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            Mary called because her mom was in a nursing home paying $11,000 per month. Her sister, Terry, disabled and living with Mom for many years, had her own health problems and was now living in a group home.             I asked about her mom’s finances. Mary told me she owned

            IRAs, or any retirement accounts really, have always been a problem when it comes to long term care.  They are a great vehicle for accumulating wealth.  You can put away savings in an account which will earn interest on a tax deferred basis.  No income tax is paid on

            Last week I was telling you about George’s problem.  He had transferred his home to a trust to protect it but then received a letter from the bank referring to something called the due on transfer clause.             A transfer of title without permission could trigger the bank’s entitlement to

            Jamie called because her dad was in need of Medicaid.  He was now in a nursing home and Mom was living at home.  They had about $120,000 of countable assets.  I asked about the home and Jamie told me her parents had transferred it to her 7 years earlier.            

                George called me because his wife, Mary wasn’t doing well.  She has dementia and he is facing the prospect of needing long term care for her, possibly in a nursing home, although he would like to do everything possible to keep her at home.                 As the conversation always does,

                Last week I was telling you about the call I received from Lou.  His dad had been living in senior housing but now needs nursing home care.  Dad has $80,000 left in assets which he plans to spend down and then apply for Medicaid.                 When I asked Lou about

                The other day, Lou called me about his dad, who had been living in senior housing for a few years.   His health has deteriorated and he now needs nursing home care.  Lou’s plan is to spend down the $80,000 his dad has left, applying it towards the nursing home