The future is a major concern for many families caring for a loved one with a disability. The most common questions: What will happen to their loved one after they are gone? Who will provide day-to-day care? And how will the costs be covered?
These are important questions, as ensuring ongoing care is not as simple as setting aside money for a loved one living with a physical, mental, or developmental disability. If the individual is receiving government benefits like Medicaid or Supplemental Security Income (SSI), leaving assets to them directly in your will or estate plan could make them ineligible for those benefits. And that could impact their access to services like round-the-clock care, occupational therapy, or help with independent living.
“You can’t easily replicate what’s made possible by those benefits, no matter how much money there is (in the estate),” says Aurora L. Basa, a special needs trust senior manager with Wealth & Investment Management, Wells Fargo Bank, N.A., “The services can be wildly expensive, and it’s hard to find vendors that provide them.”
One potential solution: A special needs trust — sometimes called a supplemental needs trust — can help ensure your loved one gets the care and support they need while preserving needs-based government benefits. A special needs trust is designed for the benefit of an individual living with a disability. It is typically funded by a gift, an inheritance, life insurance, or compensation from a personal injury or other type of legal settlement.
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Special Needs Trust Overview |
| What it is |
Discretionary trust designed to benefit a person with a disability while protecting eligibility for public benefits. Holds assets to supplement—not replace—government benefits. |
| Asset limits |
Assets held by trust are typically not counted for benefit eligibility when drafted properly. |
| Who administers it |
Trustee (individual or institution) |
| Funding source |
Inheritance, gifts, settlements, insurance proceeds, etc. |
| Use of funds |
Used for supplemental needs not covered by public benefit programs. |
| Impact on other benefits |
Designed to preserve eligibility for needs-based government benefits, such as Supplemental Security Income (SSI) and Medicaid. |