Troll, don't you mean "ir-revocable" trust? I went to the Medicaid site, and it said that "real property and the estate" can be taken from the inheritors to pay back Medicaid costs. Not Medicare, just Title XIX Medicaid. If there is no estate or real property they can attempt to recover it later from any heirs of the estate who come into any funds or property. I know people this has happened to.