Using Reverse Mortgages to Pay for Long Term Senior Care
| Definition |
Qualifications |
Costs |
| Pros & Cons |
Benefit Types & Limits |
How to Apply |
| Overview of Reverse Mortgages | ||
Reverse Mortgages Quick Facts
- Home owners will never owe more than the home’s value.
- Lenders cannot force seniors out of their homes.
- Seniors qualify easily because credits scores and income are not considered.
- Reverse mortgages can be re-financed which means it is fine to get one in a down real estate market.
- Closing costs are high, 4%-8% of the loan amount.
- Generally speaking, 20% -60% of the home’s value can be borrowed.
- Loans are due when the last borrower (both spouses can be on the loan) sells the home, moves out of the home for 1 year or passes away.
- Reverse mortgages do not affect Medicare or Social Security benefits.
- There are no restrictions on how the money can be used.
Various Senior Family Scenarios
Every senior’s situation is different and in some cases a reverse mortgage is not the best option. Follows is an exploration of several situations and why different seniors might want or not want to use a reverse mortgage.
- Single Seniors in Fair Health
Reverse mortgages are a good option as the senior does not require immediate care. Many seniors in this situation will live independently in their home for some years and can use the proceeds from a reverse mortgage to purchase long term care insurance and / or make modifications to their home so it is more accessible, which can further prolong their time living at home. - Single Seniors in Need of Care
If the family can provide the care that enables the senior to remain living in their home or the proceeds from a reverse mortgage can pay for in-home care or adult day care, then a reverse mortgage is a viable option. However, if care cannot be provided at home and the senior’s health requires them to move into assisted living or skilled nursing facilities in the near future, then a reverse mortgage might not be the best option. This is because reverse mortgages rules require that a home be sold if the owner lives outside the home for 12 continuous months. Selling or renting the home is a better option. - Married Seniors in Fair Health
Reverse mortgages are a good option as neither senior requires immediate care and at least one of the spouses will be living in their home for some years. Seniors in this situation will often use the proceeds to purchase long term care insurance or make modifications to make the home more accessible. Some individuals are concerned that if they live in the home for many years and continue to borrow against the home’s value, their loan may exceed the value of the home. This is an unwarranted concern because the government assumes this risk and seniors will never owe more than their home’s value. - Married Seniors with One Spouse in Need of Care
This is a very common reason that seniors seek reverse mortgages. A spouse in poor health may be required to move into a skilled nursing or assisted living community and the family requires resources to pay for that care. Couples will include both partners on the reverse mortgage agreement. Should the spouse receiving care pass away, the remaining spouse continues to live in the home. Should the spouse in the home die first, there is sufficient time for the home to be sold, the loan is then repaid and the remaining resources from the home sale can pay for the surviving senior’s ongoing care. - Married Seniors with Both Spouses in Need of Care
Reverse mortgages are not the best option since it is likely that both seniors will need to move from the home and enter assisted living or skilled nursing communities in the near future. Reverse mortgages become due when the last borrower moves from the home or passes away. Renting or selling the home may be a better option. However, if the proceeds from a reverse mortgage can be used to pay for in-home care that enables the seniors to continue living comfortably at home, then a reverse mortgage is still an option.
Reverse Mortgages and Medicare, Medicaid, Social Security & Supplemental Security Income
Reverse mortgages do not affect regular Social Security or Medicare benefits. Supplement Security Income and Medicaid eligibility may be affected. This varies state-by-state, but generally speaking reverse mortgage payments are not counted as income, if they are spent in the same month they are received. If the funds accumulate, they could push one’s resources over the allowable limits for Medicaid or SSI eligibility.
If a senior is currently receiving Medicaid benefits, it is recommended they consult with Medicaid eligibility expert prior to making the reverse mortgage decision.
