Insight

Is It Time for You to Have the Long-Term Care Planning Talk With Your Parents?

How should you talk to your parents about long-term care options? Estate planning can make for a difficult conversation, but wills and trusts are necessary documents for anyone growing older.

Estate Planning for Parents Guide
Anthony J. Enea

Anthony J. Enea

June 13, 2019 11:20 AM

I recently consulted with a 92-year-old who had never executed a last will and testament or any other form of estate or long-term care planning. I asked her why she waited so long to see an attorney and she said, “I’ve been very busy the last 91 years.”

While it is true that life often seems to pass by at lightning speed, I still believe that in 91 or so years she could have (and should have!) found an hour or so to consult with an attorney. When I looked across the table at the client’s daughter, she shrugged and said that she had been asking her to do it for at least 20 years.

For many, approaching a parent about whether or not they have done estate and or long-term planning can be an uncomfortable and intimidating task. As a practicing attorney for almost 35 years, I know full well that some parents never discuss their personal finances and planning with their children. It is something they feel is no one’s business. However, I also know that this can often be quite unfortunate for both the parents and the children.

The lack of knowledge about the parent’s finances often becomes problematic especially if a parent is taken ill, rendered incapacitated, or unexpectedly passes away. Under said circumstances, the family is often hampered in its ability to gather the necessary financial information and documents to apply for Medicaid, or take the necessary steps to protect one’s assets from the cost of long-term care. Additionally, when the parent passes away, children are often left scampering to try and piece together information relevant to the decedent’s finances for the requisite estate and tax filings.

Clearly, if a child is unsure as to whether the parent has done any planning, it is best for the child to raise the issue with the parent. The child can directly ask the parent whether or not he or she has done any long-term care planning and, if not, recommend that they consult with an experienced elder law attorney. However, if this approach is not effective, the children may need to resort to a more creative approach.

Conversation Tactics and Strategies

Taking steps to educate one’s parent or parents about the advantages of engaging in long term care planning can be challenging. Here are some strategies to begin the conversation:

Provide them with articles about the cost of long-term care (whether nursing home or home care), the use of a Medicaid Asset Protection Trust (MAPT) to protect assets from said cost, and Medicaid eligibility requirements. It is not unusual for a parent to be poorly informed about the devastating impact that long-term care costs can have on his or her finances if they are unable to become eligible for Medicaid. Articles are available on our website at www.esslawfirm.com.

Inquire with your family and friends about the issues they have faced when a parent and/or grandparent has taken ill or been diagnosed with dementia. This is especially relevant if they have a family member that needs home care or nursing home care. Share these stories with your parent. There is nothing better than real life stories by a member of one’s family or friends to motivate a parent into taking action.

Offer to pay for the parent's initial consultation with the elder law attorney. I have found that in some instances children who are willing to finance the cost of the consultation, and in some cases even pay for the planning can help a parent who is reluctant to spend for a plan is of significant assistance in helping the parent to act. This would, of course, require the consent of the parent.

If the parent still resists any attempt to engage in long term care planning, such as creating and funding a Medicaid trust, gifting of assets, or purchasing long term care insurance (if insurance is an available option), a step that could prove to be very helpful in the event of the parents incapacity is to have the parent execute a durable general power of attorney with broad provisions that allow the agent to engage in Medicaid and long-term care planning for the parents.

Whether a client is 65 or 90 years of age, taking requisite steps to protect their life savings from the cost of long-term care is better than not taking any steps to do so. It is always better to be late than to have never planned at all when it comes to long-term care and estate planning.

Anthony J. Enea, Esq. is the managing member of Enea, Scanlan & Sirignano, LLP with offices in White Plains and Somers, NY. Mr. Enea is chair of the New York State Bar Association’s Senior Lawyers Section. He was named Best Lawyers’ 2019 Trusts and Estates “Lawyer of the Year” in White Plains and Westchester County’s Leading Elder Care Attorney at the Above the Bar Award.

Headline Image: iStock/stock_colors

Related Articles

Most Americans Lack a Power of Attorney for Assets


by George M. Riter

Only 25 percent of American households have estate planning documents in place. A Power of Attorney for Assets will secure your financial affairs should you be unable to do so yourself.

