Planning for the Future: Health, Long-Term Care, and Personal Wellness After 50
As we age, the decisions we make today have a profound impact on our quality of life tomorrow. One of the most pressing concerns for individuals over 50 is how to manage long-term care in the event of serious illness or declining health. The cost of nursing homes, assisted living, or in-home medical support can quickly deplete a lifetime of savings — often without warning. That’s why forward-thinking planning is essential. At Cipparone & Zaccaro, this reality is at the heart of their mission: helping families protect their homes and hard-earned assets through strategic Medicaid planning. Their focus is clear — provide legal guidance that ensures dignity, security, and peace of mind during life’s later stages.
An eldercare strategy isn’t just about money; it’s about preserving independence and choice. It involves taking proactive legal steps now — such as asset protection trusts, gifting strategies, and eligibility planning — so that if long-term care becomes necessary, individuals won’t be forced to spend down their entire estate to qualify for government assistance. Starting early is crucial, especially since Medicaid has strict look-back periods and eligibility rules. But even for those already facing health challenges, there are still options. The attorneys at Cipparone & Zaccaro work closely with clients to explore every available path, ensuring families can access the care they need without sacrificing financial stability.
While legal and financial planning addresses the structural side of aging, personal health remains equally vital. As people live longer, managing chronic conditions, maintaining mobility, and supporting emotional well-being become central to a fulfilling life after 50. One common but often under-discussed issue is erectile dysfunction (ED), which affects a significant number of men as they age. Often linked to cardiovascular disease, diabetes, or hormonal changes, ED can be both a symptom of underlying health issues and a source of emotional strain. Addressing it is not about vanity — it’s about quality of life, intimacy, and self-confidence.
For many, treatment options like Generic Cialis (tadalafil) offer effective relief. This medication helps improve blood flow and support natural erectile function when combined with sexual stimulation. As healthcare becomes more accessible online, some individuals explore ways to buy Generic Cialis online through telehealth platforms. When done responsibly, this process begins with a virtual consultation with a licensed healthcare provider who reviews medical history, assesses risks, and determines whether treatment is appropriate. If approved, a prescription is sent to a regulated pharmacy, ensuring safety, authenticity, and compliance with medical standards.
However, just as eldercare planning requires professional legal advice, managing health concerns like ED demands medical oversight. Self-medicating or using unregulated websites can lead to dangerous interactions — especially for patients on nitrates or with heart conditions. That’s why consulting a doctor about Cialis use is a critical step. A proper evaluation allows for a deeper understanding of potential causes, ensures safe usage, and may uncover treatable conditions that affect overall health. It transforms what might seem like a simple transaction into part of a broader wellness strategy — one that values prevention, transparency, and long-term well-being.
There’s a quiet parallel between these two worlds: protecting your future through legal foresight and caring for your present through informed health choices. Both require courage to face uncomfortable topics, wisdom to seek expert help, and compassion for oneself and loved ones. Just as you wouldn’t navigate Medicaid rules alone, you shouldn’t manage sensitive health concerns without professional guidance.
Moreover, the conversation around aging should not focus only on decline — it should also celebrate resilience, adaptation, and continued vitality. Whether it’s securing your home for future generations or maintaining intimate relationships through effective treatment, each decision contributes to a life lived with purpose and dignity.
Cipparone & Zaccaro emphasize that eldercare planning is not something to delay. The sooner you begin, the more options you have. Similarly, when it comes to personal health, silence and stigma serve no one. Open dialogue with doctors, partners, and family members fosters better outcomes — emotionally, physically, and financially.
In the end, true preparedness is holistic. It means thinking ahead about where you’ll live, who will care for you, and how your assets will be protected. But it also means paying attention to how you feel — physically and emotionally — and seeking support when needed. Whether through a trusted attorney guiding your Medicaid plan or a healthcare provider discussing treatment options, expertise makes all the difference.
