Skip to Main Content

New Medicaid Rates 2025

RESOURCES & ALLOWANCES

INSTITUTIONAL/ NURSING HOME CARE

Applicant Resource Allowance $32,396
Community Spouse* Resource Allowance (max) $157,920
Applicant Income Allowance (monthly) $50
Community Spouse Income Allowance (monthly) $3,948

COMMUNITY-BASED CARE (HOME CARE, ETC.)

Applicant Resource Allowance $32,396
Applicant Income Allowance (monthly) $1,800

*With a properly executed Spousal Refusal, a Community Spouse can typically retain assets in excess of these limits.

MEDICAID REGIONAL RATES

Long Island
(Nassau/Suffolk)
$14,914
New York City
(5 Boroughs)
$14,582
Central
(Syracuse, Broome, Cayuga, Oswego, etc.)
$13,042
Northeastern
(Albany, Rensselaer, Saratoga, Schenectady, etc.)
$13,916
Northern Metropolitan
(Westchester, Orange, Dutchess, Rockland, Putnam, Ulster & Sullivan)
$14,569
Rochester
(Monroe, Ontario, Seneca, etc.)
$15,127
Western
(Buffalo, Erie, Niagara, Genesee, etc.)
$12,842

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.

2025 Social Security Benefits

2.5% increase

2025 Veteran’s Benefits

Aid and Attendance Pension Benefit:

  • Single Veteran: $2,358
  • Married Veteran: $2,795
  • Surviving Spouse: $1,515

2025 Medicare Benefits

  • Hospital Deductible: $1,676
  • Co-insurance (days 61-90): $419/day
  • Skilled Nursing Facility Co-insurance (days 21-100*): $209.50/day
    *if medically eligible

2025 Medicaid Benefits

Institutional Benefits:

  • Resource Allowance: $32,396
  • Income Allowance: $50
  • Community Spouse Resource Allowance: $157,920
  • Community Spouse Income Allowance: $3,948
  • Home Equity Limit: $1,071,000

Community/Home Care Benefits

  • Resource Allowance: $32,396
  • Income Allowance: $1,800
  • Community Spouse Resource Allowance: $157,920 (maximum)
  • Community Spouse Income Allowance: $2,433

2025 Estate and Gift Taxes

  • Federal Estate Tax Exemption: $13,990,000 (single)
  • Federal Estate Tax Exemption: $27,980,000 (married)
  • New York State Estate Tax Exemption: $7,160,000
  • Annual Gift Tax Exclusion: $19,000 (per year/per beneficiary)
 

Contact us to schedule a consultation