
A Practical Guide to Medicaid Planning in Burns
Medicaid planning helps residents of Burns, Tennessee protect assets and qualify for long-term care benefits while complying with state and federal rules. Planning ahead gives families more control over housing, medical care, and legacy decisions. This page explains how Medicaid planning works, common strategies used for asset protection, and the timelines that matter when preparing for nursing home or in-home care costs. If you are considering Medicaid to cover long-term care expenses, understanding the options and consequences for your estate and beneficiaries can reduce uncertainty and improve decision-making for your family.
Medicaid rules are shaped by federal law and administered by Tennessee agencies, and small differences in timing or documentation can affect eligibility. Planning typically involves reviewing income, assets, property ownership, and potential transfer penalties that could delay benefits. Many families are surprised to learn which assets count toward eligibility and which approaches may preserve value for a spouse or heirs. This section is intended to provide clear, practical information to help Burns residents evaluate whether proactive Medicaid planning is appropriate for their circumstances and long-term care goals.
Why Medicaid Planning Matters for Burns Families
Effective Medicaid planning helps families manage the high cost of long-term care while preserving a portion of assets for a spouse or loved ones. For many Burns residents, planning can reduce the chance that a lifetime of savings will be consumed by nursing home bills. Thoughtful planning also clarifies who will make decisions about health care and finances if capacity becomes limited. By addressing Medicaid eligibility sooner rather than later, families can avoid rushed decisions during health crises, reduce stress, and maintain greater control over housing and inheritance outcomes.
About Jay Johnson Law Firm and Our Medicaid Planning Practice
Jay Johnson Law Firm serves Hendersonville and surrounding communities, including Burns, with focused estate planning and probate services. The firm assists clients in evaluating Medicaid eligibility, crafting asset protection strategies compatible with Tennessee law, and preparing the necessary documentation to apply for benefits when the time comes. Our approach emphasizes clear communication, practical solutions, and step-by-step guidance so families understand options and potential outcomes. Clients receive personal attention to ensure plans reflect their priorities for care, housing, and the distribution of assets to loved ones.
Understanding Medicaid Planning and How It Works
Medicaid planning requires familiarity with rules about countable assets, income limits, and transfer penalties that can delay eligibility. In Tennessee, as elsewhere, certain assets may be protected or excluded from Medicaid calculations, while transfers made within a look-back period can create penalty periods. Planning often examines strategies such as marital protections, appropriate trust arrangements, and orderly asset transfers. The objective is to align financial decisions with program rules so that a qualifying individual can access necessary long-term care benefits without unnecessarily sacrificing family financial goals.
A thoughtful planning process begins with a full inventory of assets and income and a review of household needs and goals. Considerations typically include Medicaid’s treatment of the home, vehicles, retirement accounts, and life insurance, as well as options to protect a spouse’s standard of living. Timing matters: actions taken too close to the need for care can trigger penalties, while earlier planning can preserve value. Working through scenarios helps families weigh trade-offs between preserving assets, ensuring care, and meeting eligibility requirements under Tennessee rules.
What Medicaid Planning Means in Practice
Medicaid planning is the process of arranging finances and legal documents so that an individual meets Medicaid eligibility requirements for long-term care when needed. It combines legal tools, financial analysis, and knowledge of program rules to reduce countable assets or otherwise protect family resources while remaining compliant. Common objectives include protecting the primary residence, securing income for a healthy spouse, and minimizing the time a person might be ineligible due to a transfer penalty. Clear documentation and accurate applications are essential to obtain benefits without unexpected delays or denials.
Key Elements and Common Steps in Medicaid Planning
A Medicaid planning process typically includes a comprehensive asset inventory, review of title and beneficiary designations, assessment of income, and analysis of potential transfers. The plan may recommend legal tools such as durable powers of attorney, health care directives, or certain trust arrangements that align with Tennessee’s rules. Preparing a timeline for care needs, documenting medical necessity if applicable, and compiling required supporting records are part of the application process. Throughout, communication with relatives and professional advisors helps reduce misunderstandings and coordinates steps to protect resources.
