NerdWallet's Smart Money Podcast

Long-Term Care Costs: Medicaid vs Private Pay, Plus Talking Money While Dating

Feb 9, 2026
Kate Ashford, a certified senior advisor who explains assisted living costs and payment models. Sara Rathner, a NerdWallet credit card writer who breaks down money dealbreakers and how to talk finances while dating. They discuss spotting financial red flags, rebuilding trust after financial infidelity, assisted living vs buy-in CCRCs, Medicaid basics, and practical planning moves for elder care.
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ADVICE

Ask Lifestyle Questions Early

  • Talk about lifestyle cues early instead of raw numbers to learn financial values.
  • Ask about travel, hobbies, and family backgrounds to infer spending habits without prying.
INSIGHT

Costs Vary By State And Locale

  • Assisted living costs vary dramatically by state and locality.
  • Expect monthly rates to differ by thousands of dollars depending on where you live.
ADVICE

Budget For Base Fees And Add-Ons

  • Check what base fees include and budget for add-ons like personal care and memory care.
  • Model annual increases and different room types when planning your budget.
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