped - 7 lines]
> greatful, thanks for your time
>                                      claire

Hello Claire,

If you're using Google then, as Tumbleweed suggests, you'll find
a "Start a new topic" link.  In Outlook Express "New Post" does
it.  Other newsreaders have similar functions.

If you haven't done it yet, the best places to start are probably
first to look in your local public library, then to check out some
good websites.  One place to start on the web might be the
National Institute of Neurological Disorders and Stroke, part
of the U.S. National Institutes of Health.  On the page below they
give a list of the most prominent organizations, including
caregiver organizations, with their websites.

http://www.ninds.nih.gov/disorders/alzheimersdisease/alzheimersdisease.htm

I suggest that you have a look at those sources.  I think you'll
find all the information you can absorb.  If you have specific
questions after that, this is a good group to post them in.

Good luck with your research and your plans to become
a nurse.  My hat is off to all of the people who do that sort
of work.

Regards,

   Alan
 
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