Key Terms and Glossary for Medicaid Planning
Understanding common terms can make Medicaid planning less intimidating. This glossary covers words you will frequently encounter when preparing for long-term care benefits, including terms related to eligibility, asset treatment, and procedural deadlines. Knowing what a look-back period means, how income is counted, and what constitutes a countable asset helps families evaluate options and follow the correct steps. Clear definitions reduce confusion and help clients discuss scenarios confidently during planning meetings and when filing applications.
Look-Back Period
The look-back period refers to a specified time before a Medicaid application during which certain asset transfers are reviewed to determine if a transfer penalty applies. In Tennessee, transfers made within the look-back timeframe can result in a period of ineligibility for long-term care benefits. Understanding the look-back period helps families see why timing matters and why early planning can avoid penalties that would otherwise delay access to Medicaid-funded care. Documentation of transfers and their purpose is important when assessing potential consequences.
Countable Assets
Countable assets are resources that Medicaid includes when determining financial eligibility for long-term care benefits. Common countable assets may include cash, investments, certain bank accounts, and non-exempt property. Some items are excluded or treated differently, such as certain retirement accounts, a primary residence under conditions, or pre-paid funeral plans. Properly identifying which assets are countable versus exempt allows families to consider legal and financial planning options that align with program rules and anticipated care needs.
Transfer Penalty
A transfer penalty occurs when assets are transferred for less than fair market value during the look-back period, which can result in a temporary period of Medicaid ineligibility. The penalty is calculated based on the total uncompensated transfers divided by a divisor related to long-term care costs, producing the number of months Medicaid will not pay. Awareness of transfer penalty rules helps families decide whether transfers are appropriate or whether alternatives can meet objectives while preserving eligibility for care in a timely manner.
Marital Protections
Marital protections refer to rules that prevent an institutionalized spouse from being left destitute when the other spouse needs Medicaid-funded long-term care. Tennessee law provides mechanisms to allow a community spouse to retain a portion of assets and income so household needs continue to be met. Proper planning can use these protections to preserve a standard of living for the spouse who remains at home while qualifying the other spouse for necessary care, balancing fairness and program compliance.
Comparing Limited and Comprehensive Medicaid Planning Options
When considering Medicaid planning, families may choose between a limited approach that addresses immediate eligibility concerns and a more comprehensive plan that integrates estate, tax, and long-term care goals. A limited approach may focus narrowly on documenting medical need and arranging temporary measures to qualify, while a comprehensive plan evaluates long-term consequences for the household, beneficiaries, and property. Comparing these options involves weighing urgency, cost, family dynamics, and the potential impact on legacy planning to select the path that best fits the client’s priorities.
When a Limited Medicaid Planning Approach May Be Appropriate:
Immediate Need for Benefits
A limited planning approach can be appropriate when an individual requires immediate long-term care and must qualify for Medicaid quickly to handle nursing home expenses. In these situations, the priority is to prepare a timely application, assemble medical documentation, and address straightforward eligibility barriers. Limited measures may protect a spouse’s monthly income and ensure the application is complete, reducing delays. While this route addresses short-term access to care, families should be aware of future implications and consider a follow-up review to address longer-range estate concerns.
Minimal Asset Complexity
When financial holdings are simple and there are few assets that would affect Medicaid calculations, a limited planning strategy may be sufficient. If a household has straightforward accounts, a primary residence with little equity, and no recent transfers, the main task may be documenting income and health needs. In such cases, focused documentation and an organized application can secure benefits efficiently without complex legal structures. Families still benefit from a review to confirm that no overlooked items could cause surprise disqualifications.
Why a Comprehensive Medicaid Plan May Be Preferable:
Protecting Spousal and Family Interests
A comprehensive Medicaid planning approach is often recommended when a household seeks to protect a spouse’s standard of living and preserve assets for heirs while meeting eligibility rules. This kind of planning examines how income rules affect the community spouse, evaluates the treatment of the home, and considers arrangements that can reduce the risk of unintended tax or probate consequences. By integrating estate planning documents, marital protections, and long-term care strategies, families can pursue both care needs and legacy goals with a coordinated plan tailored to their unique circumstances.
Addressing Complex Asset Situations
Complex financial situations—such as multiple properties, business interests, retirement accounts, or recent transfers—often call for a comprehensive review. Planning in those circumstances analyzes how each asset will be treated for Medicaid, what legal tools are effective under Tennessee law, and how timing affects eligibility. A broader plan can incorporate powers of attorney, health care directives, and trust arrangements to coordinate benefits and protect family resources. This holistic approach reduces the risk of unintended disqualification and supports orderly transition of assets over time.
