Back to Legacy Liftoff

Podcast Episode

010: Florida Nursing Home Costs and Medicaid Eligibility

Legacy Liftoff··28 August 2026·31 min

About this episode

Most families don’t realize how fast nursing home costs can drain a lifetime of savings until a crisis hits. We walk through what Florida Medicaid really covers, why Medicare and private health insurance fall short for long-term care, and how the five-year lookback period actually works, including the real penalty for past gifts and transfers. Stephen explains the three-part Medicaid eligibility test, the difference between exempt and non-exempt assets, and how tools like personal service contracts, rental property, irrevocable trusts, and qualified income (Miller) trusts can protect a spouse and the family home. We also talk about the dangers of informal “I’ll just gift it to my kids” plans, why timing matters so much, and why it’s almost never too late to improve the outcome if there are still assets left. Listeners learn what to gather, who to call, and the kind of planning that can bring real relief.In this episode, you will hear:Rising nursing home costs in Florida and how quickly savings can disappearWhat Medicare actually pays for vs what Medicaid can cover for long-term careFlorida Medicaid eligibility basics income limits, asset limits, and exempt vs non-exempt assetsThe five-year Medicaid lookback period how gifts and transfers trigger penaltiesLegal tools to protect assets personal service contracts, rental property, spouse refusalUsing irrevocable trusts to protect the Florida homestead and reduce tax consequencesTiming and “crisis” Medicaid planning what families should gather and do next week Resources from this Episodehttps://llr.law/practice-areas/medicaid-planning/ Follow and Review:We’d love for you to follow us if you haven’t yet. Click that purple '+' in the top right corner of your Apple Podcasts app. We’d love it even more if you could drop a review or 5-star rating over on Apple Podcasts. Simply select “Ratings and Reviews” and “Write a Review” then a quick line with your favorite part of the episode. It only takes a second and it helps spread the word about the podcast.Episode CreditsIf you like this podcast and are thinking of creating your own, consider talking to my producer, Emerald City Productions. They helped me grow and produce the podcast you are listening to right now. Find out more at https://emeraldcitypro.com. Let them know we sent you.