Will I Need Medicaid?
I own a home and have retirement savings
Do I need to plan for Medicaid?
You’ve worked hard for what you have—a home, retirement savings, maybe even a plan for how you want life to look in your later years.
So, when someone mentions Medicaid planning, your first thought might be:
“That’s not for me.”
But here’s the reality we see every day:
Many families who thought they were financially prepared are caught off guard by the cost of long-term care—and the rules that come with paying for it.
This isn’t about fear. It’s about clarity.
The Hidden Risk Most Families Miss
Long-term care is one of the largest AND most unpredictable expenses in retirement
A private nursing home can cost $6,000–$15,000+ per month. Assisted living and in-home care can also add up quickly over time.
What surprises people isn’t just the cost—it’s how fast it can absorb everything they’ve built.
Without a plan, families often face:
- Rapid depletion of retirement savings
- Pressure to sell or leverage the family home
- Limited options for quality care
- Adult children feel pressured into filling the financial and caregiving gaps
And here’s where it becomes more complex:
Medicaid is the primary program that helps cover long-term care—
But qualifying isn’t simple.
“We Have Assets… Doesn’t That Disqualify Us?”
This is one of the most common questions we hear.
The answer is: not necessarily—but timing matters.
Medicaid has strict financial limits and a 5-year lookback period, which means:
- Transfers of assets can create penalties
- Waiting too long can limit your options
- Crisis planning often leads to fewer protections
For example:
- A couple owns a home and has $400,000 in savings
- One spouse needs long-term care unexpectedly
- Without planning, they begin paying privately
- Within a few years, most of their savings are gone
At that point, qualifying for Medicaid becomes reactive—and often costly in ways families didn’t anticipate.
With planning?
That same family could have structured assets differently, protected more of what they built, and created a clearer path to care.
Medicaid planning isn’t about giving everything away
It’s about making
informed, strategic decisions ahead of time.
When planned early, you can protect a portion of your assets and even preserve the family home. This advanced planning also opens up care options that are not available once a crisis has occurred.
Lastly, it can and usually does reduce stress on your spouse and your adult children. These decisions are difficult during a crisis. Aligning your legal, financial, and care decisions reduces that stress and can comfort them during the worst of it.
For adult children, this is often the turning point.
What Should You Do Next?
The best first step is not making decisions—it’s getting clarity.
Every family’s situation is different.
The right strategy depends on your assets, health outlook, and long-term goals.
At Silvas Law, we help families connect the dots between estate planning and elder law planning—so nothing is left to chance.
Take the Next Step
If you’ve started asking these questions, now is the right time.
👉 Attend our next Legacy Care Event:
www.silvaslaw.com/events
👉 Or schedule a personalized consultation to walk through your options
The difference between planning and guessing… can be everything.
If you need more immediate answers: Schedule a personalized appointment to review your family’s situation—before decisions are forced on you by calling us at 817-264-7447.
Real families. Real planning. Real protection.
Elder Law planning with Silvas Law.
BOOK NOW!
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Long-Term Care & Medicaid:
What families need to know before it is too late
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Silvas Law is a Personal Family Lawyer® firm, we know the value of planning for the future.
And we know the value of planning for the life you want today and the legacy that extends far beyond your assets.

This article is a service of Tammy Silvas, a Personal Family Lawyer® Firm. We don’t just draft documents; we ensure you make informed and empowered decisions about life and death, for yourself and the people you love. That's why we offer a Life & Legacy Planning Session™ , during which you will get more financially organized than you’ve ever been before and make all the best choices for the people you love. You can begin by calling our office today to schedule a Life & Legacy Planning Session™.
The content is sourced from Personal Family Lawyer® for use by Personal Family Lawyer® firms, a source believed to be providing accurate information. This material was created for educational and informational purposes only and is not intended as ERISA, tax, legal, or investment advice. If you are seeking legal advice specific to your needs, such advice services must be obtained on your own separate from this educational material.