Benefits of Taking a Comprehensive Medicaid Planning Approach
A comprehensive approach offers clarity and coordination across long-term care, estate, and financial planning. It helps families identify opportunities to protect a spouse’s income, preserve the home when possible, and minimize the likelihood of transfer penalties. Comprehensive planning also clarifies how retirement accounts and beneficiary designations interact with Medicaid rules. By aligning legal documents and financial arrangements with caregiving goals, families can make informed decisions that support quality of life and reduce the stress that often accompanies urgent care needs.
Taking a broad view allows for contingency planning in the event of future health changes and supports smoother administration of an estate if incapacity or death occurs. Families that plan comprehensively are better positioned to avoid rushed transfers or reactive moves that can create eligibility problems. With coordinated planning, the household can maintain financial stability, ensure caregiving preferences are documented, and preserve a portion of assets for heirs or charitable aims. The result is a balanced plan that respects both immediate care needs and long-term family priorities.
Preserving the Household and Income for a Spouse
One important benefit of comprehensive Medicaid planning is protection for the spouse who remains at home. Planning strategies can help ensure the community spouse retains sufficient income and assets to cover housing, utilities, and daily needs. This may include structuring income streams, using allowable resource protections, and clarifying which assets are exempt. Preserving the household standard of living reduces financial strain and supports better outcomes for both spouses during long-term care transitions, while maintaining compliance with eligibility rules.
Minimizing Disruption and Delays for Care
A second key benefit is reducing the risk of unforeseen delays or denials in Medicaid coverage that can disrupt care. Comprehensive planning ensures required documentation is prepared, possible transfer issues are identified and addressed, and applications are filed correctly. This proactive preparation minimizes interruptions in receiving necessary services and reduces administrative back-and-forth with state agencies. Families gain peace of mind knowing that eligibility considerations have been thoughtfully addressed and that care plans are less likely to be derailed by technicalities.

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Estate Planning and Probate Services
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Medicaid Planning Pro Tips for Burns Residents
Start Planning Early
Beginning Medicaid planning before a health crisis arises gives families the most options and reduces the chance of penalties or disqualifications. Early planning allows time to review asset titles, beneficiary designations, and income sources and to put appropriate documents like durable powers of attorney and health care directives in place. It also lets household members consider strategies that preserve resources for a spouse or heirs without risking eligibility problems. Proactive review creates breathing room for thoughtful decisions rather than rushed choices under pressure.
Keep Clear Records
Coordinate With Family
Discussing planning steps openly with immediate family members prevents surprises at critical moments and helps ensure that the person applying for benefits has access to needed signatures, records, and support. Clear conversations about intended goals, roles, and responsibilities can ease transitions and reduce disputes down the line. Families that coordinate early are better able to implement asset protection measures that comply with rules and respect the priorities of the person needing care and their loved ones.
Reasons to Consider Medicaid Planning in Burns
Medicaid planning is worth considering when the cost of long-term care threatens to deplete savings or force the sale of a home, or when a spouse needs protection from impoverishment. It is also appropriate when families want to ensure continuity of care without sacrificing all available resources for heirs. Planning can reduce stress during health crises by clarifying roles, addressing eligibility hurdles, and preparing necessary paperwork. For many Burns residents, taking planned steps provides better financial and emotional outcomes than waiting until care is immediately required.
Another reason to explore Medicaid planning is to coordinate long-term care goals with broader estate plans, including how retirement accounts, beneficiary designations, and property transfers will affect eligibility and legacy objectives. It is important to evaluate possible unintended consequences of well-meaning transfers or informal arrangements. Thoughtful planning balances access to care with resulting effects on family inheritance, offering a measured path that safeguards both immediate needs and long-term intentions.
Common Situations That Lead Families to Seek Medicaid Planning
Families commonly seek Medicaid planning when a loved one faces long-term care needs in a nursing facility or requires ongoing in-home care that could exhaust savings. Other triggers include a recent diagnosis that may lead to future care needs, significant medical bills that impact asset reserves, or concern about protecting a spouse’s standard of living. Sometimes adult children initiate planning after noticing a parent’s declining health or finances. In all cases, a timely review of finances and planning options helps families make informed choices.
