Financial Planning for Autism

Financial Planning for Autism

Autism Acceptance Week: Empowering Families with Financial Planning

Autism Acceptance Week is an annual event promoting acceptance, understanding, and support for individuals with autism and their families. During this week, communities and organizations worldwide come together to raise awareness about the unique challenges faced by individuals with autism and to celebrate their strengths and contributions.

One of the most significant challenges faced by families facing disabilities, particularly those with members with autism, is the financial burden of providing care and support for their loved ones. Higher medical and therapy costs, specialized education programs, and difficulties with employment can all add up to create significant financial stress for families.

Families can strive for long-term financial independence by creating a comprehensive financial plan that addresses short-term and long-term needs. Accessing government support and financial aid programs available for individuals with autism can also provide additional financial relief.

Overall, greater awareness and support for individuals with autism and their families and effective financial planning can help address the unique challenges these families face and ensure a brighter future for individuals with autism.

Understanding Autism and Its Financial Implications

According to estimates from CDC’s Autism and Developmental Disabilities Monitoring (ADDM) Network, about 1 in 36 children has been identified with autism spectrum disorder (ASD). The disorder is reported to occur in all racial, ethnic, and socioeconomic groups. However, it is more common among boys, occurring more than four times as often as in girls.

A study conducted between 2009-2017 found that approximately 1 in 6 (17%) children aged 3-17 years were diagnosed with a developmental disability, including autism, attention-deficit/hyperactivity disorder, blindness, and cerebral palsy, among others. Parents reported the diagnosis.

Family members with autism face unique financial challenges due to the higher costs associated with medical care, therapy, and specialized education programs. For example, therapy costs can range from $50 to $200 per hour, and families may need to pay for multiple therapy sessions per week. Specialized education programs can also be costly, and families may need to pay for private schools or tutors.

Individuals with autism may also face difficulties in the workforce, with unemployment rates as high as 90% for adults with autism. This can create additional financial stress for families, particularly as individuals with autism may require additional support and accommodations in the workplace.

Early intervention is critical in improving outcomes for individuals with autism and reducing long-term costs. Studies have shown that early intervention can improve language and social skills, reduce challenging behaviors, and increase independence. This can ultimately lead to a better quality of life for individuals with autism and reduced long-term costs for families.

Different government support and financial aid programs are available for individuals with autism, including Medicaid, Supplemental Security Income (SSI), and the Individuals with Disabilities Education Act (IDEA). These programs can provide financial relief and access to necessary services and resources for families with autism.

Overall, understanding the unique financial implications of autism is critical in providing adequate support and resources for family members with autism. Early intervention and accessing government support and financial aid programs can help alleviate some of the financial burdens these families face.

The Role of Financial Planning in Supporting Families with Autism

Financial planning can play a critical role in supporting family members with autism by providing a roadmap for achieving their financial goals. Financial planning can be essential for families as they navigate the unique challenges faced by individuals with autism.

One important financial tool for family members with disabilities is a special needs trust, which can help ensure that assets are managed and used appropriately to benefit the individual with autism. Another helpful tool is an ABLE account, which allows individuals with disabilities to save and invest money without jeopardizing their eligibility for government benefits.

Life insurance is another critical consideration for families who have family members with autism, particularly for parents who may be the primary caregiver for their child. Life insurance can provide financial security in the event of the parent’s death, ensuring their child will continue receiving necessary support and care.

A comprehensive financial plan should address short-term and long-term needs, including medical expenses, housing, and long-term care. 

This may include budgeting, saving for future expenses, and managing debt. Accessing government support and financial aid programs, such as Medicaid and SSI, can also be important in managing the costs associated with caring for an individual with autism.

Financial planning can be crucial in supporting family members with autism, particularly as they navigate the disorder’s unique challenges and financial burdens. By utilizing financial tools and strategies and accessing government support and financial aid programs, families can strive to ensure the long-term financial independence and well-being of their loved ones with autism.

The Importance of Financial Planning for Family Members with Autism

Financial planning is critical for families with people with disabilities, particularly those with autism, as they navigate the unique challenges and costs of providing care and support for their loved ones. A comprehensive financial plan can help ensure long-term financial independence.

A critical aspect of financial planning is addressing both short-term and long-term needs. This may include creating a budget, saving for future expenses, and managing debt. Families should also consider the costs associated with medical care, therapy, housing, and long-term care.

