Understanding spend down for West Virginia Medicaid
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Understanding spend down for West Virginia Medicaid

| Feb 24, 2021 | Family Law |

If you or a loved one may eventually need long-term live-in nursing care, assistance from West Virginia Medicaid can cover the significant cost of that care in some circumstances. The state Department of Health and Human Resources will review income and assets to make sure you qualify for this type of medical insurance. 

Review the financial eligibility limits that apply to Medicaid long-term care in West Virginia. 

Income limits

For 2021, a person who requires nursing home care must have a monthly income of less than $2,382 to qualify for West Virginia Medicaid. When a married couple applies together, the income limit doubles to $4,764 per month. 

Medicaid counts income from all sources, including: 

  • Investment interest and dividends 
  • Withdrawals from retirement accounts 
  • Social Security benefits 
  • Disability benefits 
  • Payments from an annuity or pension 
  • Spousal support 
  • Earnings from employment 
  • Veteran benefits 
  • Gifts from family members and others 

Asset limits

The state will also look at your assets if you apply for nursing home Medicaid coverage. The current West Virginia asset limit is $2,000 for a single applicant and $3,000 for married applicants. When only one spouse needs long-term care, the other spouse may retain up to $130,380 in assets. 

Many assets do not count toward the Medicaid limit in West Virginia. For example, the state will not include the value of your burial plots, savings for final expenses, furniture, personal items and life insurance policies. You can also exempt one automobile and the equity of your primary home up to $603,000.