Admission to Long-Term Care Facility
Admission to a nursing home often prompts immediate questions about who will pay and how long savings will last. Medicaid planning at this stage focuses on documenting medical necessity, preparing a timely application, and assessing any recent transfers that could create penalty periods. Families will want to confirm what assets count and whether marital protections apply. While emergency measures can help secure benefits quickly, a follow-up review of estate documents is advisable to address longer-term goals and family interests.
Decline in Health with Anticipated Care Needs
When a health condition indicates likely future need for long-term care, early planning is beneficial. This period allows families to consider options that may protect a spouse and position the individual for smoother enrollment when care becomes necessary. Planning steps might include revising estate documents, reviewing insurance and retirement benefits, and analyzing asset titling choices. Preparing in advance reduces the chance of reactive decisions that could create eligibility problems or diminish resources available for family members.
Complex Financial or Property Arrangements
Households with multiple properties, business ownership, or complicated investment holdings face extra challenges when seeking Medicaid. These arrangements require careful analysis of which assets will be counted and how transfers or changes in ownership will be treated. Planning in these contexts identifies strategies consistent with Tennessee law to protect family resources while pursuing eligibility. Early coordination between financial advisors and legal counsel helps craft solutions that address both care needs and estate objectives.
Local Medicaid Planning Assistance for Burns Residents
Jay Johnson Law Firm provides local support for Medicaid planning in Burns and the broader Dickson County area. The firm assists clients with eligibility reviews, application preparation, and coordination of documents such as powers of attorney and health care directives. Our goal is to offer clear guidance tailored to your family’s situation, whether you need immediate assistance to enroll for benefits or a longer-term plan to preserve a spouse’s finances. We work to make the process as straightforward and efficient as possible for local residents.
Why Choose Jay Johnson Law Firm for Medicaid Planning
Clients choose our firm because we provide hands-on assistance with the complex rules that govern Medicaid eligibility in Tennessee. We prioritize clear communication so families understand the steps, potential timelines, and likely outcomes. Our approach emphasizes listening to household priorities, reviewing all relevant documents, and explaining trade-offs so clients can make informed decisions. We aim to reduce uncertainty and help families implement plans that align with both care needs and long-term financial goals.
Working with our firm means receiving actionable advice on asset protection options and assistance compiling accurate applications and supporting records. We coordinate with care providers and state agencies as needed and explain how different choices may affect a spouse or heirs. Our focus is on practical solutions that minimize delays and paperwork issues, while maintaining transparency about costs, timelines, and next steps. Families appreciate the steady guidance during what can be an emotionally challenging time.
When clients engage our services, we take the time to create a plan that reflects household circumstances and future wishes. That may include revising estate documents, assessing property and account titles, and recommending steps to protect income for a community spouse. We aim to build plans that are compliant with program rules and tailored to each family’s priorities, helping clients in Burns navigate the Medicaid process with confidence and clarity.
Contact Jay Johnson Law Firm to Discuss Medicaid Planning
How Medicaid Planning Works at Our Firm
Our process begins with an initial consultation to review assets, income, and health care needs, followed by a tailored plan that outlines recommended steps, timelines, and documentation. We gather necessary records, prepare or update legal documents like powers of attorney and directives, and guide clients through application submission if benefits are needed. Throughout, we communicate with family members and coordinate with state agencies to reduce delays. The goal is an organized, step-by-step path to secure benefits while protecting family resources to the extent possible under Tennessee law.
Step 1: Information Gathering and Assessment
The first step is a thorough inventory of assets, income, and any recent transfers, together with a review of estate documents and health care needs. This assessment identifies potential eligibility issues, opportunities for protection, and the appropriate timeline for action. We ask about property titles, retirement accounts, and any insurance or benefits that could affect Medicaid calculations. The outcome is a clear report of current status and recommended next steps so clients understand the path forward.
Collecting Financial and Medical Records
Gathering accurate records is essential to evaluate Medicaid eligibility and prepare applications. We help clients assemble bank statements, deeds, retirement account information, and medical documentation demonstrating the need for long-term care. Clear records support timely determinations and reduce requests for additional information. Our team explains which documents are most important and assists in organizing them so the application can be processed as smoothly as possible by state agencies.
