• Breaking Down the Alphabet Soup of Special Needs Estate Planning: SSI, SSDI, Medicaid & Medicare

  • Mar 7 2025
  • Length: 1 hr and 11 mins
  • Podcast

Breaking Down the Alphabet Soup of Special Needs Estate Planning: SSI, SSDI, Medicaid & Medicare

  • Summary

  • In this episode, Jill welcomes Kristen Lewis, a nationally recognized special needs estate planning attorney, to unpack the critical legal and financial steps families should take to secure the future of a loved one with special needs. They explore common misconceptions, how traditional estate planning often fails these families, and why comprehensive special needs planning requires much more than just drafting a trust.

    This is Part 1 of a two-part conversation, diving deep into government benefits, asset limits, trust types, and common pitfalls. Whether you’re a parent, grandparent, or caregiver, this episode is packed with essential guidance to help you plan with confidence.

    Topics Discussed

    • Why traditional estate planning is often insufficient for families with a loved one who has a disability
    • The network of special needs trusts — not just one trust, but several working together
    • The importance of a coordinated family approach to avoid well-meaning but harmful gifts or inheritances

    Government Benefits

    • SSI (Supplemental Security Income) and Medicaid
    • SSDI (Social Security Disability Insurance) and Medicare

    Essential Trust Types Explained

    • Third-party special needs trusts (funded by parents, grandparents, etc.)
    • First-party special needs trusts (funded with the assets of the individual with the disability)
    • Understanding the Medicaid payback requirement — and how to avoid it when possible

    Common Mistakes & Misconceptions

    • Why disinheriting a child with special needs is NOT the solution
    • How grandparents’ gifts and bequests can unintentionally disrupt eligibility for government benefits

    Articles & References

    • The Case for Updating SSI Asset Limits – Center on Budget and Policy Priorities
    • Georgia Council on Developmental Disabilities - Georgia’s NOW/COMP Waiver Waitlist: The Time is Now
    • Bobby Dodd Institute - How to Get Approved for a Medicaid Waiver by Only Following This Simple Checklist
    • Transcripts for The Death Readiness Podcast

    Questions about special needs estate planning?

    Email Jill at Jill@OversimplyLLC.com.

    If she notices a lot of the same questions, she and Kristen will record a follow-up episode to answer these popular questions.

    Subscribe to receive news and updates.

    Programming Note: The Death Readiness Podcast is moving to an every-other-Friday release schedule to bring you thoughtful, high-quality content in a sustainable way.

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