Power of Attorney for Assets Documents

The Benefits of Charitable Giving in New York Estate Planning


by Best Lawyers

In this article, Best Lawyers breaks down the advantages and disadvantages of factoring in charitable donations when estate planning in New York state.

Animated hand giving a gift with a bow on top

The New PPE


by Jennifer Stavros

How to plan your pandemic preparedness estate—all from the safety of home.

Planning Your Digital Estate Plan

Pandemics and Planning: Lessons Learned


by Anthony J. Enea

It's important to be prepared for life-threatening emergencies, such as the COVID-19 pandemic. Here are six basic estate planning documents and advanced directives that everyone should have in order to deal with any potential health crisis.

Estate Planning for COVID-19

Protecting Your Legacy With Estate Planning


by Tripp Wiles

You're careful with your finances; do you still need asset protection?

Protecting Your Legacy With Estate Planning

Trending Articles

Introducing the 2026 Best Lawyers Awards in Australia, Japan, New Zealand and Singapore


by Jennifer Verta

This year’s awards reflect the strength of the Best Lawyers network and its role in elevating legal talent worldwide.

2026 Best Lawyers Awards in Australia, Japan, New Zealand and Singapore

Revealing the 2026 Best Lawyers Awards in Germany, France, Switzerland and Austria


by Jamilla Tabbara

These honors underscore the reach of the Best Lawyers network and its focus on top legal talent.

map of Germany, France, Switzerland and Austria

Effective Communication: A Conversation with Jefferson Fisher


by Jamilla Tabbara

The power of effective communication beyond the law.

 Image of Jefferson Fisher and Phillip Greer engaged in a conversation about effective communication

The 2025 Legal Outlook Survey Results Are In


by Jennifer Verta

Discover what Best Lawyers honorees see ahead for the legal industry.

Person standing at a crossroads with multiple intersecting paths and a signpost.

The Best Lawyers Network: Global Recognition with Long-term Value


by Jamilla Tabbara

Learn how Best Lawyers' peer-review process helps recognized lawyers attract more clients and referral opportunities.

Lawyers networking

Jefferson Fisher: The Secrets to Influential Legal Marketing


by Jennifer Verta

How lawyers can apply Jefferson Fisher’s communication and marketing strategies to build trust, attract clients and grow their practice.

Portrait of Jefferson Fisher a legal marketing expert

Is Your Law Firm’s Website Driving Clients Away?


by Jamilla Tabbara

Identify key website issues that may be affecting client engagement and retention.

Phone displaying 'This site cannot be reached' message

A Guide to Workers' Compensation Law for 2025 and Beyond


by Bryan Driscoll

A woman with a laptop screen reflected in her glasses

Best Lawyers Launches CMO Advisory Board


by Jamilla Tabbara

Strategic counsel from legal marketing’s most experienced voices.

Group photo of Best Lawyers CMO Advisory Board members

Common Law Firm Landing Page Problems to Address


by Jamilla Tabbara

Identify key issues on law firm landing pages to improve client engagement and conversion.

Laptop showing law firm landing page analytics

Changes in California Employment Law for 2025


by Laurie Villanueva

What employers need to know to ensure compliance in the coming year and beyond

A pair of hands holding a checklist featuring a generic profile picture and the state of California

New Employment Law Recognizes Extraordinary Stress Is Everyday Reality for NY Lawyers


by Bryan Driscoll

A stressed woman has her head resting on her hands above a laptop

Turn Visitors into Clients with Law Firm Website SEO That Converts


by Jamilla Tabbara

Learn how to create high-converting law firm landing pages that drive client engagement and lead generation.

Laptop screen displaying website tools to improve client conversion rates

SEO for Law Firms: Overcoming Common Challenges


by Jamilla Tabbara

Tackle common SEO challenges and take the next step with our guide, How to Make Your Law Firm Easier to Find Online.

Graphic image of a phone displaying SEO rankings, with positions 1, 2 and 3 on the screen

Best Lawyers Introduces Smithy AI


by Jamilla Tabbara

Transforming legal content creation for attorneys and firms.

Start using Smithy AI, a content tool by Best Lawyers

6 Steps to Finding the Right Keywords for Your Legal Content


by Jamilla Tabbara

Follow a practical guide to keyword research and boost your law firm’s SEO to reach more potential clients.

 letters symbolizing keywords for legal content