Long-term care costs can add up quickly, leaving many families wondering how they will afford the care they need. Medi-Cal offers assistance, but qualifying isn’t always straightforward. Many people assume they must spend down their savings before applying, but that’s not always the case. With the right planning, you can protect your assets while securing the benefits that help cover nursing home or in-home care. Whether you’re planning for yourself or helping a loved one, taking steps now can make a difference. At Horizon Elder Law & Estate Planning, Inc., we will help you explore your options and put a strategy in place for peace of mind.

Who Needs Medi-Cal Planning?

Medi-Cal is California’s Medicaid program, providing healthcare benefits to those who meet specific income requirements. It covers long-term care, including nursing homes and in-home support, making it a vital resource for many seniors and individuals with disabilities. While Medi-Cal no longer considers assets when determining eligibility, income limits still apply, and planning ahead can help you qualify without unnecessary financial strain. If your income is above the limit, options like share-of-cost programs or income trusts may help. Whether you need immediate assistance or are preparing for the future, we will help you explore the best strategies to secure your care.

Medi-Cal Eligibility 

As of 2024, Medi-Cal no longer considers assets when determining eligibility. This means that your bank accounts, home, or savings will not affect your ability to qualify. However, income limits still apply. Medi-Cal reviews your monthly income to determine whether you meet the program’s requirements. If your income is above the limit, you may still qualify through a share-of-cost program, where you contribute a portion of your income toward medical expenses.

For married applicants, only the income of the applicant is counted, while the spouse’s income remains separate. We will help you understand how these rules apply to your situation and explore strategies that keep you eligible while securing long-term care.

How to Plan for Medi-Cal While Managing Your Income

Even though Medi-Cal no longer counts assets, income still plays a role in eligibility. If your income is too high, planning ahead can help you reduce costs while ensuring you receive the care you need.

Ways to Manage Income for Medi-Cal Eligibility:

  • Miller Trusts (Qualified Income Trusts): If your income exceeds Medi-Cal’s limit, you may be able to place excess funds into a trust that pays for care expenses.
  • Share-of-Cost Programs: If you have a higher income, Medi-Cal may still cover care after you contribute a set amount each month toward medical expenses.
  • Long-Term Care Insurance: If you have an income above Medi-Cal’s limits, private insurance may help cover costs without requiring income adjustments.

Since Medi-Cal rules can be complex, we will help you find the best approach based on your financial situation.

Why Work with an Attorney for Medi-Cal Planning?

Medi-Cal’s eligibility rules are complex, and small mistakes can lead to costly delays or denied benefits. Without proper planning, you may be forced to spend more of your assets than necessary. At Horizon Elder Law & Estate Planning, Inc., we help clients understand their options and take the right steps to qualify while preserving their financial security. From managing income limits to exploring share-of-cost options, an attorney can provide guidance tailored to your situation under Medi-Cal’s eligibility rules. Whether you’re planning in advance or need immediate assistance, professional legal support can make a significant difference in protecting your assets and securing care.

Contact an Experienced Contra Costa County Medi-Cal Attorney

Medi-Cal planning can help you secure long-term care without sacrificing everything you’ve worked for. The sooner you start, the more options you’ll have. Contact Horizon Elder Law & Estate Planning, Inc. today to discuss your situation. We will help you create a plan that protects your assets and ensures peace of mind.