As Americans age, they may face failing health, and many of them turn to in-home caregivers or nursing homes for their skilled care. Both routes are expensive, and the cost of care is still on the rise. However, Medicaid is a federal program designed to provide health coverage for low-income individuals, including the elderly, offering assistance with medical costs such as nursing home care, hospital stays, and prescription drugs. While there are income and asset limits to the Medicaid program, there exists a pervasive misconception that one must be extremely poor to qualify. Fortunately, Medicaid can provide a safety net for more of the population than it seems. There are ways to protect your assets for future generations including through trusts and other tactics, including “spending down” your assets rather than paying them to a nursing home. Medicaid spend-downs offer a strategic pathway for individuals to qualify for Medicaid coverage.
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