Using Reverse Mortgages to Purchase Long Term Care Insurance
Seeking to motivate the purchase of long term care insurance, the federal government offers a waiver that can reduce the fees associated with a reverse mortgage considerably if all the proceeds are used to purchase a tax-qualified, long-term care insurance policy. The waiver applies to the upfront mortgage insurance premium required to take the loan which is typically 2%. Click here for more details about purchasing long term care insurance.
Alternatives to Reverse Mortgages
For those requiring financial resources for a short period of time, a HELOC or Home Equity Line of Credit might be a better option. For individuals whose family or friends would be willing to lend them the money necessary for their care, there exist private reverse mortgages or retirement mortgages where the home is used as security to the lender. This is often done with adult children whom are financially secure and will be inheriting the home.
-HUD reverse mortgages
-HECM loans
-HUD/FHA Home Equity Conversion Mortgage
-HUD-insured Home Equity Conversion Mortgage
-Equity release (in United Kingdom)
-Lifetime mortgage
-Reverse annuity mortgage
-FannieMae Home Keeper
-Jumbo Reverse Mortgages
-A reverse mortgage has to be the primary debt against the house, but having an existing mortgage does not prevent one from getting a reverse mortgage. It is very common to use some of the proceeds of a reverse mortgage to pay off an existing mortgage.
-Homes of any value can qualify but there are limits on how much can be borrowed.
- Lump Sum Payment – This is typically used to pay off an existing mortgage or make a major purchase such as retro-fitting a home to improve its accessibility for the elderly. Medicaid & SSI recipients should investigate how a lump sum payment might affect their eligibility.
- Monthly Payments – A senior can receive guaranteed monthly payments for a set period of time or for as long as the home is their primary residence. This is referred to as a “reverse annuity mortgage”.
- Line of Credit – This allows the senior to decide when they need the money and how much to borrow. Interest is not charged on the balance of the loan which is not taken.
-Adult day care
-Assisted living / senior living
-Skilled nursing home care
-Alzheimer's / dementia care
A more detailed answer regarding the cost of a reverse mortgage is that it consists of a variety of fees.
- Origination / Activation Fee
This fee is either $2,000 or 2 percent of the maximum claim amount (which usually equals the home’s value) whichever is greater. For a home valued at $250,000, this fee would be $5000. This fee covers a lender's expenses and margin. - Mortgage Insurance Premium (MIP)
Seniors pay a MIP of 2% of home’s value plus an annual premium equal to 0.5 percent of the loan balance, which is paid monthly. For a home of $250,000, this is a one-time fee of $5000 and monthly payments of $105. Note the 2% upfront fee can be waived if the sole purpose of the reverse mortgage is to acquire long term care insurance. - This insurance guarantees that if the lender goes out of business, the government will continue to pay the senior in their place. It also guarantees that seniors will never owe more than the value of their home, even if it declines in value.
- Home Appraisal Fee
Appraisal fees usually range from $300-$400. During the appraisal, the home is also checked to make sure it meets federal safety and structural regulations. If it does not, there may be contractor costs to make the repairs. - Other Fees
Many other smaller fees may be charged such as document preparation, credit reporting fee, flood certification, pest inspection, property survey, monthly service etc. In total, these might be $1000. - Other Costs
If there is an existing, fixed, low rate mortgage on the house that is being replaced with a higher rate reverse mortgage, then there is the hidden cost of the increased APR.
Step 1) Locate a reverse mortgage lender. An organization that is recommended for its excellent customer service is One Reverse Mortgage. Click here to visit their website.
Step 2) Before a reverse mortgage application can be processed, the government requires borrowers to speak with an approved reverse mortgage counselor. There is no charge for this and it is very helpful for individuals to fully understand the benefits and limitations of a reverse mortgage from an individual without a financial incentive to sell one.
Click on Reverse Mortgage Counselors to go to the federal government’s website where phone or face-to-face meetings with counselors can be arranged.
Seniors interested in calculating how much money they could generate from a reverse mortgage on their current home can use this reverse mortgage calculator.
