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The Center For Elder Law Is Under New Management

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Center for Elder Law & Estate Planning

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How nursing home costs threaten a couple’s savings

On Behalf of Center for Elder Law & Estate Planning | Sep 30, 2026 | MassHealth

Nursing home care carries a steep price tag, and many families fear that one spouse’s care needs will deplete the resources the other spouse relies on. This concern is widespread, and it often keeps people awake at night, wondering how they will manage. Fortunately, state and federal regulations provide meaningful protections for the spouse who remains at home.

How nursing home costs threaten a couple’s savings

When one spouse requires nursing home care, MassHealth typically covers the expense. However, MassHealth only extends coverage to individuals with limited assets, so couples frequently confront a difficult question: must the healthy spouse also exhaust their own savings? Without proper planning, the answer can seem alarming. Fortunately, federal law anticipates this dilemma and incorporates specific safeguards to address it.

How Massachusetts rules protect the healthy spouse

Massachusetts adheres to federal spousal impoverishment protections, which allow the healthy spouse, commonly referred to as the community spouse, to retain a portion of the couple’s combined assets. This retained amount is known as the Community Spouse Resource Allowance. 

Consequently, the healthy spouse isn’t required to relinquish everything simply to help their partner qualify for MassHealth. Additionally, the healthy spouse can generally retain the family home, a vehicle and a defined amount of income. These protections exist because lawmakers recognize that one spouse’s illness shouldn’t compromise both partners’ financial stability and long-term security.

How to move forward with confidence

Every couple’s circumstances differ, and the applicable rules involve intricate calculations and strict deadlines. For this reason, understanding your options early, well before a health crisis forces hasty decisions, proves invaluable. 

Many couples find it beneficial to review their financial situation with someone knowledgeable about MassHealth’s asset regulations. This kind of guidance can provide genuine reassurance during an already difficult period, and it often distinguishes between feeling overwhelmed and feeling prepared. Investing a little time now to explore your options can safeguard what you and your spouse have built together over the years.

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