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How a Medicaid Asset Protection Trust Can Safeguard Your Assets Against Long-Term Care Costs


September 21, 2024

Long-term care is a growing reality for many retirees, with an estimated 70% of Americans likely to need some form of long-term care. Unfortunately, most people don’t begin planning for these costs until it’s too late, often because they are unaware of just how expensive it can be. Depending on where you live, long-term care can range from $50,000 to $100,000 per year, and with the average stay lasting two to five years, it’s easy to see how the costs can quickly add up. Without proper planning, these expenses could drain your savings, leaving little behind for your loved ones.


One of the most effective ways to protect your assets while still qualifying for Medicaid assistance is by setting up a Medicaid Asset Protection Trust. This powerful legal tool ensures that the assets you’ve worked hard to accumulate—your home, savings, and other valuable assets—are safeguarded and passed on to your beneficiaries, rather than being used to cover the high costs of long-term care.


What is a Medicaid Asset Protection Trust?

A Medicaid Asset Protection Trust (MAPT) is an irrevocable trust designed specifically to protect your assets from Medicaid’s means-testing process. When you apply for Medicaid to help cover the costs of long-term care, Medicaid looks at your income and assets to determine eligibility. Any assets that exceed the allowed limit are considered ineligible, and you may be required to spend them down on care before Medicaid kicks in.

However, with a properly structured MAPT, the assets placed in the trust no longer count toward your Medicaid eligibility. This means you can qualify for Medicaid assistance without having to “spend down” your estate, ensuring that your protected assets go to your heirs rather than toward long-term care expenses.

Timing and the Five-Year Look-Back Period

One important factor to keep in mind when creating a MAPT is Medicaid’s five-year “look-back” period. This is the window of time during which Medicaid will review your financial transactions to ensure you haven’t given away or transferred assets to avoid paying for care. For the trust to be effective, it must be established and funded at least five years before you apply for Medicaid. Failing to meet this timeline could result in penalties or delays in receiving benefits.

For this reason, it’s essential to start planning early. Working with an experienced estate planning attorney will help you navigate the complexities of Medicaid rules and ensure the trust is set up correctly.

Benefits Beyond Medicaid Eligibility

While the primary benefit of a MAPT is protecting your assets from long-term care costs, it also offers additional advantages.

  • Estate Tax Protection: Although the federal estate tax exemption is currently set at $13.61 million, this figure could drop significantly in the future if Congress does not act to maintain it. Assets held in a MAPT are not considered part of your taxable estate, which means you could avoid paying estate taxes, preserving more of your wealth for your beneficiaries. This is especially important for families with sizable estates who want to reduce their tax burden.
  • Control Over Asset Distribution: MAPTs also allow you to exercise control over how and when your beneficiaries receive their inheritance. You can set specific terms, such as distributing a set amount to a child or grandchild over time or upon reaching certain milestones, like completing college or starting a business. This level of customization provides peace of mind, knowing that your assets will be used according to your wishes, even after you’re gone.
  • Protection Against Creditors: Assets placed in a MAPT are protected from creditors, which is particularly valuable if one of your beneficiaries experiences financial difficulties. This ensures that your legacy isn’t depleted by lawsuits or bankruptcy, offering additional security to your family.

Why You Need an Experienced Attorney

Setting up a Medicaid Asset Protection Trust is a complex process that involves careful planning and knowledge of both federal and state laws. It’s crucial to work with an experienced estate planning attorney who understands the nuances of Medicaid rules, the Medicaid look-back period, and how to structure the trust properly. A misstep in the creation of the trust could render it ineffective, leaving your assets unprotected.

At The Barber Law Office, we guide our clients through every step of the process, ensuring they understand the benefits and how to maximize them for their unique situation.

Plan Now for Peace of Mind Tomorrow

Don’t wait until it’s too late to start planning for your future. A Medicaid Asset Protection Trust can provide you and your family with peace of mind, knowing that your assets are protected and will be passed on to the people you care about most.

Contact The Barber Law Office today to schedule a consultation with one of our experienced attorneys. We’ll help you determine if a MAPT is right for you and guide you through the process of securing your financial legacy for the future.

Planning today means protecting your tomorrow. Let us help you secure the peace of mind you deserve.

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