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Should You Shop the Fee? Financial Planning Tools to Keep the Family Liquid During Medicaid Planning

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Episode Summary

When families face the cost of long-term care, the first instinct is often to shop around for the lowest fee. In this episode, Antony Turbeville explains why Medicaid planning should be based on value—not just price. He shares real examples of how the wrong strategy can leave families paying more in taxes, losing access to liquid funds, or even committing tax evasion without realizing it. Antony also breaks down tools like personal services contracts, promissory notes, and intra-family real estate transactions, showing how they can protect assets while keeping families financially stable.

What You Will Learn in This Episode

  • Why focusing only on cost can cost families more in the long run

  • The difference between pre-planning and crisis planning for Medicaid

  • How personal services contracts work—and their tax consequences

  • Safer alternatives like promissory notes and intra-family real estate transfers

  • Why timing and execution are critical to protecting assets

  • The importance of choosing an experienced Medicaid professional

  • How planning goes beyond asset protection to care decisions

    • Key Timestamps

    • 00:01:30 – Should families shop for the lowest fee?

    • 00:04:45 – Why value matters more than cost in Medicaid planning

    • 00:06:30 – The risks of personal services contracts and hidden tax burdens

    • 00:10:15 – When to use PSCs—and why they should be a last resort

    • 00:11:45 – Alternatives: promissory notes and intra-family real estate transfers

    • 00:14:30 – Why Florida allows unique Medicaid planning strategies

    • 00:16:00 – How families can assess options and avoid costly mistakes

    • 00:18:00 – The bigger picture: asset protection and care decisions

      • About the Show

      Medicaid Mastery is a podcast dedicated to simplifying long-term care Medicaid planning for Florida residents. Featuring Antony Turbeville, the show provides clear, actionable guidance on navigating Medicaid rules, protecting assets, and ensuring financial security for aging parents. Through expert insights, the podcast empowers listeners to make informed decisions and avoid costly mistakes in long-term care planning.

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      The Legal Podcast NetworkBy dennis2q