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Home » Adoption » Medicaid Planning & Early Dementia Signs

Medicaid Planning & Early Dementia Signs

April 7, 2014 by Larry Parman, Estate Planning Attorney, Author, Speaker

There is a lot to think about if you want to be comprehensively prepared for the eventualities of aging.

People routinely think of retirement planning as an exercise in financing activities like golf, travel, and dining out. However, there is another stage of life to think about. After these active retirement years are over, you may go through a period of incapacitation.

Living assistance may be required. This can add a layer of expenses that you may not think about at first when you are contemplating retirement.

There are various different causes of incapacitation. Some people become unable to communicate at all because of severe illnesses. Others become unable to handle their own affairs because of dementia.

Alzheimer’s Disease

Alzheimer’s disease is a huge threat. Everyone has heard of this disease, but it can be surprising when you hear how common it has become. Around 13 percent of all seniors suffer from this disease, and over 40 percent of those who are 85 years of age and older are Alzheimer’s sufferers.

Alzheimer’s causes dementia. Many people with Alzheimer’s induced dementia ultimately reside in nursing homes.

Long-Term Care Expenses

Nursing homes and long-term care communities are extremely expensive. Medicare will not pay for long-term care, but Medicaid will assist if you can qualify.

Medicaid Planning

Because Medicaid is a need-based program, your assets are evaluated by the program. You cannot qualify until and unless your resources are within certain prescribed parameters.

You probably have a retirement nest egg that would preclude you from eligibility. If you paid for long-term care out-of-pocket at first, you could spend everything that you have paying for your care. You could then become eligible for Medicaid.

Another option would be to plan ahead in advance with Medicaid eligibility in mind. If you act early, you may be able to divest yourself of assets in your own way before you spend everything paying for long-term care.

Early Signs of Dementia

If you were to experience early dementia signs, or recognize them in a loved one, you may want to explore your options with regard to Medicaid planning. Early action is required because of the five year look-back.

You are penalized, and your eligibility is delayed, if you give away assets within five years of applying for Medicaid.

Because of the above, if you were to recognize early warning signs you may want to start planning ahead so that you are prepared to qualify for Medicaid if and when you need long-term care.

Look For Symptoms

The Alzheimer’s Association is a good source of information about this disease. You may want to visit their website to educate yourself.

There is a section of the site that is devoted to signs and symptoms. To visit this portion of the website, click this link: Alzheimer’s Disease Warning Signs.

Blaine Peterson
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)
  • Choosing the Right Successor Trustee: Key Considerations - October 8, 2026
  • Aging in Place: A Medicaid Waiver Can Fill the Gap - October 6, 2026
  • Does Every Estate Go Through Probate? - September 29, 2026

Filed Under: Adoption, Durable Power of Attorney, Nursing Homes Tagged With: elder care, Postmortem Planning

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