Yeah if you have assets they will need to be sold. (For an unfortunate multi-year stay in the home.) Ideally people here stay off medicaid. The idea, for us (and I'd think some of the guys on the forum), is to avoid having to sell the land. If I'm strong enough to be living on a cruise ship indefinitely I assume I'm also healthy enough to stay out of a home. But yes I have heard of people doing that. I was reading an article about long term care insurance and the comment section pretty much agreed it was a scam. Biggest reasons were how the companies jack premiums up as you get older, making them impossible to afford. And how the companies are difficult to work with when it comes time to pay.