Why Is Asset Protection Important to Long-Term Care?

As Americans live longer, the need for comprehensive long-term care planning has never been greater. Federal projections indicate that most adults who reach age 65 will need some form of long-term services and supports during their lifetimes, and many will require paid care for more than a brief period. Without a proper asset protection plan, the costs of care can quickly consume a lifetime of savings.

For most families, the question is not if long-term care will be needed, but how to pay for it without losing everything they have worked for. Thoughtful planning helps align care needs, family goals, and financial realities before a crisis hits.

The Hidden Cost of Long-Term Care

Medicare only covers a limited period of skilled nursing care and only under specific conditions, such as after a qualifying hospital stay. After that, ongoing long-term care is typically paid out-of-pocket, through private long-term care insurance (when available), or through programs such as ABD Medicaid (Aged, Blind, or Disabled Medicaid).

Without planning, privately paying families can see $100,000 or more in annual nursing home costs, quickly eroding retirement savings and other assets. And because private long-term care insurance has become increasingly expensive and difficult to obtain, many Americans now turn to Medicaid planning as their most realistic safeguard.

That is where The Legacy Elder Law Center steps in—helping families protect their assets and secure the care they deserve through additional coordinated asset protection strategies.

Why asset protection matters

Long-term care can be delivered at home, in assisted living, or in a nursing home, and each option can be expensive. The more extended the care is needed, the greater the risk that savings will be depleted. Asset protection is about organizing your legal and financial affairs so you can access care without losing everything.

With the right strategies, families can protect a spouse, provide for children, and still qualify for essential benefits like Medicaid and, for eligible veterans, VA Aid and Attendance. 

The true cost of long-term care

Nursing home and assisted living care often costs tens of thousands of dollars per year, and in many areas the cost can easily exceed six figures. Families who pay privately for long-term care can see their savings decline quickly over just a few years.

Medicare is not designed to cover long-term custodial care. It may pay for a limited period of skilled nursing facility care after a qualifying hospital stay. Still, it does not pay indefinitely for assistance with daily activities such as bathing, dressing, and eating. When that coverage ends, families must rely on personal funds, any existing long-term care insurance, or qualify for Medicaid.

How Medicaid fits into long-term care planning

Medicaid has become one of the primary payers of long-term care in the United States. Many people who receive nursing home care or home and community-based services depend on Medicaid to help cover the cost.

However, Medicaid has strict income and asset rules. Without planning, people may have to spend down a large portion of their savings before qualifying. With proactive asset protection strategies—such as Medicaid-focused trusts, intentional gifting, and carefully structured ownership—you can often protect significant assets while remaining eligible for Medicaid when needed.

For veterans and surviving spouses, VA Aid and Attendance can help supplement income and offset care expenses. Integrating this benefit into a broader plan allows families to stretch their resources further and reduce the need to spend down assets.

Building on the Fundamentals: core estate planning tools

At The Legacy Elder Law Center, every asset protection and long-term care plan begins with strong foundational documents, often referred to as the “Fundamentals.” These tools ensure that trusted people—not courts—are in charge of financial and healthcare decisions if someone becomes unable to act on their own.

The Fundamentals typically include:

• Pour-over will(s)
• Revocable living trust
• Advance medical directive(s)
• Durable financial power(s) of attorney
• Deed and retitling strategies for Virginia real estate

Together, these documents help families avoid guardianship or conservatorship, streamline administration, and keep control where it belongs: within the family rather than the court system.

Avoiding probate and protecting privacy

A properly designed and funded revocable living trust can help families avoid or significantly reduce the need for probate, the court-supervised process of settling an estate. Probate can be time-consuming, public, and expensive, often adding stress at an already difficult time.

By using trusts and coordinated beneficiary designations, assets can pass more efficiently and privately to the next generation. This not only saves money and time; it also keeps sensitive financial information out of the public record, which many families view as a key element of protecting their legacy.

Protecting the home from long-term care costs

For most families, the home is both a significant financial asset and a place filled with memories. Long-term care planning can be structured to maximize the likelihood of preserving the home from forced sale to pay for nursing home care, in compliance with state and federal rules.

Home protection strategies often include specially designed trusts that hold the primary residence while allowing the owner to continue living there. With proper planning, the home can pass smoothly to children or other heirs outside probate and with added protection against certain creditors and long-term care claims.