Different financial tools and strategies can help families achieve their financial goals. One important tool is a special needs trust, which can help ensure that assets are managed and used appropriately to benefit the individual with special needs. ABLE accounts can also be helpful, allowing individuals with disabilities to save and invest money without jeopardizing their eligibility for government benefits. Life insurance can provide financial security in the event of the caregiver’s death, ensuring their loved one will continue receiving necessary support and care.

Practical tips for financial planning include creating a budget and tracking expenses, seeking out government support and financial aid programs, and working with a financial advisor with experience in planning for people with disabilities. Families should also review their financial plan regularly to ensure that it continues to meet their needs and goals.

Financial planning is critical for families with special needs, particularly those with autism, as they navigate the unique challenges and costs of providing care and support for their loved ones. By utilizing financial tools and strategies and creating a comprehensive financial plan, families can help ensure the long-term financial independence and well-being of their loved ones.

The Able Act, SSI & Medicaid 

An ABLE (Achieving a Better Life Experience) account is a tax-advantaged savings account designed for individuals with disabilities, including those with autism. The account allows individuals with disabilities to save and invest money without affecting their eligibility for government benefits such as Medicaid and Supplemental Security Income (SSI).

Contributions to an ABLE account can be made by anyone, including the individual with the disability, family members, and friends. While contributions to the account are not tax-deductible, earnings on the account are tax-free. Withdrawals from the account are also tax-free if they are used for qualified disability expenses, such as education, housing, transportation, employment training and support, assistive technology and personal support services, and healthcare expenses.

One of the key benefits of an ABLE account is the ability to accumulate savings without affecting eligibility for government benefits. Prior to the creation of ABLE accounts, individuals with disabilities were limited in the amount of assets they could accumulate without jeopardizing their eligibility for government benefits. With an ABLE account, individuals can save up to $17,000 (2023) per year without affecting their eligibility for SSI, and some states allow for even higher contribution limits.

Overall, an ABLE account can be a valuable financial planning tool for individuals with disabilities, including those with autism, and their families. It provides a way to save and invest money while still maintaining eligibility for government benefits, and can help individuals achieve greater financial independence and security.

Important facts to keep in mind regarding the ABLE Act:

  • The designated beneficiary of an ABLE account is the eligible individual who owns it and must receive SSI or disability benefits based on blindness or disability that began before age 26 or be subject to a disability certification.
  • A disability certification, signed by the individual or someone else establishing the ABLE account, must confirm the relevant impairment and include a physician’s diagnosis.
  • Only one ABLE account is allowed per eligible individual.
  • Contributions to an ABLE account cannot typically exceed the annual gift tax exemption, but a working beneficiary may contribute additional funds up to a specific limit.
  • Distributions from an ABLE account must be for the benefit of the designated beneficiary.
  • A person with signature authority can establish and manage an ABLE account for a minor child or someone unable to control the account themselves.

It’s important to note that Qualified Disability Expenses (QDE) are a crucial aspect of the ABLE Act. These expenses are incurred for the benefit of the designated beneficiary and related to their disability, including education, housing, transportation, employment training and support, assistive technology, and related services, health, prevention and wellness, financial management and administrative services, legal fees, expenses for ABLE account oversight and monitoring, funeral and burial, and basic living expenses.

In addition, it’s possible to rollover funds from one ABLE account to another. This can involve either the distribution of some or all of the funds to the ABLE account of a member of the original designated beneficiary’s family or a limited amount from a qualified tuition plan (also known as a 529 plan) to the ABLE account of an SSI applicant, recipient, or deemor.  (A deemor is generally the ineligible parent or spouse of the individual who is eligible for (or receiving) SSI)

Under the SSI Program, only assets above $100,000 count as a resource. If an ABLE account balance exceeds $100,000 and causes an individual to exceed the SSI resource limit, the SSI payment is suspended until the countable resources exceed the allowable limit.

For the Medicaid Program, if an ABLE account balance exceeds $100,000 and causes an individual to exceed the SSI resource limit, they still retain eligibility for Medicaid as long as they remain otherwise eligible. However, if non-ABLE resources exceed $100,000 and cause the individual to exceed the resource limit, Medicaid is suspended.

