Reverse mortgage proceeds can provide valuable financial support, but they may also influence your eligibility for Medicaid or Supplemental Security Income (SSI). Understanding these potential effects is essential for making informed decisions.

If you’re 62 or older and considering a reverse mortgage to supplement your retirement income, it’s important to evaluate how this choice could impact your access to needs-based programs.  Careful planning can help you make the most of this financial tool while preserving your benefits.

Reverse Mortgage Affects on Medicaid

How Reverse Mortgages Affect Public Benefits and Needs-Based Programs

ProgramImpact of Reverse MortgageNotes
Social Security Retirement BenefitsNo ImpactReverse mortgage proceeds usually do not affect Social Security retirement benefits.
MedicareNo ImpactMedicare is not a means-tested program; reverse mortgage proceeds generally do not affect eligibility.
MedicaidPotentially ImpactedLoan proceeds may count as assets if not spent within the same month, potentially affecting eligibility.
Supplemental Security Income (SSI)Potentially ImpactedReverse mortgage funds could be considered a countable resource, affecting SSI benefits.
This table includes columns for the program (e.g., Medicaid, SSI), the impact of a reverse mortgage on that program, and additional notes for context. It's important to note that the specifics can vary based on individual circumstances, and this table provides a general overview.

Understanding Means-Tested Benefits

Means-tested benefits are based on an individual’s income and assets. According to the NeighborWorks HECM Counseling Training Manual, reverse mortgage loan advances held in the borrower’s bank account may be counted as assets, potentially disrupting eligibility for these benefits. This manual, used nationwide by certified reverse mortgage counselors, helps inform borrowers about the loan and its potential implications.

Borrowers who choose the lump sum payment option face a high risk of losing eligibility for means-tested assistance, as they are more likely to retain the loan proceeds in their bank account.  This retained money is viewed as an asset, which can affect eligibility for programs such as Medicaid and Supplemental Security Income (SSI).

Understanding how reverse mortgage proceeds impact means-tested benefits is essential for making informed financial decisions.

Medicaid Asset Limits

Medicaid considers both income and assets when determining eligibility.  While limits vary by state, the federal minimum asset limit for an individual is $2,000, and $3,000 for a couple. However, some states have higher thresholds. For example, in 2025, New York’s asset limits are $31,175 for individuals and $42,312 for couples.

Receiving a lump sum from reverse mortgage proceeds can impact Medicaid eligibility.  According to NeighborWorks, seniors who receive a lump sum from a reverse mortgage may lose their Medicaid eligibility unless that money is spent immediately.  Medicaid recipients must also meticulously track all cash inflows and outflows in their bank accounts.

Supplemental Security Income (SSI) Limits

SSI is a federal program designed to support the elderly and disabled with limited income and resources. For 2025, the federal benefit rate (FBR) is $967 per month for individuals and $1,450 per month for couples.

To qualify, individuals must have countable assets not exceeding $2,000, and couples must have assets below $3,000.

It’s important to note that while reverse mortgage proceeds are generally not considered taxable income, unspent funds retained in your bank account can be counted as assets. Therefore, receiving a lump sum could potentially push your assets above the allowable limits, affecting your eligibility for SSI.

Key Considerations

  • State Variations: Medicaid asset limits vary by state. For instance, while the federal minimum is $2,000 for individuals, some states have higher limits. It’s essential to research your state’s specific requirements.
  • Immediate Spending: If you opt for a lump sum payment from a reverse mortgage, spending the funds promptly within the same month can help prevent them from being counted as assets in the following month.
  • Consult Professionals: Before proceeding with a reverse mortgage, consult with a Medicaid planner or financial advisor to understand the implications fully and to receive personalized guidance.

By carefully managing how you receive and utilize reverse mortgage proceeds, you can make informed decisions that help maintain your eligibility for essential benefits like Medicaid and SSI.

Frequently Asked Questions About Needs-Based Assistance

Q.

How does a reverse mortgage affect Medicaid?

Medicaid is a “needs-based” program.  Verifying your benefits with a financial advisor is important to ensure they remain protected.  While having loan funds available from a reverse mortgage won’t impact your Medicaid, having too much money in your account at the end of the month might.  Make sure to manage your funds carefully to avoid exceeding Medicaid asset limits.
Q.

Can a reverse mortgage affect Social Security or Medicare?

No, Social Security and Medicare are not “needs-based” programs.  Borrowed loan funds from a reverse mortgage will not affect your access to these programs.

Q.

What happens to a reverse mortgage when the owner enters a nursing home?

If the homeowner with a reverse mortgage permanently leaves their home, the loan becomes due and payable.  You can be away for up to 12 months for health reasons before the absence is considered permanent.  If it’s known that the move will be permanent before the 12 months are up, you or your family should start making arrangements to repay the loan or sell the home.
Q.

Does a reverse mortgage count as income?

No, reverse mortgage proceeds are borrowed funds and are not considered income. However, you should consult your accountant because if the borrowed loan proceeds are never repaid and the lender cannot recover the amount from the sale of the property, it could create a taxable event for the estate.  Your accountant will advise you on what to do for tax purposes.
Q.

Can I request a paper check from my reverse mortgage to avoid running proceeds through my bank account?

Yes, you can receive your funds via direct deposit, which is quicker, but you can also request a check to be mailed to you.  The check would be made payable to all borrowers on the loan.
Reverse Mortgages and Affect Social Security & Medicare

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