We are available to meet with clients in Shelbyville & Urbana-Champaign, IL by appointment.

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Medicaid and Community Spouse Planning

In this Elder Law Minute, Paige Fox explains key Medicaid planning differences between single applicants and community spouses in Illinois.

Introduction

Hi, my name is Paige Fox. I’m a senior associate attorney here at Dent Coulson Elder Law and I understand these topics are very complex. So, I’m hoping these Elder Law minutes can bring some insight and some more understanding to both potential clients and current clients. Thank you.

Medicaid Planning Overview

Today we are here to discuss Medicaid planning, specifically the differences between a single applicant and a community spouse applicant.

Asset Limits for a Single Medicaid Applicant

So, in Illinois, the individual limit for assets if somebody needs to apply for Medicaid for long-term care is $17,500. That means total the individual has to have $17,500 to their name only.

Asset Limits for a Community Spouse

In the instance where a community spouse is involved, i.e., the applicant is in a facility and in need of Medicaid, but the community spouse is still living at home in the community. the asset limit increases for the community spouse to $135,648.

That was as of 2025. 2026, we are unsure of what the numbers will be, but it’s potential that it goes up to maybe over $160,000. To be determined, but as of right now for 2025, the community spouse limit is $135,648.

What Assets Are Allowed

That means the community spouse can have those assets including a house up to a value of over $600,000 and then the applicant can again have the $17,500 to their name.

Asset Preservation Options

While those are the only assets that are allowed at the time of the application, there are again ways that you can preserve assets and do other asset preservation techniques in order to set aside additional money and assets for the community spouse.

Closing

If you or a loved one is needing long-term care or Medicaid planning in the near future, feel free to contact Dank Coulson Elderlaw and we are happy to assist.

We Are Here to Help

Dent Coulson Elder Law is here to help you with nursing home and other living situation contract reviews. Call us today.

If you have any questions, give us a call at Dent Coulson Elder Law. Thank you.
“Your Trusted Advisor on the Elder Care Journey”

Dent Coulson Elder Law is dedicated to providing families in the St. Louis area with their Elder Law needs. Our practice areas include Asset Preservation Planning, Veterans Benefits, Medicaid Eligibility, Alzheimer’s Planning, Special Needs Planning, Estate Planning and more. We understand the financial challenges you may face as you and your loved ones grow older.

Learn More about legal guardianship from the American Bar Association

Also looking for information about Medicaid and Asset Preservation? Visit these articles:

    • Do Living Trusts Protect Assets From Medicaid or VA Spend Down?
    • How an Asset Preservation Trust Protects Your Life Savings From Long-Term Care Costs
    • Why Do I Need an Asset Preservation Plan?

“Your Trusted Advisor on the Elder Care Journey”

Dent-Coulson Elder Law is dedicated to providing families in the St. Louis area with their Elder Law needs. Our practice areas include Asset Preservation Planning, Veterans Benefits, Medicaid Eligibility, Alzheimer’s Planning, Special Needs Planning, Estate Planning and more. We understand the financial challenges you may face as you and your loved ones grow older. At Dent-Coulson Elder Law, our clients’ well-being is our number one priority. For immediate help, call (618) 632-7000 (IL) or (314) 567-9292 (MO), or Contact Us and we will get in touch as soon as possible.

Veterans Benefits O'Fallon ILFor Immediate Help

If you or a loved one needs immediate help with a planning matter or legal issue, please call us today:

774 Sunset Blvd Suite 200
O'Fallon, IL 62269
IL: (618) 632-7000
MO: (314) 567-9292

1901 South Fourth Street,
Suite 211, Effingham, IL 62401
(217) 330-5500

Fax: (618) 632-7333

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Monday - Thursday
8:30 am - 12:00 pm
1:00 pm - 4:00 pm
Friday
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We are available to meet with clients in Shelbyville & Urbana-Champaign, IL by appointment.

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Free WorkshopsIf you have reached age 65, there's about a 45% chance that you will eventually need long-term care.

Our attorneys are available to speak to professional and social groups on a variety of elder law and estate planning topics without charge.

To book a speaker, please call our offices and ask for Karie Wines.

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