My husband has just been diagnosed with early Alzheimer's. Neither of us have traditional pensions which provide a monthly payment. We both have 401K's which have been rolled over into traditional IRA's. We take small amounts every year from the 401K/IRA for living expenses to supplement our Social Security checks. If he eventually needs nursing home care, will Medicaid require that I spend down my 401k/IRA too? I won't be able to live on just social security. Is there some way to protect my 401k/IRA which is really my pension just not a monthly one?