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Home » Guardianship » Hidden Medicaid Traps for the Elderly

Hidden Medicaid Traps for the Elderly

September 27, 2013 by Larry Parman, Estate Planning Attorney, Author, Speaker

A fellow elder law attorney shared the following story with me.

Henry was 75, healthy and retired.  He had $600,000 in a revocable living trust for himself, his children and grandchildren.  His wife Betsy had passed away and when he met Lydia he never imagined romance might bloom again.  It did and Henry and Lydia, who had no assets of her own, were married.

Henry hadn’t counted on the effect the Medicaid rules would have on his funds when Lydia was unexpectedly diagnosed with Alzheimer’s disease.  He contacted Medicaid to begin the application process for Lydia and discovered that he would have to “spend down” his trust from $600,000 to about $113,000 before Lydia would receive any government benefits.  He was devastated.

Henry wanted to live simply and save his money for his children.  He asked his attorney if there was anything he could do and was shocked to learn the brutal truth—to protect part of his financial legacy, he had to divorce Lydia!

Divorce would solve one of Henry’s problems in that his assets, at least the portion the divorce court let him keep, would not be “available” to Lydia so she should quickly qualify for Medicaid.  But Henry loves Lydia and hates the idea of divorce.  Nothing will destroy his spiritual bond with her or prevent him from purchasing things for her that Medicaid won’t provide, but it’s still not the same.

The emotional pain of being forced to choose between divorce and impoverishment is a cruel plight that takes the joy out of life for many elders. Single elders involved in a committed relationship and considering marriage should carefully weigh the financial impact that long term care might have on their finances.  Whether married or single, now is the time to schedule an appointment with us to learn what can be done to protect your estate.  Call Vikki at 405-843-6100 today to schedule your complimentary consultation!

Jerry Shiles
Author, Attorney
Parman & Easterday

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Larry Parman, Estate Planning Attorney, Author, Speaker
Larry Parman, Estate Planning Attorney, Author, Speaker
Founder and Owner at Parman & Easterday
Larry Parman's dad died at 56 in a farm accident with no estate plan. His family spent two years fighting the IRS and nearly three years in probate. That experience became Larry's life work.

Since founding Parman & Easterday in 1985, Larry has led over 1,000 free, community-service education programs and helped more than 10,000 Oklahoma families go from putting off their estate plan to getting it done. His goal for every client is the same: to become the person their family calls "the one who took care of everything."

Larry is the author of three books: The Straight Shooter's Guide to Estate Planning; Estate Planning Basics; and Guiding Those Left Behind in Oklahoma. He served as Oklahoma's Secretary of State and Secretary of Commerce, and his firm is the only member of the American Academy of Estate Planning Attorneys in the state.
Larry Parman, Estate Planning Attorney, Author, Speaker
Latest posts by Larry Parman, Estate Planning Attorney, Author, Speaker (see all)
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  • Choosing the Right Successor Trustee: Key Considerations - October 8, 2026

Filed Under: Guardianship, Nursing Homes Tagged With: Pet Planning, Postmortem Planning, Probate

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