Using Irrevocable Burial Trusts for Medicaid Asset Protection in Virginia
As a certified elder law attorney in Virginia, I’m often asked about strategies to protect assets when planning for Medicaid eligibility. One effective tool is the Irrevocable Burial Trust. This article will explain how burial trusts work for Medicaid planning and compare them to prepaid burial plans.
What is an Irrevocable Burial Trust?
An Irrevocable Burial Trust (IBT) is a small, guaranteed-issue life insurance policy that is irrevocably assigned to a burial trust. The funds in the trust are used to pay for burial and burial expenses upon the death of the insured.
Key Benefits of Irrevocable Burial Trusts for Medicaid Planning:
- Assets in the trust are exempt from Medicaid’s asset limit calculations
- Does not violate Medicaid’s 5-year lookback period
- Allows flexibility in choosing a burial home
- Covers all burial expenses
Virginia’s Asset Limit for Irrevocable Burial Trusts
In Virginia, Irrevocable Burial Trusts are exempt from Medicaid’s asset limit as long as the amount transferred into the trust will be used to pay for funeral items.
Comparison to Prepaid Burial Plans
While both options set aside funds for burial expenses, there are some key differences:
Prepaid Burial Plans:
- Contract with a specific burial home
- Limited flexibility if you move or change preferences
- Risk of burial home going out of business
Irrevocable Burial Trusts:
- Not tied to a specific burial home
- More flexibility in burial arrangements
- Funds managed by an insurance company, reducing risk
Using Irrevocable Burial Trusts in Crisis Medicaid Planning
Burial trusts can be especially useful in crisis Medicaid planning scenarios. They offer a simple way to spend down excess assets quickly while preserving funds for an important future expense.
For married couples, each spouse can have their own burial trust.
Working with an Elder Law Attorney
While burial trusts can be an effective Medicaid planning tool, it’s important to work with an experienced elder law attorney to ensure they are structured properly. Improper use could result in Medicaid penalties or ineligibility.
As a certified elder law attorney, I can help you determine if a burial trust makes sense as part of your overall Medicaid planning strategy. Please contact our office to schedule a consultation to discuss your specific situation.
This article provides general information and should not be construed as legal advice. Please consult with an attorney for guidance on your particular circumstances.

Andrew H. Hook
757-399-7506 | 252-722-2890
Andrew H. Hook founded Hook Law Center and, across 51 years in practice, built it into one of the region’s most respected trusts, estates, elder law, and special needs practices. He served as Chairman of the Board until 2026, when he transitioned to an Of Counsel role.
Andy is widely regarded as a pioneer in elder law and life-care planning. He was elected to the Virginia Lawyers Hall of Fame in 2021. He is a Certified Elder Law Attorney (CELA), certified by the National Elder Law Foundation; a Fellow of the American College of Trust and Estate Counsel (ACTEC); and a Fellow of the National Academy of Elder Law Attorneys (NAELA), where he also served as a Director. He is a past President of the Special Needs Alliance and a former editor-in-chief of the NAELA Journal. Andy is also a CERTIFIED FINANCIAL PLANNER™ (CFP®), an Accredited Estate Planner® (AEP®), and accredited by the U.S. Department of Veterans Affairs (#9035) to handle VA benefits claims. He is co-author of the Special Needs Trust Handbook (Wolters Kluwer) and has written on durable powers of attorney and on representing elderly and disabled clients.
As Of Counsel, Andy continues to serve as a trusted advisor to the firm and a mentor to its attorneys, sharing the experience and judgment he developed over a distinguished career. While he has stepped back from the day-to-day practice of law, his counsel, his standards, and his deep institutional knowledge continue to guide the firm as it enters its next chapter under the leadership of Tejal Desai. Clients, families, and professional colleagues can be confident that the values, depth of expertise, and commitment to service Andy built remain at the very heart of the firm.
Practice Areas
- Elder Law
- Estate & Trust Administration
- Estate Planning
- Asset Protection Planning
- Long-Term Care Planning
- Special Needs Planning
- Financial Planning
- Personal Injury Settlement Consulting