
When it comes to estate planning, many people focus on passing down wealth and property but fail to consider how long-term care expenses can affect their estate. A Medicaid planning component in your comprehensive estate plan can help you avoid making this common mistake. Incorporating Medicaid planning into your estate plan can protect your assets while ensuring that you receive the care you need if you require long-term medical assistance. To help ensure that you are prepared, the Long Island attorneys at Eghrari Law Firm explain why Medicaid planning should be part of your overall estate plan.
The Rising Cost of Long-Term Care
One of the primary reasons to include Medicaid planning in your estate plan is the rising cost of long-term care. In the State of New York, nursing home and assisted living expenses can be overwhelming, with the average cost for a year of each running over $175,000 and over $70,000 respectively. Making matters worse is the fact that neither Medicare nor most private health insurance plans will pay for LTC. For those who require several years of care, the need for LTC can wipe out their entire savings. Medicaid can help cover the cost of long-term care; however, qualifying for Medicaid assistance can be complicated. Medicaid is a needs-based program with strict asset and income limits, meaning if you have too much money in savings or investments, you may not be eligible for Medicaid coverage without first spending down a significant portion of your assets. Without proper planning, this process can quickly deplete your estate, leaving little to pass on to heirs.
Protecting Your Assets with Medicaid Planning
Medicaid planning allows you to take steps to preserve your assets while still qualifying for Medicaid assistance. By working with an experienced estate planning attorney, you can utilize a variety of strategies to protect your estate, such as transferring assets to a Medicaid trust you establish. A Medicaid trust is an irrevocable trust that holds your assets, making them unavailable when determining your Medicaid eligibility. This allows you to maintain eligibility for Medicaid benefits while safeguarding your assets for future generations. Another method is gifting assets to family members; however, it is important to understand that Medicaid imposes a five-year look-back period. Any gifts made during the five years before you apply for Medicaid may still be counted as part of your assets. A well-executed Medicaid plan takes this into account, ensuring that asset transfers occur in time to protect them from Medicaid recovery efforts.
Avoiding Medicaid Estate Recovery
Another reason to include Medicaid planning in your estate plan is to avoid the Medicaid Estate Recovery Program (MERP). Medicaid has the right to recover funds it spent on your long-term care after you pass away. This means that if you qualify for Medicaid during your lifetime, your estate could be at risk if Medicaid seeks reimbursement after you pass away. Estate recovery can place a lien on your home and other assets, which can prevent your loved ones from inheriting them. With Medicaid planning, you can take steps to avoid this recovery process. For example, transferring your home to an irrevocable trust or taking advantage of spousal protections under Medicaid rules may prevent the state from reclaiming your assets. Planning in advance can shield your estate from Medicaid recovery, ensuring that your loved ones receive the inheritance you intended for them.
How Can Medicaid Planning Help?
Medicaid planning is also essential because Medicaid’s rules are highly complex and subject to change. The federal government sets basic guidelines, but individual states administer Medicaid, which means eligibility requirements and rules for asset protection vary from state to state. An experienced estate planning attorney can help you navigate these intricate regulations, ensuring that you meet your state’s specific requirements.
Moreover, Medicaid’s eligibility rules are designed to limit your ability to qualify while retaining significant assets. Even if you attempt to shield your assets without proper legal guidance, you may inadvertently violate Medicaid’s rules and face penalties.
Incorporating Medicaid planning into your estate plan provides peace of mind. If you suddenly need long-term care due to illness or injury, having a Medicaid plan in place will reduce stress for both you and your family. Without planning, your loved ones could be left scrambling to cover the cost of your care while trying to protect your assets. By including Medicaid planning in your estate plan, you can rest assured that your assets are protected, and your loved ones will be provided for in the future.
Are You Ready to Incorporate Medicaid Planning into Your Estate Plan?
For more information, please join us for a FREE estate planning seminar. If you would like to discuss the benefits of incorporating a Medicaid planning component into your estate plan, contact the Long Island estate planning attorneys at Eghrari Law Firm by calling us at 631-265-0599 to schedule your appointment.

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