Because growing older shouldn’t mean losing control. It should mean making thoughtful choices today — so tomorrow can be lived on your terms.
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Do I Really Need Estate Planning?
Have you thought about what would happen if you died without a Will? Or what would happen if you became permanently unconscious or terminally ill?
Have you made end-of-life decisions? If not, who will make medical decisions on your behalf? And how will your property be transferred to your loved ones?
These are the kinds of questions adults should think about in advance. They’re part of what we call “estate planning.” To make sure things happen the way you want them to, your estate planning should include a Will, a Living Will, and a Durable Power of Attorney.

Estate Planning Is More Than Just a Will.
Many people think of estate planning as simply creating a Will. When our estate planning attorneys first started practicing law in the 1980s, Wills were the most important document in an estate plan. Now, most of our estate planning clients use beneficiary designations and trusts to pass most of their property to their family.
Estate Planning Is Not Easy to Talk About.
Of course, estate planning is an uncomfortable subject to discuss, so many people avoid estate planning. But if you want to be in control of what happens to you and your property at the end of your life, now is the time to speak with an estate planning attorney and put some simple documents in place.
At Cipparone & Zaccaro, our estate planning attorneys will create a plan that suits your specific needs. Every client has unique personal and financial circumstances, so careful thought and planning are required to make sure your final wishes are carried out and your property is transferred to your family members.
You might have a taxable estate, a small business, or a disabled beneficiary with special needs — whatever your situation, estate planning attorneys can help you design an estate plan that meets your unique requirements.

Why You Need an Estate Planning Attorney
An experienced estate planning attorney is familiar with the laws of trusts and estates, and probate, as well as elder law issues related to Medicare and Medicaid. They are also familiar with the related tax laws. These laws are very precise and complicated. One slight misstep, or wrong word or phrase, and you might end up with something completely different than you intended.
There are very specific requirements not only for the legal language, but for the form of the documents, the qualifications of fiduciaries (such as executors or trustees) and required witnesses. A great deal of thought and care goes into deciding not only what documents you need to accomplish your estate plan, but what language needs to be in those documents.
If you think it is safe to use forms found on the internet or in some “how to” book to prepare your estate planning documents, think again. Instead of saving a few dollars, your family members could end up paying a probate attorney substantial fees to clear up the resulting mess, and a large chunk of your estate might go to the IRS, or somewhere else you did not intend.
Remember the old Fram Oil Filter TV commercial tagline “You can pay me now, or you can pay me later.” That same wisdom applies when deciding whether to hire an experienced estate planning attorney. Do it right the first time, and avoid paying for any mistakes later on.
Judy Kirchner, Realtor
Each year brings changes to several key Medicaid figures, which are adjusted for inflation. Below are the Connecticut Medicaid (also known as Title XIX and Husky C) figures that apply as of January 1, 2025:
Husky C (Medicaid in Skilled Nursing Facility) | 2025 Amounts |
Community Spouse Protected Amount (Maximum)(Changes Jan. 1st) | $157,920 |
Community Spouse Protected Amount (Minimum)(Changes Jan. 1st) | $50,000 |
Institutionalized Spouse Asset Limit (Changes Jan. 1st) | $1,600 |
Monthly Maintenance Needs Allowance for Community Spouse (Maximum)(Changes Jan. 1st) | $3,948.00/mo. |
Monthly Maintenance Needs Allowance for Community Spouse (Minimum)(Changes July 1st) (1.5 x FPL for 2) | $2,555.00/mo. |
Home Equity Exemption (if home not occupied by spouse or disabled child, or minor child) (Changes Jan. 1st) | $1,097,000 |
Connecticut Average monthly cost of care in a Skilled Nursing Facility (for penalty calculations)(as of July 1, 2024) | $14,939 |
Shelter Allowance(Changes July 1st) (.3 x 1.5 FPL for 2) | $766.50 |
Utility Allowance(SUA)(Changes Oct. 1st) | $950/mo. |
Personal Needs Allowance
|
$75/mo. $2,510/mo. |
Connecticut Home Care Program for Elders (Level 3 Medicaid) |
|
| $1,600 single $3,200 couple |
| $2,901/mo. |
