08/11/2026
If your spouse needs nursing-home care, you do not necessarily have to spend everything before Medicaid can help.
This is one of the biggest fears we hear from married couples, and Medicaid does not treat a married couple the same way it treats a single person.
There are rules that may allow the spouse at home to keep certain property and a portion of the couple’s savings. And when a family does need to spend down, that does not necessarily mean handing all of that money to the nursing home. There may be permitted ways to spend money that still benefit the spouse or family.
But this is very fact-specific. What you own, whose name it is in, and any transfers or gifts that have already happened can all change the answer.
Before you start paying the nursing home everything, find out which Medicaid rules actually apply to your family.
Informational only and not legal advice.