Paying for Nursing Home Care: Financial Planning Guide for Texas Families

ElderCare Sift — ElderCare Sift is a free Texas nursing home directory using public CMS data. Not medical advice.

Frequently Asked Questions

How do families pay for nursing home care in Texas?

The main payment sources are Medicaid (for those who qualify), Medicare (short-term only), private savings, long-term care insurance, and veterans benefits. Most families use a combination. See our Financial Planning Guide.

When should I start financial planning for nursing home care?

Start planning as early as possible, ideally before a health crisis. Key steps include understanding Medicaid eligibility (income and asset limits), exploring long-term care insurance, consulting an elder law attorney, and organizing financial documents. Waiting until a crisis limits your options.

Can I protect my assets if my spouse needs nursing home care in Texas?

Texas follows federal Medicaid spousal impoverishment protections. The community spouse can retain a portion of assets (approximately $137,400 in 2024) and income. A Medicaid-qualified elder law attorney can help with lawful asset protection strategies. Do not transfer assets without professional advice, as it may trigger penalty periods.

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