(2 x FPL) (Changes March 1st) | $2,510.00/mo. |
State Funded Home Care (requires 3% cost share)(changes Mar. 1st) |
|
| $46,242 |
| $61,656 |
SSI 2025 Limits $967 individual/$1,450 couple |
|
Medicare Savings Programs(changes March 1st) |
|
| $2,752/mo single $3,719/mo couple |
| $3,013/mo single $4,072/mocouple |
| $3,209/mo single $4,336/mo couple |
Prepared by Jack Reardon, J.D., LL.M., CELA
Last updated 04/10/2025
The fight to uncover money laundering by Russian oligarchs and other bad actors will soon affect small companies and trusts. On January 1, 2021, the U.S. Senate overrode President Trump’s veto of the Corporate Transparency Act (the “Act”). This Act requires all entities formed in or registered to do business in the United States to report beneficial ownership information to an agency known as the Financial Crimes Enforcement Network (“FinCEN”). This means that there are now federal reporting requirements for small companies and trusts that own an interest in those companies. FinCEN will require companies to annually collect and report ownership information to the government. FinCEN will develop a database of beneficial ownership information for unregulated entities that is available to them for law enforcement purposes.
This Act does not become effective until the US Treasury Department issues final regulations. On December 1, 2021, FinCEN issued a Notice of Proposed Rulemaking to implement the beneficial ownership reporting requirements of the Act. It is expected that the Treasury will issue final regulations by the end of 2022.
What does this mean from a practical standpoint? The Act imposes disclosure requirements on beneficial owners. A beneficial owner is an individual who, directly or indirectly, through contract, arrangement, understanding, relationship or otherwise, exercises substantial control over the entity or who owns or controls at least 25% of the ownership interest in the entity. It does not include a minor child, an individual acting as a nominee, intermediary, custodian or agent on behalf of another individual, an individual acting solely as an employee and whose economic benefits derive solely from their employment status, an individual whose only interest is through a right of inheritance, or a creditor of the entity (unless it exercises substantial control or has at least 25% of the ownership interest in the entity). It would include a manager of an LLC or officer of a corporation who is not a legal owner.
For instance, a business entity such as a corporation, limited partnership, or limited liability company that owns real estate (or perhaps multiple business entities, each owning separate properties) must regularly collect and report each entity’s ownership information to FinCEN.
The Trustee of a trust that controls 25% or more of the reporting company’s stock, partnership or membership interests will have to provide owner information to FinCEN. The settlor who creates the trust will need to comply with the Act if the settlor can revoke the trust. Current beneficiaries who have withdrawal rights or general powers of appointment will need to comply because they have control over the trust assets. Beneficiaries who do not receive any property until the death of the settlor, or the death of a current beneficiary do not have to report.
Publicly traded companies and larger companies with revenue exceeding five million dollars, and who have 20 employees or more don’t have to comply with the Act. That is because larger entities have many reporting requirements under other laws. Note that small corporate entities set up by larger companies are not exempt. Typical examples of excluded companies include a majority of financial services institutions, including investment, accounting and banking firms that already report to government agencies like the Securities and Exchange Commission and the Federal Deposit Insurance Corporation. Nonprofit organizations such as churches and charities do not have to report under the Act.
You may be asking what type of information FinCEN will collect? It will collect the name, residential address, date of birth and a unique identifying number from each beneficial owner. This number could be the owner’s driver’s license number, passport number or personal identification card. This information must be updated on an annual basis.
All new business entities must report at the time of their formation. If the entity was formed prior to the enactment of the Act, then those entities will be required to submit reports no later than two years after the effective date of FinCEN’s regulations. If there are changes to the original submissions, then the business entity must provide an updated report no later than one year after the date of the change.
