How do I protect my assets from Medicare and Medicaid?

Asked by: Electa Franecki  |  Last update: March 9, 2025
Score: 4.4/5 (18 votes)

Long-term care insurance, Medicaid-compliant annuities, irrevocable Trusts, life estates, and financial gifting each offer their unique way of protecting assets and ensuring eligibility for Medicaid benefits. Understanding the potential consequences and limitations of each strategy listed above is essential.

Can Medicaid go after assets in an irrevocable trust?

When you create an irrevocable trust, you transfer ownership of your assets to a trustee, relinquishing control over them. Since you no longer own these assets, Medicaid generally doesn't consider them as part of your countable assets.

How much does a Medicaid asset protection trust cost?

How Much Does it Cost to Create a Medicaid Asset Protection Trust? The cost of creating a Medicaid Asset Protection Trust varies significantly from a low of $2,000 to a high of $12,000. While the price might seem high, in reality, a MAPT ends up saving persons money in the long run.

How can I protect my money before going to a nursing home?

Contents
  1. Purchase long-term care insurance.
  2. Purchase a Medicaid-compliant annuity.
  3. Form a life estate.
  4. Put your assets in an irrevocable trust.
  5. Consider financial gifts to family members.
  6. Start saving statements and get expert advice.

How do I protect my inheritance from Medicaid?

Medicaid Asset Protection Trust (MAPT)

The grantor names a trustee, who manages the trust, and a beneficiary (or beneficiaries) who inherits the assets contained in the trust following the grantor's death. MAPTs also protect assets from Medicaid's Estate Recovery Program (MERP).

How to Protect Against Medicaid Look Back Period & Preserve Assets

21 related questions found

How do I protect my assets from Medicaid look back?

By transferring your assets into an irrevocable trust, you effectively remove them from your ownership, thereby protecting them from Medicaid's asset requirements. However, it's important to note that once assets are transferred to an irrevocable trust, you no longer have control over them.

Can a nursing home take your inheritance?

No one “takes” assets from the patient; the nursing home simply requires payment for its services if the patient intends to reside in the nursing home. The notion of assets being seized by the government or a nursing home is only one of several misconceptions about paying for long term care.

What is the 7 year look-back period for Medicaid?

There is no Look-Back Period for HCBS Waivers in California, and it's 30 months (2.5 years) for Nursing Home Medicaid, although that will be phased out by July 2026, leaving California with no Look-Back Period.

Do nursing homes take all of your assets?

Nursing homes do not take assets from people who move into them. But nursing care can be expensive, and paying the costs can require spending your income, drawing from savings, and even liquidating assets. Neither the nursing home nor the government will seize your home to cover expenses while you are living in care.

How do I protect my assets from medical bills?

Protecting your assets from medical bills involves utilizing various legal tools designed to safeguard your financial health. Three primary instruments can be particularly effective: trusts, Health Savings Accounts (HSAs), and insurance.

What are the disadvantages of a Medicaid asset protection trust?

Disadvantages of a Medicaid trust

Establishing a trust can be expensive, and some clients will not be in a financial position to do so. Additionally, there is a five year look-back period in which assets in a Medicaid trust would still count toward coverage eligibility.

Can a trust be touched by Medicaid?

While revocable trusts offer flexibility as they can be changed or revoked by the trustor, they won't protect assets from Medicaid. Irrevocable trusts, like Medicaid asset protection trusts (MAPTs), on the other hand, remove assets from an owner's control, rendering them eligible to meet Medicaid requirements.

Can medical go after a trust?

The Department will not recover the value of a deceased Medi-Cal member's property if it transfers to a different owner by survivorship, by trust, or by payment or transfer on death of the deceased Medi-Cal member.

What is the 5 year rule for irrevocable trust?

Once assets are placed in an irrevocable trust, you no longer have control over them, and they won't be included in your Medicaid eligibility determination after five years. It's important to plan well in advance, as the 5-year look-back rule still applies.

Can you sell a house in a Medicaid trust?

Note: California stands apart from the other states. CA eliminated their Medicaid (Medi-Cal) asset limit effective 1/1/24. Medi-Cal applicants and beneficiaries can have unlimited assets and still be eligible for Medi-Cal. They could sell their home and it have no impact on their eligibility.

Does money in a trust count as an asset?

Almost all trust funds are counted in the financial aid process, often as an asset of the child. This leads to a high impact on eligibility for need-based financial aid. If the trust fund document restricted the beneficiary's access to the principal, the trust fund will affect aid eligibility every year.

What happens to your bills when you go into a nursing home?

If you have existing unpaid medical bills, and go into a nursing home and receive Medicaid, the program may allow you to use some or all of your current monthly income to pay the old bills, rather than just to be paid over to the nursing home, providing you still owe these old medical bills and you meet a few other ...

How to avoid nursing home taking your house?

7 Ways to Protect Your Home From Being Taken
  1. Purchase Long-Term Care Insurance. ...
  2. Sell or Transfer Assets. ...
  3. Create a Medicaid Asset Protection Trust. ...
  4. Choose Home Health Instead. ...
  5. Form a Life Estate. ...
  6. Purchase a Medicaid-Compliant Annuity. ...
  7. Pay With Your Life Insurance Policy.

How to protect assets from Medicaid?

The person you care for can transfer assets into an irrevocable trust to protect them from Medicaid spend-down or penalties, as long as they set up the trust more than five years prior to applying for Medicaid. Any assets in the trust must stay in the trust until after your loved one passes away.

Which of the following is a counted asset for determining Medicaid eligibility?

Assets include bank accounts, cash, a second vehicle, homes, and other financial resources.

What does Medicaid look for in bank statements?

The government worker reviewing the Medicaid application and bank statements is looking for asset transfers and gifts that might create a period of ineligibility for benefits, i.e., a Medicaid transfer penalty.

How to protect parents' assets from nursing homes?

5 ways to protect assets from nursing home costs
  1. Apply for long-term care insurance.
  2. Turn assets into income with a Medicaid-compliant annuity.
  3. Transfer assets to an irrevocable Trust.
  4. Create a life estate to transfer property to someone else.
  5. Give financial gifts.

Do you have to pay back Medicaid if you inherit money?

If the inheritance is modest, or it has been spent down within the month, Medicaid may only deem you ineligible for a certain period of time. It is important to note that depending on when you report the inheritance you may have to pay back the cost of any Medicaid benefits you received during that time.

What happens to my mom's house if she goes into a nursing home?

The state may file a TEFRA lien against one's home if it is believed that their stay in a nursing home is permanent. With a lien, a legal claim is made against the home to collect debt. This does not mean that the home must immediately be sold.