Under the Medicaid Payback Provision, when a designated beneficiary dies, a portion or all of the remaining ABLE account balance must be distributed to a state that files a claim against the beneficiary or the account itself for benefits provided under their Medicaid plan. Before paying such a claim, the ABLE account must first cover funeral and burial expenses and any outstanding payments for the beneficiary’s qualified disability expenses. The payback amount is limited to the total medical assistance paid for the beneficiary after establishing the ABLE account, minus any premiums paid to a Medicaid Buy-In program. After the statute of limitations for filing Medicaid claims against the beneficiary’s estate expires, any remaining ABLE account balance can be distributed to a successor designated beneficiary or the deceased beneficiary’s estate. Some states have limitations on payback, so it’s best to check specific state plan disclosure documents for details.

Special Needs Trusts

Special needs trusts are a type of trust designed to provide financial support for individuals with disabilities while allowing them to continue receiving government benefits. Also known as supplemental needs trusts, these legal instruments are typically created by family members or friends of the beneficiary, although they can also be established through a court order or by the beneficiary themselves.

The purpose of a special needs trust is to supplement, rather than replace, government benefits like Medicaid, Supplemental Security Income (SSI), and other means-tested programs with strict asset and income limits. By placing assets in a trust, the beneficiary can receive supplemental financial assistance without losing access to these critical government benefits.

There are two types of special needs trusts: first-party and third-party. A first-party trust is established with funds belonging to the beneficiary, such as an inheritance or lawsuit settlement. In contrast, a third-party trust is funded by someone other than the beneficiary, such as a parent or grandparent. The rules governing these trusts can be complex and vary by state, so consulting with an attorney experienced in special needs planning is essential.

Special needs trusts must be carefully crafted to ensure they comply with applicable laws and regulations. The trust must be drafted to ensure that the funds are not considered countable assets to determine eligibility for government benefits. Additionally, distributions from the trust must be carefully structured to avoid reducing or eliminating eligibility for government benefits.

One advantage of a special needs trust is that it can provide a reliable source of supplemental support for the beneficiary throughout their lifetime. Another advantage is that it allows the beneficiary to continue receiving essential government benefits, such as healthcare coverage and income assistance.

Tips for Employers and Financial Advisors

Employers and financial advisors play a role in supporting families with special needs, particularly those with autism. By providing tailored support and resources, they could potentially help families with tools and knowledge to plan for long-term financial goals.

Employers can support employees with special needs by offering flexible work arrangements, such as telecommuting or flexible hours, to accommodate their caregiving responsibilities. Disability insurance can also provide financial security if an employee with special needs cannot work. Mental health resources, such as an employee assistance program, can also be valuable in supporting the emotional well-being of employees and their families.

Financial advisors should understand the unique economic challenges faced by families with special needs and be able to provide tailored advice and services. This may include knowledge of government support and financial aid programs, such as Medicaid and SSI, as well as specialized financial tools and strategies, such as special needs trusts and ABLE accounts. Advisors should also be able to guide on creating a comprehensive financial plan that addresses both short-term and long-term needs.

Advisors should also be able to guide on maximizing government support and financial aid programs, such as Medicaid and SSI. For example, they may advise families to set up a special needs trust to ensure that assets are managed and used appropriately for the benefit of the individual with special needs without jeopardizing their eligibility for government benefits.

Overall, employers and financial advisors can be critical in supporting families with special needs, particularly those with autism. By providing tailored support and resources, they can help families have the necessary tools and knowledge to achieve long-term financial security and peace of mind.

Final Thoughts

Financial planning and community support are critical for families with members with disabilities, particularly those with autism, as they navigate the unique challenges and costs associated with providing care and support for their loved ones. A comprehensive financial plan can help ensure long-term financial independence, while community organizations can provide valuable resources and support to families.

Financial planning can involve utilizing financial tools and strategies, such as special needs trusts, ABLE accounts, and life insurance, and accessing government support and financial aid programs. Employers and financial advisors can also be essential in providing tailored support and resources to families with special needs.

In conclusion, families with special needs, particularly those with autism, should seek resources and support to help them create a financial plan that helps ensure long-term financial independence. By working together and accessing the necessary resources and support, we can create a more inclusive and supportive community for individuals with special needs and their families.

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Last updated: November 6, 2023
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