Protecting more than the home: retirement and investment assets

Many people have retirement accounts, investments, or business interests that are also at risk if they face extended long-term care needs. More advanced asset protection planning focuses on shielding these assets while preserving flexibility and income during retirement.

For families who include a loved one with a disability or chronic condition, planning must also address eligibility for public benefits such as Supplemental Security Income (SSI) and Medicaid. A supplemental needs trust (special needs trust) can hold an inheritance or settlement for a person with special needs without jeopardizing eligibility for critical benefits, helping to support long-term quality of life. To learn more, visit:

Planning for everyone: multi-generational protection

Some families want to go beyond protecting themselves and their spouse and instead create a strategy that benefits children, grandchildren, and future generations. Trust-based planning can protect inheritances from potential divorces, lawsuits, creditor claims, and issues such as addiction while still providing beneficiaries with thoughtful access to education, housing, and other support.

For loved ones with special needs, carefully drafted supplemental needs trusts ensure an inheritance enhances quality of life without disrupting essential government benefits. This type of planning turns a traditional estate plan into a long-term framework for stability and protection across generations.

Why asset protection and long-term care planning belong together

Without asset protection, the costs of long-term care can rapidly erode a family’s financial security. Without long-term care planning, families may face last-minute decisions with fewer options and greater stress. Integrated planning allows families to:

• Preserve assets for a spouse, children, and future generations
• Access quality long-term care through Medicaid and, when available, VA benefits
• Avoid unnecessary court intervention and probate delays
• Maintain independence and dignity even as care needs increase

The Legacy Elder Law Center combines elder law, estate planning, special needs planning, and care-focused strategies to build comprehensive, personalized asset protection plans. The goal is not just to protect money, but to protect people and the choices that matter most.

Frequently asked questions about asset protection and long-term care

Q: What is asset protection for long-term care?
Asset protection for long-term care is the use of legal and financial planning tools to prevent unnecessary loss of savings, home equity, and other assets when paying for nursing home or in-home care. Strategies may include trusts, deed planning, carefully structured gifting, Medicaid planning, and coordination with VA benefits for eligible veterans.

Q: When should I start planning for long-term care?
Planning is most effective when done before care is urgently needed, because more options are available and rules about transfers and look-back periods can be navigated thoughtfully. Even if someone already needs care, crisis planning can still preserve a meaningful portion of assets with the right guidance.

Q: Does Medicare pay for long-term nursing home care?
Medicare may cover a limited period of skilled nursing facility care for people who meet specific conditions, including a qualifying hospital stay, but it does not cover ongoing custodial long-term care. After that limited coverage ends, families must pay privately, rely on long-term care insurance, or qualify for Medicaid.

Q: Can I protect my home if I need nursing home care?
In many cases, yes. With proper planning using trusts, deeds, and other strategies, it is often possible to protect a primary residence while still positioning yourself to qualify for Medicaid in the future. The details depend on timing, state rules, and family circumstances, so individualized legal advice is essential.

Q: How does Medicaid help with long-term care costs?
Medicaid can cover nursing home care and, in many states, home and community-based services for people who meet strict financial and medical criteria. Asset protection planning helps structure income and resources in a way that complies with Medicaid rules while preserving as much as possible for the family.

Q: What is VA Aid and Attendance, and how does it fit into planning?
VA Aid and Attendance is an additional benefit for eligible wartime veterans and surviving spouses who need help with activities of daily living or are housebound. It can increase the monthly pension to help pay for care and can be coordinated with other planning tools to stretch resources and support long-term care needs. Your family can learn more here:

Q: How can I protect a child or loved one with special needs?
A supplemental needs trust can hold an inheritance or settlement for a person with disabilities without disqualifying them from critical public benefits such as SSI and Medicaid. This type of trust can be tailored to pay for therapies, education, travel, and other supports that improve quality of life, while preserving eligibility for vital programs. For details, see:

Q: How can The Legacy Elder Law Center help my family?
The Legacy Elder Law Center focuses on elder law, estate planning, special needs planning, and asset protection. The team designs customized strategies to protect assets, secure long-term care, and support multi-generational goals so that families can confront aging and disability with greater confidence and peace of mind.

Take the next step to protect your family

If you are concerned about how long-term care could affect your savings, your home, or your loved ones, now is the time to plan. Thoughtful asset protection and long-term care planning can give you options, reduce stress in a crisis, and help you stay in control of your future.

To explore your options and create a plan tailored to your goals, contact The Legacy Elder Law Center today.