Asset Protection from Medical Bills (2024)

In a new and ironic twist, a growing number of individuals are now legally protecting themselves from their doctors. The idea may be surprising, but with rapidly disappearing health coverage, medical expenses are now a realistic and high probability threat to the lifetime savings of millions of Americans. As an asset protection lawyer, I was surprised at first, but then I saw something. Just as physicians have been diligent about planning to minimize their malpractice liability risks, now patients are anticipating and protecting themselves against the serious financial consequences of unforeseen medical expenses.

No one doubts that there’s a monumental crisis in health care coverage. Forty-five million Americans have no medical insurance and even those with group or private policies are sometimes stuck with unexpected and un-payable bills. Higher deductibles and co-pays can easily balloon out-of-pocket costs beyond anything anticipated. Even those who think they have solid insurance, in a good plan, may find out, when it’s too late, that their coverage means a lot less than they thought. Every day we hear stories from clients and the news about insurers refusing payment during or after treatment. In a recent CBS News report about one of the nation’s largest insurers, Richard Blumenthal, Connecticut Attorney General, declared that “The company [Assurant Health] offers the illusion of coverage while challenging any large claim.” In the report, a former claims adjuster revealed that it was company policy to scrutinize any significant claim, often manufacturing excuses to avoid payment. Unfortunately, despite a few notable fines and lawsuit settlements, these hardball tactics appear to be the normal course of business for at least some insurers.

When Patients Can’t Pay

What happens when a large medical bill can’t be paid? Usually the outcome is a lawsuit filed by the hospital or collection agency with a judgment and a lien filed against the patient’s home and accounts. In most states, a percentage of the debtor’s employment earnings can be garnished. Generally, before this point is reached, the patient files a personal bankruptcy to stop the wage garnishment and wipe out the medical bills and other accumulated debts. But that requires that he give up all of his assets including savings accounts, real estate and equity in his home. These assets, except those that are specifically exempt, are turned over to the Court and divided among the creditors.

According to a 2005 study by Harvard University, about half of the 1.5 million annual bankruptcy filings are caused by illness and medical bills. And surprisingly, three fourths of those had health insurance at the start of the illness which triggered the filing. “Unless you’re Bill Gates, you’re just one serious illness away from bankruptcy”, said Dr. David Himmelstein, the study’s lead author and an associate professor of medicine. “Most of the medically bankrupt were average Americans who happened to get sick.”

How Patients Protect Themselves

The high level of financial risk posed by an unpredictable medical event is now leading patients to take steps to protect their savings from this threat. For instance, I met with Mr. and Mrs. X last week, a couple in their early 50s. They have about $300,000 of equity in their home and $200,000 in savings. Mr. X is self-employed and Mrs. X works for a small company. Both are covered under her group plan, but, with rising costs, the company might cut back or terminate the plan sometime soon. Individual policies may be available at that point but the cost and extent of the coverage is unknown. The goal of their planning is to protect their savings from large, unexpected bills at any point in the future. Asset protection, using techniques such as a Family Savings Trust can effectively shield savings from these events, but the planning must be completed before the fact. If bills have been incurred, or expenses loom, planning is too late at that point.

How to protect your assets from unexpected medical bills and claims

Of course the real solution to the problem is for everyone to have affordable insurance which covers any health care costs. However, it’s almost impossible to imagine a scenario in which competing financial and political interests are able to agree and implement a worthwhile plan, at least for the foreseeable future. For now, many believe that their only reasonable choice is asset protection to minimize these risks. Early planning and advice from a knowledgeable local attorney are essential to the success of these measures.

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Asset Protection from Medical Bills (2024)

FAQs

How do I hide assets from medical bills? ›

Setting up an irrevocable trust can help protect your assets from medical expenses, as the assets covered by the trust cannot be claimed by creditors. Another way to protect your home can be by transferring the ownership to a family member. This can protect your home from being seized to pay medical bills.

Will a trust protect my assets from medical bills? ›

A living trust does not protect your home from Medi-Cal but a Medi-Cal Asset Protection Trust does.

What personal assets are protected in a lawsuit? ›

Unless you take steps to protect them, most assets are not protected in a lawsuit. One of the few exceptions to this is your employer-sponsored IRA, 401(k), or another retirement account. At Bratton Estate and Elder Care Attorneys, our lawyers recommend putting an asset protection plan in place before you need it.

