Practice Area
Long-Term Care Planning
Planning ahead for the cost and structure of long-term care so a future nursing home or assisted-living stay does not eat through everything you have built.
Why It Matters
Long-term care is the financial risk most families never see coming. A semi-private nursing-home room in Southwest Florida averages over $9,000 per month, and the average stay lasts more than two years. Pay privately and the math runs hard against you.
Long-term care planning is the proactive side of elder law. Done well in advance — typically five-plus years before care is needed — it lets us reposition assets so they survive a long care stay without forcing the family to spend down to nothing first.
This is different from Medicaid planning when care is already needed. Long-term care planning is about giving you options before the crisis hits.
You may need this if you:
- You are 60 or older and have not addressed long-term care in your plan
- A parent's or grandparent's care experience worried you
- You want to protect a homestead, IRA, or business from a care spend-down
- You do not have long-term care insurance and are not planning to buy it
- You have heard about Medicaid asset-protection trusts and want to understand them
- You have a Florida residence and concerns about Medicaid's homestead rules
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Common Questions
Long-Term Care Planning FAQs
What's the difference between long-term care planning and Medicaid planning?
Long-term care planning happens before care is needed, typically five or more years out, and focuses on positioning assets so the five-year lookback has already run by the time you need help. Medicaid planning happens after care has already started, using a different set of tools because the lookback clock hasn't finished.
Do I need long-term care insurance if I do this kind of planning?
Not necessarily, but the two aren't substitutes for each other. Insurance pays a benefit if you qualify and keep up the premiums; planning repositions assets so a future care need doesn't force a full spend-down. Many clients use both.
Can I protect my home if I need long-term care someday?
Florida's homestead exemption already protects your home from Medicaid's asset test while you're alive, in most cases. The planning question is usually what happens to the home after death and how to avoid estate recovery, and that's where trusts, Lady Bird deeds, and other tools come in.
I'm only in my 60s and in good health. Isn't this premature?
It's the ideal time. The five-year lookback means asset-protection trusts need time to season before you'd ever need to rely on them. Waiting until a diagnosis or a fall removes your best options, not just some of them.
Prefer to talk it through first?
Give us a call — we’re happy to answer questions before you start your intake.
