Long-Term Care Planning in Ohio: Costs, Medicaid & the 5-Year Look-Back
A private room in an Ohio nursing home runs roughly $9,000-$11,000 a month, and most families do not learn that until they are already inside the crisis. Worse, Medicare does not cover it. This is the conversation Ohio families wish they had started five years before they needed it.
Andrew C. Goodwin, Esq., Principal Attorney at Rhodium Law, walks through long-term care planning for Ohio families: the real costs, the four ways families actually pay, the Medicaid five-year look-back that catches so many people off guard, and what a proactive plan looks like before a care event arrives.
This one is personal. Andrew served as the primary caregiver for his mother for more than five years, and he knows the difference between facing this with a plan underneath you and facing it without one.
What this video covers:
. What long-term care actually costs in Ohio: home care, assisted living, nursing home, and memory care
. Why Medicare does not pay for long-term custodial care, and the 100-day rule most families misunderstand
. The four ways an Ohio family pays: private pay, long-term care insurance, Medicaid, and veterans’ benefits
. The Medicaid five-year look-back (42 U.S.C. Section 1396p) and how transfers can trigger a penalty period
. Why “just put the house in the kids’ names” can backfire, including the capital gains problem it creates
. The five steps of a proactive plan, from an honest assessment to the family conversation
. Three misconceptions that cost Ohio families the most, including “we have too much for Medicaid to matter”
Long-term care planning is work you do in good health, before there is a threat on the horizon. By the time the care event arrives, most of the tools that would have protected your family are already off the table. The window is measured in years, not months.
WATCH NEXT
This video touches the Medicaid five-year look-back and the irrevocable Medicaid asset protection trust. For the full asset-protection picture for Ohio professionals and families, watch: Asset Protection for Ohio Professionals: The 5 Strategies That Actually Work:
https://www.youtube.com/watch?v=XoA1vyLaOgk.
CHAPTERS
0:00 The real cost of long-term care in Ohio
0:46 Why this one is personal for me
1:22 What long-term care actually costs in Ohio
2:55 Why Medicare does not cover long-term care
3:26 The four ways Ohio families pay
5:22 The Medicaid five-year look-back
6:22 Why “putting the house in the kids’ names” backfires
7:55 What a proactive plan looks like (five steps)
10:33 Three misconceptions Ohio families have
12:12 With a plan vs. without a plan
13:39 Subscribe and disclaimer
WORK WITH RHODIUM LAW
When you are ready to put your plan in place, visit rhodium.law/scheduling | Phone: 216-699-8145
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I publish a new Ohio estate planning video every Tuesday. Subscribe so your family is never the one learning this the hard way:
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DISCLAIMER: Andrew C. Goodwin is an attorney licensed in the State of Ohio, but watching this video does not make him your attorney and does not create an attorney-client relationship. This video is general information about Ohio estate planning and long-term care law, not legal advice, and should not be relied on for your specific situation. Medicaid eligibility, look-back analysis, and care planning are highly individualized, and the rules change over time. If you are ready to create or update a plan, please consult a licensed attorney who can review and discuss your specific circumstances.
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#LongTermCare #MedicaidPlanning #OhioEstatePlanning #ElderLaw #EstatePlanning
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