How to protect a spouse from medical bills? ›

By signing the prenuptial agreement, the spouses essentially waive all rights to file a partitioning or separation of property claim. These contracts can also choose to protect one person from the other's medical debt, especially if they know that large medical bills are on the horizon.

How can you protect your assets from medical malpractice? ›

By following these eight easy steps, you're creating an asset protection plan from the ground up.
  1. Key Takeaways: ...
  2. #1: Protect Your Marriage First (Date Nights!) ...
  3. #2: Invest in Malpractice Insurance. ...
  4. #3: Find an Umbrella Policy. ...
  5. #4: Prenuptial Agreements. ...
  6. #5: Tenants by the Entirety. ...
  7. #6: Focus on Retirement Accounts.
Feb 15, 2022

Can you put money aside for medical expenses? ›

A type of savings account that lets you set aside money on a pre-tax basis to pay for qualified medical expenses. By using untaxed dollars in an HSA to pay for deductibles, copayments, coinsurance, and some other expenses, you may be able to lower your out-of-pocket health care costs.

Can Medi-Cal go after a trust? ›

The Department will not recover the value of a deceased Medi-Cal member's property if it transfers to a different owner by survivorship, by trust, or by payment or transfer on death of the deceased Medi-Cal member.

What kind of trust do I need to protect my assets? ›

Irrevocable, on the other hand, cannot be easily altered, if it can be changed at all. That said, in order to truly provide effective asset protection, a Trust must be irrevocable.

Should all my assets be in a trust? ›

A living trust can help you manage and pass on a variety of assets. However, there are a few asset types that generally shouldn't go in a living trust, including retirement accounts, health savings accounts, life insurance policies, UTMA or UGMA accounts and vehicles.

What is the strongest asset protection? ›

Trusts are one of the strongest asset protection tools you can use. They can protect your assets from creditors, legal claims, and anything else threatening your estate or business. A trust is defined as an agreement that allows a third party to withhold assets on behalf of the beneficiary.

How do you shield personal assets? ›

Exemptions and Trusts

Annuities and life insurance are commonly exempt from certain claims as well. You can also place your assets in a trust to protect them from creditors. One strategy is to use an irrevocable trust. An irrevocable trust cannot be modified once created and places assets outside of your control.

Can creditors go after personal assets? ›

Loan guarantees: If you personally guarantee a loan to the LLC, creditors can pursue your personal assets if the loan defaults. Pledging personal assets as collateral: If you pledge your personal assets as collateral against a business loan, a creditor could seize your property in the event of a default.

Can a prenup protect against medical debt? ›

You may feel like you have no actual assets to protect, but this won't always be the case. As we said above, prenups can be written to protect future assets, terms of alimony, and handling of your medical debt, just to name a few.

Can medical debt be forgiven? ›

Generally, medical debt forgiveness is based on your income, household size and other factors. You can contact your medical provider for more specific qualification requirements. Typically, hospitals and other health care providers will work with you to reduce your debt.

Am I responsible for my husband's medical bills when he died? ›

Generally, medical bills are paid out of the deceased's estate. Unless you co-signed for the medical costs or are the spouse in a community property state, you are typically not personally responsible for these debts.

Is there a way to hide assets? ›

Here are some of the most common ways to hide your assets:
  1. Form a privacy trust.
  2. Use a land trust to hide real estate.
  3. Form an LLC in a state that does not make ownership public.
  4. Set up an offshore trust.
  5. Maintain funds in an offshore bank account.
  6. Purchase cryptocurrency.
May 20, 2024

Does medical ask for assets? ›

The state temporarily increased the asset limit in July of 2022, and on January 1, 2024, California completely eliminated asset limit requirements altogether. This means that as of 2024, Medi-Cal only asks about income and no longer asks about assets for any Medi-Cal program.

How to protect a 401k from medical bills? ›

Top 5 Steps to protect your Assets from catastrophic medical expenses:
  1. Secure a Health Savings Account Qualified (HSA) medical plan.
  2. Fund the tax deductible HSA to the maximum allowed by law.
  3. Purchase a critical illness product.
  4. Purchase a Long Term Care (LTC) policy.

How do I keep my medical bills organized? ›

Billing: Tips for Organizing Your Bills
  1. Read each bill and explanation of benefits carefully. ...
  2. Separate your bills from your explanation of benefits. ...
  3. Match the hospital and doctor bills to their corresponding explanation of benefits. ...
  4. Determine if the bill is paid in full or if there is a balance due.

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