

Long-Term Care & Medicaid Planning in Orange County, NY
Plan Ahead for Care, Not Just Investments.
Long-term care can impact your health, your family, and your finances. At Cammareri Wealth Management Group, we help families in Orange County, NY and beyond understand how potential long-term care needs and Medicaid rules fit into their broader retirement and estate plans—so they can prepare thoughtfully instead of reacting in a crisis.
Long-Term Care & Medicaid Planning, Made Clear
Know Your Options Before You Need Them
Long-term care is one of the biggest unknowns in retirement planning. Will you need care? For how long? How will you pay for it without derailing your spouse’s lifestyle or your legacy goals? And where does Medicaid fit in—or not fit in—for your situation?
Our role is to bring communication, consolidation, customized strategies, comprehensive planning, and long-term commitment to these questions. We help you understand the landscape of long-term care costs, insurance options, and Medicaid considerations, then coordinate these decisions with the rest of your financial life.


Four Key Dimensions of Long-Term Care & Medicaid Planning
Planning for long-term care isn’t just about buying a policy—it’s about understanding how different choices affect your income, assets, and family. We focus on four key dimensions:
Clarifying Your Care Preferences and Family Dynamics
We start with a straightforward conversation: where would you prefer to receive care (at home, assisted living, nursing home), what role do you want family members to play, and what concerns do you have about burden or independence? This communication-first step guides every financial decision that follows.
Understanding the Cost of Care and How It’s Paid For
Next, we look at what care can cost in our region and the primary ways people pay for it: income, savings, long-term care insurance, hybrid policies, and Medicaid. We walk through how each approach works in plain language so you understand the tradeoffs—not just the buzzwords.
Coordinating Medicaid and Asset Protection Strategies
Medicaid rules are complex and vary by state, and they’re often misunderstood. While we don’t provide legal advice, we help you understand the general role Medicaid can play, how asset and income rules may affect you, and when it may be time to involve an elder law or Medicaid planning attorney. Our focus is comprehensive coordination—connecting your financial plan with the legal guidance you may need.
Exploring Long-Term Care Insurance and Alternative Strategies
For some clients, traditional or hybrid long-term care insurance can play a valuable role; for others, it may make more sense to self-insure or use a combination of strategies. We review any existing coverage, evaluate new options if appropriate, and design a customized approach that fits your budget, health, and overall plan.
Key Areas We Help You Think Through
Protecting a Spouse While Funding Care
One of the biggest concerns we hear is, “If one of us needs care, what happens to the other?” We help you explore strategies aimed at protecting a healthy spouse’s lifestyle—coordinating income sources, investment choices, and potential insurance or Medicaid planning so one person’s care needs don’t unintentionally jeopardize the other’s security.
Timing Long-Term Care Decisions
Waiting until a health crisis can limit your options. We help you think through when to start serious long-term care and Medicaid planning conversations, how decisions change as you move from your 50s to 60s and beyond, and what steps make sense now versus later. The goal is to act early enough to keep choices on your side.
Integrating Long-Term Care with Retirement Income
Long-term care planning doesn’t sit off to the side—it directly affects your retirement income strategy. We connect potential care costs with your withdrawal plan, Social Security timing, pension decisions, and annuities (if applicable), so your retirement income can support both everyday living and the possibility of future care.
Coordinating With Estate and Legacy Goals
Planning for care is also planning for what you hope to leave behind. We help you understand how different long-term care strategies may affect your estate, potential inheritances, and charitable goals. When appropriate, we coordinate with your estate planning attorney and tax professional so your care plan and legacy plan work together—not against each other.
Supporting Families Through Tough Decisions
Long-term care and Medicaid conversations can be emotional and complex. We’re here not only for the numbers, but also for the family dynamics: helping you explain your plan to adult children, clarify expectations, and reduce future confusion or conflict. Communication and commitment are central to how we support you through these decisions.


