This Trust Can Protect Your Assets From Long-Term Care Costs
A Medicaid asset protection trust can help ensure your protected assets go to your beneficiaries rather than your long-term care, but it has to be set up properly.
Are you concerned about the rising cost of long-term care? Are you worried about not being able to leave your spouse or kids the assets that you've worked so hard to save?
If so, then I'm going to share a solution to help you better plan for this big risk in retirement.
As we all know, long-term care costs are one of the biggest risks in retirement. Three of my four grandparents have needed long-term care, and the experience has been hard — not only emotionally but also financially.
From just $107.88 $24.99 for Kiplinger Personal Finance
Become a smarter, better informed investor. Subscribe from just $107.88 $24.99, plus get up to 4 Special Issues
Sign up for Kiplinger’s Free Newsletters
Profit and prosper with the best of expert advice on investing, taxes, retirement, personal finance and more - straight to your e-mail.
Profit and prosper with the best of expert advice - straight to your e-mail.
The cost of long-term care can be anywhere from $50,000 to $100,000 a year, depending on your location and the type of care. The average stay can be anywhere from two to five years, so that length affects the overall financial impact.
Knowing that 70% of people will need long-term care at some point in their retirement means that it is especially important for you to plan for.
The only problem is — how do we plan for such costs, especially when long-term care insurance is so expensive? Add to that the fact that we have to be insurable to be able to get it.
About Adviser Intel
The author of this article is a participant in Kiplinger's Adviser Intel program, a curated network of trusted financial professionals who share expert insights on wealth building and preservation. Contributors, including fiduciary financial planners, wealth managers, CEOs and attorneys, provide actionable advice about retirement planning, estate planning, tax strategies and more. Experts are invited to contribute and do not pay to be included, so you can trust their advice is honest and valuable.
So, instead, let's talk about another option that may be attractive to some people.
The opportunity is called a Medicaid asset protection trust. The idea of this is to move money out of your estate into this type of trust so that the government cannot come after it for Medicaid planning purposes.
Let's take a step back to understand how Medicaid planning works. The government will offer you free long-term care assistance after you spend down the majority of your assets.
The good news is that you get the care you need. The bad news? You lose what you have worked so hard for.
So how do we ensure we get the care we need but also protect what we've worked hard for? That's where this trust comes into play.
This trust has to be set up the right way
First, we must set this trust up the right way and give it enough time to satisfy the look-back period. Then Medicaid will not consider those assets when deciding if you are eligible for Medicaid.
This can be of a lot of value for those with larger amounts of non-qualified assets, such as multiple properties or non-retirement investments.
The thing to note with this trust is that you will want to make sure it is an irrevocable trust. Now, that can be scary because an irrevocable trust typically means you have no access to those assets anymore. But if you set this trust up the right way, you can still have access to those assets.
It's important to work with an estate planning attorney who specializes in this area.
You also want to make sure that you're not getting sold this trust if you do not need it, because not everyone needs it. If you don't have any non-qualified assets, and all of your assets are in an IRA, then it may not make sense for you.
Current rules state that money in an IRA will not be spent down until after both spouses have passed. Keep in mind that these rules can change at any time, and that's why it's important to find an attorney you can continue to work with to make changes to these trusts as needed.
Looking for expert tips to grow and preserve your wealth? Sign up for Adviser Intel, our free, twice-weekly newsletter.
Make sure the attorney you work with meets with you periodically to make any adjustments required based on rule changes as they happen. We believe preparing for this now will better set you up for success if there are rule changes in the future.
Setting one up can be costly
The other downside of this type of trust is cost. Depending on who you work with to get it done, the cost can be anywhere from $7,000 to $12,000.
You'll likely get the best results when you work with a financial planner who partners with an estate planning attorney to ensure your trust gets done the right way, that you don't get sold something you don't need and that you get the best pricing.
Other planning advantages and opportunities
With trusts, you can also be more creative about ensuring the money goes to the people you want it to go to and when you want it to go to them.
For example, if you wanted your kids to get only a certain amount each year for the rest of their lives, then you could have that set up. Or, if you wanted a minor child to not get the money until the age of 25, then you could do that also.
You could also ensure that if there was a divorce or one of your family members died, the money would stay in the family.
Those can all be reasons why setting up a Medicaid asset protection trust can make sense.
We work with many people in or near retirement who have been diligent savers, but only some of them implement this kind of trust.
That's why it's important to do your due diligence and see if this makes sense for your specific situation. When the right situation presents itself, it can be a wise strategy.
Related content
- Should You Relocate to a New State for Retirement? The Ultimate Checklist for Those With a Pension and $1 Million-Plus
- 5 Estate Planning Things You Need to Do Now, From a Financial Planner
- Who Needs a Trust and Who Doesn't? A Financial Planner Explains
- Are You a 'Midwestern Millionaire'? Four Retirement Strategies
- Here's What Being in the 2% Club Means for Your Retirement
Profit and prosper with the best of Kiplinger's advice on investing, taxes, retirement, personal finance and much more. Delivered daily. Enter your email in the box and click Sign Me Up.

Joe F. Schmitz Jr., CFP®, ChFC®, CKA®, is the founder and CEO of Peak Retirement Planning, Inc., which was named the No. 1 fastest-growing private company in Columbus, Ohio, by Inc. 5000 in 2025. His firm focuses on serving those in the 2% Club by providing the 5 Pillars of Pension Planning. Known as a thought leader in the industry, he is featured in TV news segments and has written three bestselling books: I Hate Taxes (request a free copy), Midwestern Millionaire (request a free copy) and The 2% Club (request a free copy).
Investment Advisory Services and Insurance Services are offered through Peak Retirement Planning, Inc., a Securities and Exchange Commission registered investment adviser able to conduct advisory services where it is registered, exempt or excluded from registration.