EPISODE · Jul 25, 2026 · 13 MIN
The $300,000 Nursing Home Trap (And How to Avoid It)
from Income Over Wealth · host Dan Wilson
Most families learn how nursing home costs work too late, usually in a hospital hallway. This episode breaks down the two parts of the trap: the Medicare coverage gap and Medicaid estate recovery. It also covers what the healthy spouse gets to keep and why one popular move, gifting the house to the kids, usually backfires.What Medicare actually covers in a nursing home, the 100-day cliff, and why it pays nothing for daily custodial careHow Medicaid spend-down and estate recovery can put a lien on your "exempt" home after death, and what the healthy spouse keepsWhy gifting the house away usually backfires, and the trust and five-year timing that actually protect itTake the free Retirement Income Roadmap (7 questions, about 30 seconds): incomeoverwealth.com/mapWatch this episode on YouTube: https://www.youtube.com/watch?v=KINAVcLhNEoThis episode is educational and focused on strategy and math. Always consult a qualified tax or financial professional before making personal financial decisions.
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What this episode covers
A long nursing home stay can top $300,000, Medicare covers almost none of it, and here's how to protect your house and your spouse
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The $300,000 Nursing Home Trap (And How to Avoid It)
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