Medicaid & Long Term Care:

A simplified View

Click here for a PDF that shows the 2020 numbers

Married Couple

Spouse at home keeps

  • House 
  • Furnishings
  • One Car
  • Half of joint assets – up to $128,640 for 2020
  • Up to $3,216 in monthly income in 2020

Spouse in nursing home: Uses remaining available assets and income to pay long term care bills

Runs out of money: Medicaid starts paying long term care expenses

Single Person

Protected Assets

  • House (for 6 months)
  • One Car
  • Personal belongings
  • $1500 cash value in life insurance
  • Burial plot
  • A few others

Uses savings, investments, insurance & income to pay their own long term care bills

Runs out of money: Medicaid starts paying long term care expenses

After being in nursing home for 6 months, person sells protected assets: House and Car

Pays long term care bills with cash from sale of assets.

Runs out of money: Medicaid starts paying long term care expenses

This is a very simplified view of Medicaid concerning a Long Term Care spend down.  Consult with a professional for complete information!