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
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.