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The Lady Bird Deed: 5 Risks to Consider Beyond Medicaid Protection

Written by Ali Katz | Feb 13, 2026 4:57:18 PM

You own your home. Maybe it's your most significant asset. Perhaps you’ve heard about Lady Bird Deeds and how they can help you avoid probate and protect your home for your children. A friend told you about them, or maybe you saw something online about how they're simple, inexpensive, and effective.

All of that is true. Lady Bird Deeds are indeed powerful tools for protecting your home. But here's what most people don't understand: a Lady Bird Deed alone is not a complete estate plan. Using only this tool, without understanding its limitations and what it doesn't protect, can leave your family vulnerable in ways you didn’t anticipate.

In this article, I'll explain what Lady Bird Deeds actually do, when they work well, what critical gaps they leave unaddressed, and why you need comprehensive planning and not just a single document.

What Lady Bird Deeds Do

Let's start with what a Lady Bird Deed does well, because it genuinely is a valuable estate planning tool when used correctly.

A Lady Bird Deed, also called an Enhanced Life Estate Deed, allows you to transfer your home to your chosen beneficiaries automatically when you die, without going through probate court. This means your home passes to your children or other beneficiaries immediately, without the delays, costs, and public proceedings that probate requires.

For many families, avoiding probate is a significant benefit. Probate can take twelve to eighteen months or longer, cost thousands of dollars in legal and court fees, and require multiple court hearings and extensive paperwork. A Lady Bird Deed eliminates probate concerning your home (unless you have a fully-funded trust or have properly designated beneficiaries); other assets would still need to go through probate). When you die, your beneficiaries simply record your death certificate, and the property becomes theirs.

Unlike a traditional life estate deed, a Lady Bird Deed lets you maintain full control of your property while you're alive. You can sell it, mortgage it, refinance it, or even change your mind about who gets it after your death, all without needing anyone's permission or signature. This flexibility is crucial if you need to sell your home to move into assisted living or want to take out a reverse mortgage.

In Florida and other states that recognize the Lady Bird Deed, they also protect your home from Medicaid estate recovery programs. Because property transferred through a Lady Bird Deed passes outside of probate, estate recovery programs can't reach it. This protection can save your family tens of thousands of dollars.

Your beneficiaries also receive an important tax benefit. They get a step-up in basis, meaning the property's value for tax purposes becomes whatever it's worth when you die, not what you originally paid for it. This can save them thousands in capital gains taxes if they later sell the property.

How Lady Bird Deeds Work for Medicaid Planning

One of the most valuable aspects of the Lady Bird Deed is how it protects your home while maintaining Medicaid eligibility. This matters enormously if you or your spouse might need long-term care in a nursing home or assisted living facility.

Medicaid pays for long-term care, but only after you've spent down most of your assets. To qualify for Medicaid, you typically can't have more than $2,000 in countable assets. Your home is usually exempt while you're living in it, but what happens after you die?

In Florida and other states that recognize Lady Bird Deeds, estate recovery programs try to recoup what Medicaid spent on your care by making claims against your estate after you die. If your home goes through probate, the state can force its sale to recover these costs, potentially leaving nothing for your children.

Here's where Lady Bird Deeds becomes powerful. Because the property transfers automatically outside of probate, estate recovery programs cannot reach it. Your home passes directly to your beneficiaries, protected from Medicaid claims. This can preserve tens of thousands or even hundreds of thousands of dollars in value for your family.

Even better, creating a Lady Bird Deed doesn't trigger Medicaid's look-back period. Medicaid examines any asset transfers you made in the 60 months before applying for benefits. Transfers during this period can create penalty periods that delay your eligibility. But because you retain complete ownership and control with a Lady Bird Deed, Medicaid doesn't consider it a transfer. You can create the deed today and apply for Medicaid tomorrow without any penalty.

This is dramatically different from other planning strategies. If you simply give your home to your children or create a traditional life estate deed, you trigger the look-back period and may create months of Medicaid ineligibility. Lady Bird Deeds avoids this problem entirely.

However, understand that Lady Bird Deeds only protect your home. They don't help you qualify for Medicaid if you have other non-exempt assets above the asset limits. You still must spend down bank accounts, investments, and other property to meet Medicaid's asset limits.

Why a Lady Bird Deed Alone Isn't Enough to Protect Your Loved Ones

A Lady Bird Deed is an excellent tool for protecting your home specifically, but it leaves significant gaps in your overall estate plan. Understanding these limitations helps you see why you need additional planning tools to work together.

First, a Lady Bird Deed only covers real estate. Your bank accounts, investment accounts, vehicles, personal property, and any other assets you own all require separate planning. Many people execute a Lady Bird Deed and mistakenly believe their estate planning is complete, only to leave their families dealing with probate for everything else they owned.

Second, a Lady Bird Deed provides no incapacity protection. They only take effect when you die. If you become incapacitated from a stroke, accident, or dementia, the Lady Bird Deed does nothing to help your family manage your property or pay your bills. Without additional documents like powers of attorney, your family faces expensive and time-consuming court proceedings to gain the authority to act on your behalf.

Third, a Lady Bird Deed doesn’t communicate your intentions. When your beneficiaries inherit your home, do they know what you wanted them to do with it? Should they keep it as a family gathering place? Sell it and split the proceeds? Rent it out for income? Without clear guidance, beneficiaries often disagree about the best course of action, creating family conflict during an already difficult time.

Fourth, a Lady Bird Deed could create vulnerability if circumstances change. If your named beneficiary dies before you do and you haven't updated the deed, your home goes through probate anyway. If your beneficiary becomes incapacitated, has creditor problems, or goes through a divorce, complications can arise that affect the property transfer.

Fifth, Lady Bird Deeds do not provide asset protection for your beneficiaries. Your loved ones inherit the property outright, which means it’s subject to creditors’ claims, those who prey on vulnerable beneficiaries, and divorce. In these and similar cases, the property is free for the taking.

The most effective approach combines a Lady Bird Deed for your home with other essential planning tools. You need a will or trust to address all your other assets, powers of attorney for both financial and healthcare decisions during any period of incapacity, healthcare directives that clearly express your medical treatment wishes, guardianship nominations if you have minor children, and specific provisions for any beneficiaries with special circumstances like disabilities or substance abuse issues.

Think of your estate plan like a puzzle. A Lady Bird Deed is one important piece, but you need all the pieces working together to create complete protection for your family. Using only a Lady Bird Deed is like building a house with a solid roof but no walls. The roof matters, but it's not enough to protect what's underneath.