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My best friend and I are roommates. We are male/female but not related and not romantically involved. Last year she had breast cancer and went thru treatment. Her cancer is now in remission. We have two bank accounts. One is my account with her name on it. And she has her account with my name on it. The bank said if one of us was to pass away the other person on the account would get the entire amount. We set it up this way. My question is, if either of us has to go into assisted living, would Medicaid be able to take any of the money in either account since both of our names are on both accounts?

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It would not be Medicaid taking the money. It would be the assisted living facility if you let them debit the checking account. Medicaid rarely pays for assisted living or memory care.
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You need the advice of an attorney. This co-mingling of assets is never a good idea at all. If you want this person to have your assets after death then the account should be in your name with POD (pay on death) to the other person. You have made this money her asset and yours. Usually she could walk away with ALL your money (unless there is the stipulation of "both signatures required for withdrawal). Discuss with bank or with attorney. You have set this account up so that it is her asset as she has done the same with you. This is not a good idea from the standpoint of medicaid or of anything else.
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Medicaid is likely to view money in joint accounts as belonging half to each. So it might be fine if the accounts are equal in size. They don’t “take” money; they just don’t pay until you meet all the criteria.

It is cleaner to set up yours/mine/ours accounts. Your income is direct deposited into your individual account and you transfer your share of household bills as needed, with a month or so worth of extra left in the account if desired.

Likewise, try to keep credit accounts organized as to which are joint, and which are individual, possibly with an authorized user. Joint are fine for rent, groceries and autopay utilities, individual for personal/medical, authorized user for the other person’s personal/medical.

If you still want to be each other’s heirs, you can use POD beneficiary designations. Estate planning advice may be useful if either has a lot of assets; consider whether POAs for finance or medical would be suitable.
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Thank you. The accounts were set up this way so that neither of us would need a will. In the case of having to go into assisted living we would not have to surrender money we have worked for all of our lives to Medicare/Medicade/Assisted Living or whomever you would need to give it to. I know that if you go into Assisted Living with no assets they do take your SS and pension. That is fine. However, I do not agree that they should be able to take your lifelong savings.
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In either case, the money in each of our accounts is not 50/50. I was trying to not have to see an attorney. I worked for them (Family Practice) for many years and would rather not involve them. We dont have millions - but enough that we dont want to give it away. We only want each other to have it as the surviving friend will need it.
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Arrrggg. Just change both those accounts to the owner's name either Pay on Death to the other person. Joint accounts make both accounts totally vulnerable to a creditor of either of you.
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