Helping Seniors & Families
Plan For Their Future
Feasterville, PA
Doylestown, PA

Medicaid Planning and Long-Term Care: An Overview

With Americans living longer than ever before, planning for the high cost of long-term care is critical to preserving a family’s hard-earned savings. Most seniors will likely require some form of long-term care, but many of them are unprepared for the significant financial burdens it places on their family.

elderlywomanwritingMedicaid is a health and long-term care coverage program that is jointly financed by states and the federal government. Each state establishes and administers its own Medicaid program and determines the type, amount, duration, and scope of services covered within broad federal guidelines. Federal law also requires states to cover certain mandatory eligibility groups, including qualified parents, children, and pregnant women with low income, as well as older adults and people with disabilities with low income.  States must cover certain mandatory benefits and may choose to provide other optional benefits.

State Medicaid programs must recover certain Medicaid benefits paid on behalf of a Medicaid enrollee. For individuals age 55 or older, states are required to seek recovery of payments from the individual’s estate for nursing facility services and home and community-based services. The Medicaid program allows for the coverage of Long Term Care Services through several vehicles and over a continuum of settings. This includes Institutional Care and Home and Community Based Long Term Services and Supports.

Medicaid is the single largest payer of nursing home bills in America; however, it is wrought with complex, often-changing rules for eligibility. Gummer Elder Law can help you navigate the myriad of regulations involving look-back periods, income caps, transfer penalties and waiting periods to consider when planning.

We have an office in Lower Bucks County at 1260 Bustleton Pike, Feasterville, PA 19053 (across from the Buck Hotel). Phone : 215-396-1001

Our Central Bucks office is located at 220 Farm Lane, Suite 201
, Doylestown, PA 18901 
Phone: 215-345-5858

Contact us for more information, or email us at