Estate planners build the boat, elder law attorneys keep it from sinking when healthcare storms hit.
— Sarah K., Certified Elder Law Attorney
1. Medicaid/Long-Term Care Planning Why : Avoid spending $100,000+/year on nursing homesWhat They Do : Create asset protection trusts (5-year look-back period strategies)2. Guardianship or Conservatorship Why : When dementia patients refuse needed careWhat They Do : File court petitions and represent families in hearings3. VA Benefits Appeals Why : Secure Aid & Attendance pensions ($2,500+/month for veterans)What They Do : Navigate VA's complex evidence requirementsIf an estate planner says, "I handle Medicaid planning too," verify their NAELA certification.
1. Basic Will & Trust Creation Best For : Healthy adults under 70 with straightforward assets2. Minimizing Estate Taxes Threshold : Only needed for estates over $13M (federal exemption)3. Business Succession Planning Key Tool : FLPs (Family Limited Partnerships) to transfer ownershipIf the planner has both elder law certification (CEP) and estate planning credentials.
Example Case: A 75-year-old with $1M assets and early Alzheimer's needs:
Estate Planner : Creates an irrevocable trust to minimize taxesElder Law Attorney : Restructures trust to comply with Medicaid asset limitsWe jointly reviewed 32 documents to ensure my mother's trust wouldn't disqualify her from Medicaid later.
— Client testimonial from collaborative case
Approximately 78% of elder law work is flat-fee, whereas estate planners often charge by the hour ($200-$400).
Case 1: The Overlapping Need
Situation : 68-year-old with Parkinson's and $2M estateSolution :
An elder law attorney set up a Medicaid-compliant annuity Estate planner created a dynasty trust for grandchildren Case 2: Pure Estate Planning
Situation : Healthy 50-year-old updating willProfessional Used : Estate planner only
Case 3: Crisis Elder Law
Situation : Stroke victim denied MedicaidResult : Attorney appealed and saved $300k in nursing home costs
Ask yourself:
Is long-term care likely within 5 years? → Elder Law Are there dementia concerns? → Elder Law Do you just need to update your wills/trusts? → Estate Planning Worried about probate costs? → Both
Can one professional do both? Rare—only 12% of attorneys hold both CELA and estate planning certifications.
Who handles probate? Typically, estate planners, unless there are incapacity issues (then elder law).
Which is more expensive? Elder law (due to complexity), but saves 10x more in crises.
Locate elder law and estate experts, coordinate consultations, and ensure seamless professional collaboration. Search Our Elder Law Directory (For Medicaid/guardianship needs)
Browse Estate Planners (For inheritance/tax planning)
Schedule Consultations (Ask: "Have you worked with [other professional] before?")
Bring this checklist to consultations to assess their expertise