Long-term care funding is a topic most people want to avoid until it’s too late. The costs of assisted living, nursing homes, or in-home care can wipe out years of savings. While financial planners offer traditional solutions, some clients look for alternative tactics that might raise an eyebrow—or spark outright disapproval. These strategies can be risky, controversial, or simply less than ideal, but they’re out there. Understanding the pros and cons of these long-term care funding options can help you make informed choices, even if your planner cringes at the mention of them.
This article explores ten such tactics. Some are creative, some are contentious, and most come with trade-offs. If you’re thinking outside the box for long-term care funding, here’s what your planner might not tell you—or might wish you didn’t ask.
1. Gifting Assets to Qualify for Medicaid
One controversial long-term care funding tactic is gifting assets to family members or friends to meet Medicaid’s strict income and asset limits. In theory, this allows you to spend down your wealth and qualify for government assistance. However, Medicaid has a five-year “look-back” period. If you transfer assets and apply for Medicaid within that window, penalties can delay your benefits. Planners dislike this approach because it’s risky, potentially illegal if done with the intent to defraud, and can leave you without resources if the plan fails.
2. Relying on Family for Care
Some people assume their children or relatives will provide free or low-cost care when the time comes. While this may save money, it can create emotional and financial stress for caregivers. Planners often discourage this tactic because it puts a heavy burden on loved ones and can lead to family conflict. It’s also unpredictable—family members may not be available or able to provide the level of care you need.
3. Reverse Mortgages
A reverse mortgage lets homeowners age 62 and older tap into their home equity for cash, often to fund long-term care expenses. While it can provide quick access to funds, it reduces the value of your estate and may leave less for heirs. Fees and interest can add up quickly. Financial planners sometimes dislike this option because it’s complex and can backfire if you need to move out of your home for care, triggering repayment.
4. Cashing Out Life Insurance Policies
Some people fund long-term care by cashing out, surrendering, or taking loans against their life insurance policies. While this provides immediate funds, it can reduce the death benefit or cause the policy to lapse. Planners worry about the tax implications and the loss of financial security for your beneficiaries. This tactic can be a last resort rather than a smart strategy.
5. Relying on Veterans’ Benefits
Veterans may qualify for long-term care funding through programs like Aid and Attendance. While these benefits can help, eligibility rules are strict and application processes are slow. Planners dislike relying solely on this approach because benefits may not cover all costs, and delays can leave you without care when you need it most. It’s wise to have a backup plan.
6. Using Credit Cards or Personal Loans
Some turn to high-interest credit cards or personal loans when faced with sudden long-term care costs. While it’s a quick fix, this tactic can lead to unmanageable debt and financial ruin. Planners almost always advise against using consumer debt for long-term care funding, as interest charges can quickly spiral out of control. Better options usually exist, even if they’re less convenient.
7. Renting Out Your Home
Renting your primary residence to pay for care can generate income, but it’s far from foolproof. You’ll need to manage tenants, maintain the property, and deal with possible vacancies. Planners often raise concerns about the unpredictability of rental income and the headaches that come with being a landlord, especially if you’re also managing declining health.
8. Crowdfunding Care Expenses
Online fundraising platforms like GoFundMe are increasingly used to solicit help for long-term care funding. While some campaigns succeed, most fall short of their goals. Planners typically warn that crowdfunding is unreliable and can expose your private situation to the public. There’s also no guarantee of success, making it a risky main strategy.
9. Selling Valuables or Collectibles
Some individuals turn to selling jewelry, antiques, or collectibles to raise cash for care. While this can provide immediate funds, items may not fetch their appraised value in a quick sale. Planners dislike this tactic because it’s unpredictable—markets for collectibles can be volatile, and selling under pressure rarely leads to the best price.
10. Ignoring the Problem Altogether
Perhaps the worst long-term care funding tactic is doing nothing and hoping for the best. Without a plan, you risk burning through savings, burdening your family, or ending up with inadequate care. Planners stress the importance of facing the issue early and exploring all your options, even if the conversation is uncomfortable.
Taking Charge of Your Long-Term Care Funding
Long-term care funding is one of the most important financial challenges you’ll face. While these ten tactics might make your planner nervous, they highlight the need for creative thinking and proactive planning. Some strategies can work in the right circumstances, but most come with significant risks or downsides. The best approach is to have an honest conversation with a trusted advisor about your needs and goals.
How are you planning for long-term care funding? What strategies have you considered, and what advice would you share? Let us know in the comments below!
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