New York Elder Law Medicare Resources | Cona Elder Law

Medicaid Rates and Figures

2021 Medicaid Regional Rates

The following figures represent the Department of Health's assessment as to the average cost of nursing home care in each region. These figures are used to calculate Medicaid penalty periods for gifts and asset transfers.

Long Island (Nassau/Suffolk)$13,834
New York City (5 Boroughs)$13,037
Central (Syracuse, Broome, Cayuga, Oswego, etc.)$10,857
Northeastern (Albany, Rensselaer, Saratoga, Schenectady, etc)$11,689
Northern Metropolitan (Westchester, Dutchess, Orange, Rockland, etc.)$13,206
Rochester (Monroe, Ontario, Seneca, etc.)$13,020
Western (Buffalo, Erie, Niagra, Genesee, etc.)$11,054

2021 Medicaid Resource & Allowances

The New York State Department of Health has issued resource and income allowances for the year 2021. All figures are effective as of January 1, 2021.

Institutional/Nursing Home Care 
Applicant Resource Allowance$15,900
Community Spouse Resource Allowance$130,380
(maximum)
  
Applicant Income Allowance$50
Community Spouse Income Allowance$3,259.50
  
Community Based Care (Home Care, etc.) 
Applicant Resource Allowance$15,900
Community Spouse Resource Allowance$23,400
  
Applicant Income Allowance$884
Community Spouse Income Allowance$1,300

2021 Government Benefit Increases

As federal benefits increase this year, our Elder Law and Estate Planning attorneys are on hand to help you navigate these government programs, eligibility requirements and planning opportunities. Contact us at 631.390.5000.

2021 Social Security Benefits

1.3% increase

2021 Veteran’s Benefits

Aid and Attendance Pension Benefit:

  • Single Veteran: $1,936
  • Married Veteran: $2,295
  • Surviving Spouse: $1,244

2021 Medicare Benefits

  • Hospital Deductible: $1,484
  • Co-insurance (days 61-90): $371/day
  • Skilled Nursing Facility Co-insurance (days 21-100*): $185.50/day
    *if medically eligible

2021 Medicaid Benefits

Institutional Benefits:

  • Resource Allowance: $15,900
  • Income Allowance: $50
  • Community Spouse Resource Allowance: $130,380
  • Community Spouse Income Allowance: $3,259.50
  • Home Equity Limit: $906,000 

Community/Home Care Benefits

  • Resource Allowance: $15,900
  • Income Allowance: $884
  • Community Spouse Resource Allowance: $23,400
  • Community Spouse Income Allowance: $1,300

Estate and Gift Taxes

  • Federal Estate Tax Exemption: $11,580,000 
  • New York State Estate Tax Exemption: $5,740,000
  • Annual Gift Tax Exclusion: $15,000 (per year/per beneficiary)