Reviewing Recent Transfers and Titles
We review any asset transfers made within the look-back period and analyze how ownership titles are structured, since these factors affect eligibility. If transfers have occurred, we evaluate whether they create a penalty period and how best to address the situation. Correctly understanding titles and transfer history allows us to recommend remedies or alternative approaches that comply with program rules while protecting family interests where possible.
Step 2: Plan Development and Document Preparation
Based on the assessment, we develop a plan that may include preparing powers of attorney, health care directives, and recommended actions regarding accounts and property. If immediate benefits are needed, we prioritize the documentation and application steps that matter most for timely approval. For longer-term planning, the plan addresses estate distribution goals, spousal protections, and ways to minimize future eligibility issues. Clear written recommendations guide family decisions and next steps.
Drafting and Updating Legal Documents
Preparing or updating documents such as durable powers of attorney and health care directives ensures that decision-making authority and care preferences are documented. These documents are important for continuity of care and for handling financial matters if capacity changes. We ensure language is tailored to Tennessee law, reflects clients’ wishes, and supports the Medicaid planning strategy without creating unnecessary complications for eligibility.
Coordinating with Financial Advisors and Family
Coordination with family members and financial professionals helps align planning steps and avoid surprises. We work to explain recommended actions in plain language so everyone understands the reasoning and the anticipated effects. This collaborative approach reduces the risk of later disputes and ensures that documents, titles, and beneficiary designations support the overall plan to secure care while preserving appropriate assets for the household.
Step 3: Application Submission and Follow-Up
Once documents are prepared and records compiled, we assist with the Medicaid application process, submit required paperwork, and respond to requests for clarification from state agencies. Timely follow-up and organized documentation reduce processing delays and increase the likelihood of a favorable determination. We monitor the application, address any issues that arise, and advise on next steps if additional appeals or reviews are needed to secure benefits for the individual in care.
Filing Applications and Supporting Documents
Accurate submission of the application and supporting documents is key to avoiding setbacks. We verify that all requested information is provided, include medical and financial records as required, and track the submission with state offices. Attention to detail at this stage often reduces back-and-forth and helps keep the process moving, so benefits can begin when needed to cover long-term care expenses.
Responding to Agency Requests and Appeals
If the agency requests additional information or issues an adverse decision, we assist in preparing responses or filing appeals within the required timeframes. Promptly addressing queries and documenting the rationale for transfers or income treatment helps resolve issues more efficiently. Our role is to support clients through the administrative process and to protect their interests by ensuring all procedural steps are followed correctly.
Medicaid Planning Frequently Asked Questions
What is Medicaid planning and who needs it?
Medicaid planning is the process of arranging finances and legal documents so an individual can meet Medicaid eligibility rules for long-term care when needed. It often includes reviewing assets, income, property titles, and recent transfers to determine whether benefits are available and what steps can protect a spouse’s income or certain assets. Many families begin planning when they anticipate future nursing home care or immediate long-term care needs to avoid sudden depletion of savings.Not everyone needs a complex plan; however, individuals with significant assets, recent transfers, or a spouse who must be protected often benefit from professional guidance. Even with simple holdings, documenting medical need and organizing records can speed application processing. The goal is to balance access to care with preserving family resources where feasible under Tennessee rules.
How does the look-back period affect eligibility?
The look-back period is a timeframe during which Medicaid reviews transfers of assets to determine if any were made for less than fair market value. Transfers within this period can trigger a penalty period during which Medicaid will not pay for long-term care. The look-back rules are intended to prevent transferring assets solely to qualify for benefits and vary in length depending on the program’s rules at the time of application.Understanding the look-back period is essential because timing matters: actions taken too close to the need for care can delay eligibility. If transfers occurred within the look-back window, documentation explaining the nature and purpose of transfers may influence how the agency treats them. Early planning helps avoid unintended penalties.
What assets are counted when applying for Medicaid?
Medicaid counts certain financial resources when determining eligibility, commonly referred to as countable assets. These often include cash, investment accounts, certain savings accounts, and non-exempt real property. Some items may be excluded or treated differently, such as a primary residence under specific conditions, certain retirement accounts, and irrevocable pre-paid funeral plans. Proper classification of assets is a key part of the eligibility assessment.Each case is unique, and how an asset is titled or designated can affect its treatment. Reviewing titles, beneficiaries, and account types helps identify which assets are countable and which may be protected. That analysis informs planning choices that reduce the risk of disqualification while preserving reasonable household resources.
