The Hive Law

Long-Term Care Planning in Georgia

A legal strategy for protecting your assets and care decisions before a health crisis forces a spend-down.

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How Georgia Families Plan for the Cost of Long-Term Care Without Losing Everything

The average Georgia nursing home stay costs over $300,000 — and most families have no plan in place when the need arrives suddenly. Long-term care planning combines legal tools, insurance options, and government benefit strategies so your family is not making financial decisions during a medical crisis. We map every option for your specific asset profile so you know what is protected and what is exposed.

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Here Is What Happens When You Need Long-Term Care Without a Plan

Most people will need some form of long-term care. The U.S. Department of Health and Human Services estimates that 70 percent of people turning 65 will need it at some point. The average nursing home in Georgia costs $7,500 to $9,000 per month. A year of care can cost more than most families saved in a decade.

What Medicare Covers and What It Does Not

Medicare pays for up to 100 days in a skilled nursing facility after a qualifying hospital stay. It does not pay for custodial care. Custodial care is help with bathing, dressing, eating, and moving around. That is what most people in a nursing home need. After Medicare’s 100 days run out, the bill is yours. Most families do not find this out until they are already paying it.

What Medicaid Covers in Georgia

Medicaid covers nursing home care in Georgia, but only after you spend your assets down to $2,000. Your home may be exempt while you are alive. After you die, Georgia’s Medicaid Estate Recovery Program files a claim against your estate to recover what Medicaid paid. You do not keep the house. The state collects it from your estate.

Medicaid does not cover assisted living in Georgia. If you need help with daily activities but not full nursing home care, you pay out of pocket. The gap between independent living and nursing home eligibility is entirely your expense. For many families, this is the most expensive and least expected part of long-term care.

What the Spend-Down Looks Like in Practice

A married couple has $350,000 in savings. One spouse enters a nursing home at $8,000 per month. In 2026, the Community Spouse Resource Allowance lets the healthy spouse keep up to $162,660. The rest must be spent before Medicaid helps. At $8,000 per month, that is about 23 months of private pay. Roughly $187,000 gone before Medicaid covers a single day.

The Five-Year Look-Back Rule

Medicaid reviews all asset transfers made in the five years before you apply. If you gave away property or put assets into a trust during that window, Medicaid will impose a penalty period. The penalty is calculated using Georgia’s monthly divisor of $10,965. A $100,000 transfer results in roughly nine months of ineligibility. The five-year rule means planning must happen before a health crisis, not after.

What Long-Term Care Planning Does Not Cover

  • Legal planning does not guarantee Medicaid approval eligibility is determined by DFCS based on medical and financial criteria
  • Assets transferred within the five-year look-back period are subject to penalty
  • Assisted living costs are not covered by Georgia Medicaid, regardless of legal planning
  • IRAs and 401(k)s require separate planning and cannot go directly into a MAPT

Who This Is For

Long-term care planning is for people who are still healthy. The five-year look-back period means you must act before a diagnosis forces your hand. If you are over 60 and own a home or have significant savings, the window to protect those assets is open now.

$7,500+ Average Monthly Nursing Home Cost in Georgia That's what one month of nursing home care can cost your family.
100 Days Medicare Covers Skilled Nursing Care After that, the bill becomes yours.
70% Of People 65+ Will Need Long-Term Care That's most people. Planning now means you are not caught off guard.

What a Long-Term Care Plan Includes, How It Works, and What It Protects

A long-term care plan from The Hive Law is a coordinated set of legal documents. The core is a Medicaid Asset Protection Trust. Around it are the documents that handle your care decisions and your finances if you cannot manage them yourself.

The Medicaid Asset Protection Trust

The MAPT removes your home and savings from the assets Medicaid counts. Once the five-year look-back period passes, those assets are protected from the spend-down. You keep the income they produce. Your children inherit what is inside the trust when you die. The trust is the difference between leaving an inheritance and leaving nothing.

The Advance Healthcare Directive

This document tells your doctors what care you want if you cannot speak for yourself. It names a healthcare agent who can make decisions on your behalf. Without it, your family may face legal barriers to getting basic information about your condition. Every long-term care plan includes one.

The Financial Power of Attorney

A durable financial power of attorney lets your agent manage bills, banking, and financial decisions if you become incapacitated. Without it, your family may need to go through a guardianship proceeding to act on your behalf. That process can take months and cost more than the documents would have.

How to Get Started

The process starts with a free strategy call. If it’s a fit, the next step is a Design Meeting. Melissa reviews your assets, your family situation, and your health picture. You leave with a specific plan, not a general overview. The Design Meeting fee is credited toward your total if you move forward.

Long-term care plans at The Hive Law start at:

Estimated value at other firms: $10,297
$6,500
One flat fee. No hourly billing. No surprise invoices.

