Core Insights - The article discusses the financial challenges faced by retirees, particularly in light of unexpected health issues, using the example of a couple, Dave and Susan, who planned for retirement but are now facing increased costs due to Susan's MS diagnosis [1][2][3]. Financial Planning and Challenges - Many retirees are living longer, with some expecting to live to 85 or beyond, but not all will maintain good health during their later years [1]. - The couple has a significant retirement savings of $2 million in 401(k)s, aiming to withdraw $6,700 monthly at a 4% rate, but unforeseen medical expenses threaten their financial stability [1][3]. - The average cost of long-term care is $9,277 per month, which could deplete their savings in 18 years, highlighting the financial strain of caregiving [3]. Options for Financial Support - The couple can explore long-term disability (LTD) and life insurance benefits through Susan's employer, which could provide immediate financial relief [5]. - Susan may qualify for Social Security Disability Insurance (SSDI) due to her inability to work, which could improve their financial situation despite potential reductions in LTD coverage [6]. - Dave, as the primary caregiver, may also be eligible for Social Security Family benefits, providing additional financial support [6].

Core Insights - Long-term care is essential for aging individuals, but it can be financially burdensome, with costs expected to rise significantly in the coming years [4] - Medicaid provides assistance for long-term care costs but has strict eligibility requirements that can complicate access for many individuals [5][6] Group 1: Long-Term Care Costs - The median annual cost of a semi-private nursing home room was over $93,000 in 2021 and is projected to reach approximately $135,000 by 2033 [4] - Nursing home costs average over $90,000 per year, indicating a growing financial challenge for many families [1] Group 2: Medicaid Eligibility and Limitations - Medicaid eligibility is limited to individuals with low income and restricted assets, with some states allowing no more than $2,000 in countable resources [5] - Medicaid has a five-year lookback rule, disqualifying applicants who transfer assets to meet financial limits within five years prior to applying [6] Group 3: Asset Protection Strategies - Various strategies, such as annuities, home equity exemptions, and trusts, can help individuals with assets exceeding Medicaid's limits to protect their resources [8] - An irrevocable Medicaid asset protection trust can potentially shield a $1 million IRA from Medicaid, provided the assets are transferred into the trust at least five years before needing Medicaid [9]