Can a spouse keep the family home when one spouse needs Medicaid?
In many situations a spouse who remains at home can keep the family residence while the other spouse receives Medicaid-funded care, subject to certain rules and equity limits under Tennessee law. The home is often treated differently from other assets, and marital protections exist to prevent the community spouse from becoming impoverished due to care costs. Planning steps can reinforce the home’s protection and address how future Medicaid recovery or estate claims might be handled.It is important to review the home’s equity, ownership structure, and any liens or mortgages. Depending on circumstances, additional measures such as documenting a spouse’s need to remain in the home or using allowable exemptions may be recommended. A review helps families understand their options and preserve housing stability.
How long does the Medicaid application process take in Tennessee?
The timeline for Medicaid application processing in Tennessee varies based on the completeness of the application, available documentation, and agency workload. An accurately prepared application with thorough supporting records can move through the system more quickly, while missing information or questions about transfers can extend review times. Medical documentation showing the need for long-term care and clear financial records tends to speed determinations.If an application is denied, the appeals process has its own timelines that will add to the total duration. Early preparation, clear documentation, and prompt responses to agency requests help reduce delays. Families should plan for administrative time and seek assistance if questions arise during processing.
What should I do if there were transfers within the look-back period?
If transfers occurred within the look-back period, they may create a penalty period that delays Medicaid eligibility, based on the value of the transfers and the applicable penalty calculation. It is important to document the reason for each transfer and whether it was for fair market value or for legitimate needs such as paying medical bills. This documentation may influence how the agency interprets the transfer.In some cases, remedial steps or alternative strategies can address consequences, such as repositioning assets for the benefit of a spouse or demonstrating exempt purposes. A timely review helps identify options to minimize the impact of prior transfers and to plan for the next steps toward benefits.
Are there protections for the spouse who remains at home?
Tennessee law includes protections to prevent a spouse who remains at home from becoming impoverished when the other spouse needs Medicaid-funded long-term care. These protections allow the community spouse to retain a portion of assets and income necessary to cover living expenses. Planning evaluates what the community spouse may need and how to preserve sufficient resources while qualifying the other spouse for care.Documenting both spouses’ financial needs and structuring assets accordingly helps ensure compliance with rules while maintaining household stability. Coordination among financial and legal documents supports the intended protections and clarifies how distributions and income streams will be used to meet living costs.
How do powers of attorney and health care directives fit into Medicaid planning?
Powers of attorney and health care directives play an important role in Medicaid planning by documenting who may make financial and medical decisions if capacity changes. A durable power of attorney ensures someone trusted can manage financial affairs, pay bills, and handle transactions related to eligibility. A health care directive articulates care preferences and appoints decision-makers for medical choices, which is helpful when coordinating care plans.Having these documents in place before a crisis simplifies administrative tasks and supports smoother interactions with care providers and agencies. Properly drafted documents consistent with Tennessee law reduce delays and uncertainty when quick decisions are required for benefits or treatment.
Will Medicaid planning affect my taxes or probate?
Medicaid planning can have implications for taxes and the probate process depending on the strategies used and the types of assets involved. Certain transfers or changes in ownership may trigger tax consequences or affect how assets are distributed at death. Coordinating Medicaid planning with broader estate and tax planning helps families balance eligibility needs with long-term financial and inheritance goals.A review of retirement accounts, potential capital gains, and beneficiary designations is part of comprehensive planning to avoid unintended tax burdens. Integrating Medicaid considerations into the estate planning process promotes clear, coordinated outcomes that reflect household priorities and legal requirements.
How much does Medicaid planning typically cost?
The cost of Medicaid planning varies with the complexity of a client’s situation, the number of assets to review, and whether immediate application assistance is needed. Some families require only a focused eligibility review and document preparation, while others benefit from a more comprehensive plan that includes updating estate documents and coordinating with financial advisors. We provide clear fee estimates after an initial assessment so clients know what to expect.Investing in planning can prevent costly mistakes and delays in obtaining benefits, and clients often find the cost justified by the potential savings and protection for a spouse or heirs. Transparent communication about fees and the scope of services helps families select the level of assistance that fits their needs.