Navigating Medicaid eligibility, applications, and appeals can be complex, especially when long-term care or elder law issues are involved. A Medicaid lawyer helps individuals and families understand the rules, protect their assets and secure essential healthcare benefits. However, before hiring one, it’s important to know how much a Medicaid lawyer costs and what factors influence their fees.

Average Cost of a Medicaid Lawyer in the U.S.
The average cost of hiring a Medicaid lawyer in the United States typically ranges from $1,500 to $5,000. However, fees can vary depending on the complexity of your case, the type of services required, and the lawyer’s experience.
Here’s a general estimate based on service type:
- Basic consultation or application assistance: $300 – $800
- Medicaid planning or asset protection: $2,000 – $4,000
- Complex long-term care or appeals cases: $4,000 – $8,000+
Some attorneys charge flat fees for straightforward planning, while others use hourly rates ranging from $200 to $500 per hour for more complex matters.
Factors That Affect the Cost
Several key factors determine how much you’ll pay for Medicaid legal services:
- Case Complexity – Simple applications are less expensive than cases involving asset transfers, trusts, or eligibility disputes.
- Type of Services – Whether you need help applying, planning for long-term care, or appealing a denied claim affects the total cost.
- Geographic Location – Lawyers in urban areas like New York, Los Angeles, or Chicago generally charge more than those in smaller towns.
- Attorney Experience – An attorney specializing in elder law or Medicaid planning may charge higher rates but offer more accurate, effective solutions.
- Time Commitment – Some Medicaid cases take weeks or months to resolve, especially when financial documentation or appeals are involved.
Flat Fee vs. Hourly Rate
- Flat Fee: Many Medicaid attorneys offer flat rates for specific services like filing an application, preparing a Medicaid trust, or creating an asset protection plan.
- Hourly Rate: More complicated cases, such as contested eligibility or estate recovery disputes, are often billed hourly—typically between $200 and $500 per hour.
Flat fees are often preferred by families who want predictable costs without unexpected billing.
Additional Costs
Aside from attorney fees, there may be extra expenses, including:
- Court filing fees: $100 – $300 (if a guardianship or trust is involved)
- Financial documentation preparation: Varies depending on the case
- Long-term care planning fees: May include accountant or financial planner costs
Why Hiring a Medicaid Lawyer Is Important
Medicaid rules are complex and vary by state. A mistake in asset transfers or paperwork can delay benefits or even lead to disqualification. A skilled Medicaid lawyer can:
- Help you protect family assets while qualifying for Medicaid.
- Prepare and file accurate applications to avoid delays or denials.
- Create Medicaid Asset Protection Trusts (MAPTs) to preserve wealth.
- Represent you in appeals or eligibility disputes.
Their guidance is particularly valuable for elderly individuals entering nursing homes or needing long-term care.
Final Thoughts
The cost of a Medicaid lawyer typically ranges from $1,500 to $5,000, depending on your situation and location. While it may seem like a significant expense, the long-term savings and protection they provide often outweigh the cost.
If you or a loved one are applying for Medicaid or planning for long-term care, consulting an experienced Medicaid attorney can help you avoid costly mistakes and secure the benefits you’re entitled to.