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May 13, 2025 43 mins

Estate planning expert Dale Krauss unpacks the complex world of Medicaid planning, offering clarity on key distinctions between Medicare and Medicaid. He dives deep into the strategic use of annuities, the power of early planning for long-term care, and the role of trusts in protecting assets. Drawing from his own experience developing the Medicaid-compliant annuity, Dale also sheds light on effective crisis planning for families navigating late-stage decisions.

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Takeaways

  • Dale Krauss invented the Medicaid compliant annuity to help clients save money on nursing home costs.
  • Medicaid planning is crucial for families facing long-term care needs.
  • Understanding the difference between Medicare and Medicaid is essential for effective planning.
  • Annuities can provide a stream of income while protecting assets for Medicaid eligibility.
  • Crisis planning can save families significant amounts of money in nursing home costs.
  • Pre-planning with trusts can protect assets from being depleted by long-term care costs.
  • The Deficit Reduction Act changed the rules around gifting assets for Medicaid eligibility.
  • Medicaid compliant annuities have no cash value and are designed for income, not growth.
  • Long-term care insurance can be a valuable tool for avoiding nursing home placement.
  • Families often regret not engaging in Medicaid planning sooner.

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