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How does Medicaid treat the 529 plans for my grandchildren?

  • Writer: Salvatore Di Costanzo
    Salvatore Di Costanzo
  • Dec 12, 2017
  • 1 min read

Updated: Jun 13, 2024

A 529 plan is a very common planning technique used by grandparents to fund a grandchild’s college education.  Simply stated, contributions to a 529 plan grow tax-free over the life of the plan and if used for qualified tuition costs, the distributions from the plan are also tax-free.


Notwithstanding the beneficial tax treatment of a 529 plan, they are not given favorable treatment under the Medicaid rules.  If you are the owner of a 529 plan and seek eligibility for Medicaid to cover the cost of your care, whether at home or in a nursing home, the value of the account is treated as your asset.  


This could have a disastrous effect on your plan to help finance a grandchild’s college education.  If you are someone who intends to assist a grandchild through college, you may want to consider alternatives to owning a 529.  One viable option would be to transfer the money to your child who can then contribute the funds to a 529 plan owned by them.  Moreover, in New York, your child might benefit from a deduction on his tax return which, depending on the amount and type of income you have, might not benefit you.


Questions may also be submitted to smd@mfd-law.com for a response.

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