The Documents

  • Medicaid Asset Protection Trust (MAPT)
  • Pour-Over Will
  • Quitclaim Deed
  • Financial Power of Attorney
  • Advance Healthcare Directive
  • HIPAA Authorization

The Implementation

  • Document Walk-Through Call
  • Trust Funding Session
  • Funding Checkup

The Included Services

  • Successor Trustee Orientation
  • Professional Coordination Call
  • Surviving Spouse Transition Call
  • Post-Signing Checklist

Every asset we place in your MAPT is structured to meet Georgia Medicaid eligibility requirements. If a drafting error affects your qualification, we correct it at no charge.
Your Design Meeting is credited toward this total. Everything is handled over the phone. Documents stored in a secure client portal. Most families complete the process in 2 to 3 weeks.

Most families complete the full process in two to three weeks. Everything is handled over the phone. Documents are stored in a secure client portal.

*The fact that you read this far tells us something about you. You take this seriously. So do we.*

Without a Plan

  • Nursing home costs $7,500+ per month with no coverage plan
  • Medicare stops paying after 100 days of skilled nursing
  • Assets spent down to $2,000 before Medicaid covers nursing home
  • Home subject to Georgia estate recovery after death
  • Family inherits what remains after years of private pay

With Long-Term Care Planning

  • Assets in the MAPT are not counted by Medicaid
  • Healthcare directive ensures your wishes are followed
  • No spend-down on assets protected before the look-back period
  • Home shielded from estate recovery
  • Family inherits what you protected

How It Works

1

A 15-Minute Call With Shawn

Tell us what is going on with your family. Shawn walks you through your options and what each one costs. Free.

2

The Design Meeting With Shawn and Melissa

In a 60-minute meeting, Shawn and Melissa review your assets, your family, and your goals together and confirm your price. This meeting is credited toward your plan if you move forward.

3

Review Every Document With Melissa

Before you sign, Melissa walks through every document with you in plain language. No legal jargon. No confusion about what you are signing.

4

Your Plan Is Complete

Melissa delivers your completed documents and explains exactly what your family needs to do. You leave knowing your plan is in place and your family is protected.

Melissa Breyer

Melissa Breyer

Georgia Estate Planning Attorney

Melissa Breyer is a Georgia estate planning attorney who works exclusively on trust-based estate planning and LLC formation. She personally designs and drafts every plan at The Hive Law after the initial call. Every plan is built from scratch for your specific family, your specific assets, and your specific wishes.

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Frequently Asked Questions

Insurance and legal planning solve different halves of the problem. Insurance pays the monthly bill, if you hold a policy and you qualify for benefits. A Medicaid Asset Protection Trust protects what insurance does not cover. Many families use both. Others, especially those who can no longer qualify for insurance because of age or health, rely on legal planning alone. We will review your situation in your Design Meeting and tell you which approach fits.

The MAPT is the core document in a long term care plan, but the plan is bigger than the document. A full plan adds the advance healthcare directive, the financial power of attorney, and a strategy for how those pieces work together. If your only concern is protecting assets from Medicaid, the MAPT page covers that document specifically. If your concern is the whole picture, care decisions and finances and asset protection together, this is the right page.

The answer depends on your situation. If you have not applied for Medicaid yet, there may still be planning options open to you. Some strategies work even after a health crisis has started, though the options narrow sharply once an application is filed. The best first step is a Design Meeting, where we can tell you what is still available to you.

Georgia lets the community spouse, the one who stays home, keep a share of the couple assets under the Community Spouse Resource Allowance. For 2026 that maximum is $162,660. Legal planning works to maximize what the community spouse keeps while still qualifying the other spouse for Medicaid. A MAPT funded before the look-back period closes can protect assets beyond what the allowance covers.

Retirement accounts cannot go into a MAPT directly, because the transfer is treated as a taxable distribution. Medicaid also treats them differently from your other assets. In Georgia, a retirement account already in payout status may be exempt from the countable asset rules. This is one reason the Design Meeting matters. The rules for retirement accounts are not the rules for savings and real estate, and the right move depends on your account types and balances.

Assets still held in the MAPT at your death pass to the beneficiaries named in the trust, on the terms you set. The protection a MAPT gives comes from giving up ownership permanently and from funding it more than 60 months before you apply, not from avoiding probate. Georgia defines the estate it can recover from broadly, so nobody should be told an asset is beyond the reach of the state simply because it sits in a trust.

Find Out Where You Stand

You’ve been meaning to do this for a while now. That’s normal. Most families wait until something happens, then wish they hadn’t.

A 15-minute call tells you exactly what you have, what’s missing, and what your family needs next. No paperwork, no obligation, just a straight answer.

  • No sales pitch. Just a straight answer about where you stand.
  • No confusing terms. We explain everything in plain English.
  • A real next step. You’ll know exactly what to do when we hang up.