Elder Law


The high cost of long-term care has made planning critical for most middle class seniors and their families.  Depending on your location and level of service, nursing homes can cost between $35,000 to $150,000 per year.  Most people end up paying for nursing home care out of savings.  If savings run out, a person can qualify for Medicaid to pick up the cost.  But this means little if any assets may be left for a spouse, children or other loved ones. 

Careful planning using the Medicaid laws may help protect a person’s estate where traditional estate planning tools (such as Revocable Living Trusts, Wills and Durable Powers of Attorney) are not effective. 

In general, Medicaid provides medical assistance to low-income individuals, including those who are 65 and older.  Planning for Medicaid eligibility has become much more complex with relatively recent changes in federal law.  It is no longer as easy as reviewing a client’s assets.  There are a host of rules involving look-back periods for gifts, income caps, transfer penalties and waiting periods which must be considered and evaluated.

We can help you avoid the financial devastation of long term care and walk through the minefield of rules which make up Medicaid planning.

For more information on Medicaid planning, please contact us for a free initial consultation or ask for our brochure, “Understanding the Basics of Medicaid Planning." 


The Law Office of Richard C. Petrofsky assists clients with Estate and Gift Planning, Wills, Trusts, Charitable Planning, Special Needs Planning, Elder Law and Medicaid Planning, Estate and Family Planning for Same-Sex Couples and LGBT Individuals, Asset Protection Planning, Corporate and Business Planning and Tax Law and Planning in St. Louis, Missouri and surrounding areas.