Is your private confidential information protected? The Secretary of the Treasury must establish security protocols to protect the confidentiality of the information collected from the beneficial owner. Once that information is collected, FinCEN is only permitted to disclose the information to government and financial institutions for law enforcement, national security or intelligence purposes. Likewise, the Treasury will not provide access to the information to the general public. Finally, any reports filed pursuant to the Act will be protected and may not be disclosed under the Freedom of Information Act or similar laws.
Failure to provide the required information or giving incomplete or giving false information will result in a civil penalty of up to $500 for each day the violation continues. FinCEN can also impose criminal penalties of up to $10,000 and/or jail time for up to two years. Further, any unauthorized disclosure of beneficial ownership information by a government employee or a third-party recipient of this information will result in civil penalties and criminal fines of up to $250,000 and/or jail time for up to five years.
The takeaway from the Act is that in 2022 business entities and trustees will want to commence the process of gathering their beneficial ownership information from those who have substantial control of the business. As part of that process, they should review their business formation documents or trust documents to confirm that there are no confidentiality clauses or other obligations that will conflict with the requirements of the Act. As well, they may wish to consider revising their governing documents (operating agreements, shareholder agreements and the like) to require business owners of 25% or more of the company to disclose the required information. Settlors and Trustees might want to consider revising their trusts to require disclosure to meet the act requirements. Finally, it is highly recommended that Trustees and business owners work with their advisors to implement a process for meeting the Act’s requirements.
At Cipparone & Zaccaro, P.C., we are available to assist business owners in understanding what beneficial ownership information must be collected and how to properly report it under the Act. If you need assistance compiling and reporting this information, please don’t hesitate to give us a call.
The Act imposes significant civil and criminal penalties for failing to provide accurate beneficial ownership information, with fines reaching thousands of dollars and potential jail time for serious violations. To ensure compliance, businesses and trustees should begin collecting ownership details from individuals with substantial control, carefully reviewing governing documents to remove any conflicts and revising agreements if necessary to require disclosure from those holding 25% or more of the entity. Trustees may also need to amend trust documents to align with these rules, and both businesses and trusts should establish a reliable process with professional guidance to meet the reporting standards. Just as companies benefit from clear legal and financial strategies, individuals in other contexts often rely on trusted sources of guidance—for example, seeking information on affordable Abilify alternatives—to make informed decisions that balance compliance, cost, and long-term stability. Working with advisors early can prevent penalties and ensure that reporting obligations are fulfilled smoothly and correctly.
Mark Pancrazio and Joe Cipparone wrote the articles in this edition. No taxpayer can avoid tax penalties based on the advice given in this newsletter. This information is for general purposes only and does not constitute legal advice. For specific questions related to your situation, you should consult a qualified estate planning attorney.
Connecticut estate tax exemption:- $7.1M
Federal estate tax exemption:- $11.7M
Top Connecticut estate tax rate:- 12%
Top federal estate tax rate:- 40%
Top income tax rate:- 37%
When a single individual reaches
the top income tax rate:- $523,600
When a married couple reaches
the top income tax rate:- $628,300
Gift tax annual exclusion:- $15,000
Maximum Community Spouse
Protected Amount for Medicaid:- $130,380
Maximum Monthly Income Needs
Allowance for Community Spouse:- $3,260
Home Equity Limit for Medicaid:- $906,000
Maximum Gross Monthly Income for
Medicaid Home Care Recipients:- $2,382
Average Monthly Cost of Nursing Home
Care in Connecticut:- $13,512
February 2021, Issue #30
Mark Pancrazio and Jack Reardon wrote the articles in this edition. No taxpayer can avoid tax penalties based on the advice given in this newsletter. This information is for general purposes only and does not constitute legal advice. For specific questions related to your situation, you should consult a qualified estate planning attorney.