Medicaid planning: Ensuring Access to Care While Protecting Your Assets

Medicaid Planning Isn’t Just About Rules. It’s About Timing, Care, and What You Leave Behind.

Medicaid is a lifeline for many. Especially for seniors who need long-term care and don’t want to lose everything they’ve worked for just to get it. The catch? Qualifying isn’t simple. It’s not just paperwork. It’s strategy. And without a plan, it’s easy to end up spending more than you need to.

At Fletcher Estate Planning, we work with families who want to make smart choices now — not wait until they’re already in crisis.

What Medicaid Covers (and Why It Matters)

In Georgia, Medicaid can help pay for a nursing home, in-home care, or personal assistance services. It’s meant to fill the gaps when health insurance stops. But the state looks at both income and assets before saying yes. If your numbers are too high, you don’t qualify. And if you apply the wrong way, you may get denied or delayed.

That’s where planning comes in.

Why Families Plan for Medicaid Before They Need It

Care is expensive. A year in a nursing facility can easily cost more than most people make. Many families try to pay out of pocket until the money runs out. The better option? Figure out what Medicaid will cover and how to protect what you’ve already saved.

Rules are strict. The state won’t just look at what’s in your bank account. It looks at gifts, transfers, and past transactions going back five years. One wrong move, even years ago, can affect your eligibility now.

You can protect your assets — if you plan early. There are legal ways to shift or protect what you own. But the tools only work if you use them at the right time. Too early, and you tie up funds you still need. Too late, and you risk penalties.

It’s not just about money. It’s also about access. If you need care but don’t qualify yet, you could end up waiting. Or stuck paying privately. Good planning keeps your options open.

What Medicaid Planning Might Include

  • Understanding eligibility in Georgia. Income limits. Asset caps. What counts, what doesn’t, and how to calculate it all correctly.
  • Using trusts to protect assets. Irrevocable trusts, when done right, can keep assets safe while helping you qualify. But they’re not simple. They come with rules, and timing is everything.
  • Smart spending. Medicaid allows certain expenses that can bring your asset level down in a legal way — medical bills, home updates, and some prepaid services. Random spending doesn’t help. Structured spending does.
  • Avoiding look-back period mistakes. Giving your house to your child or transferring money to a relative too close to your application date can cause issues. A mistake here can delay benefits for months or longer.
  • Keeping your documents in order. Powers of attorney. Health care directives. These aren’t optional. They make the whole plan work if you ever can’t speak for yourself.

It’s Not Just One Meeting

Medicaid planning isn’t something you do once and never touch again. Things change. Laws shift. Your health changes. The rules in Georgia don’t stay frozen either. That’s why reviewing the plan every so often matters. What worked five years ago may not work today.

Final Thoughts

Medicaid can give you access to care without draining your savings — but only if the plan behind it is solid. The sooner you start thinking about it, the more options you’ll have. And the fewer surprises your family will face down the road.

At Fletcher Estate Planning, we walk people through this process every day. If you’re thinking about long-term care, or just want to be ready for what might come, we’re here to help you sort through it all.

Call us to schedule a consultation. You don’t have to figure it out alone.

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