Episode Summary:
In this episode of The Estate Blueprint, elder law attorney Thomas Begley III discusses how families can plan for long-term care without depleting their life savings. From understanding the differences between skilled and custodial care, to breaking down Medicaid eligibility, to navigating the five-year lookback period, Tom shares essential legal strategies that help protect family assets and provide quality care. Whether facing a sudden medical crisis or preparing years in advance, this episode is a must-listen for anyone with aging parents or concerned about future healthcare costs.

00:00 – Introduction to The Estate Blueprint and long-term care planning
00:39 – Why most Americans will need long-term care and how few have coverage
01:06 – How changes in Medicaid law could impact future planning
01:36 – Why most insurance policies do NOT cover long-term care
02:32 – The rising cost and limited reach of long-term care insurance
03:07 – Skilled care vs. custodial care: what’s covered and what isn’t
04:18 – Understanding Medicare’s limitations and co-pay myths
04:48 – Why early planning is essential for preserving family assets
05:22 – What Medicaid does and doesn’t cover in nursing homes or at home
06:07 – Assisted living vs. skilled nursing: eligibility and limitations
07:14 – How Medicaid “slots” work—and what happens when they’re full
08:05 – Why private pay may be required before Medicaid acceptance
09:06 – Can families protect assets before Medicaid kicks in?
09:56 – The dangers of “street law” and bad legal advice
10:34 – Understanding countable vs. non-countable assets
11:28 – Special protections for married couples and community spouses
12:33 – Why home title transfers and spousal wills are key to protection
13:14 – What is the Medicaid “look-back period” and why it matters
13:58 – Examples of exempt transfers during the lookback period
15:01 – Real-life story: A costly mistake due to early application
16:28 – Why waiting five full years after a gift is critical
17:53 – How check deposit and deed recording dates affect eligibility
19:06 – Hidden risks in delayed Medicaid planning
20:19 – Why it’s not always “too late” to protect some assets
21:07 – Distinguishing between stroke cases and dementia care
22:04 – Timing strategies for Alzheimer’s and dementia diagnoses
23:00 – The ethical balance between saving money and ensuring dignity
About the Show:

The Estate Blueprint with Thomas Begley III is a trusted legal podcast dedicated to helping families navigate estate planning, long-term care, elder law, and asset protection. Each episode offers compassionate guidance and expert strategies to secure your legacy and protect your loved ones.

Learn more or schedule a consultation: Begley3Law.com