The Sandwich Generation Managing Wealth While Caring for Aging Parents

Matt Cook Matt Cook February 03, 2026

Balancing your financial future while supporting aging parents requires strategic planning—discover how to protect your wealth without sacrificing family care.

Understanding the Financial Impact of Dual-Generation Caregiving

The sandwich generation faces a unique financial challenge that previous generations rarely encountered at this scale. As a business owner or executive, you're simultaneously managing your own wealth accumulation, supporting your children's needs, and increasingly shouldering the responsibility of caring for aging parents. This dual-generation caregiving role can cost families between $150,000 and $200,000 over the course of eldercare, with many caregivers spending more than 20% of their annual income on parent-related expenses.

The hidden costs extend beyond direct financial support. Many executives reduce their work hours or pass up advancement opportunities to accommodate caregiving responsibilities, resulting in lost income, reduced retirement contributions, and diminished Social Security benefits. Research shows that family caregivers lose an average of $300,000 in lifetime wages and retirement savings. For business owners, the impact can be even more significant when caregiving demands pull focus from strategic business decisions and growth opportunities.

Understanding these financial implications early allows you to make proactive decisions rather than reactive ones. The emotional stress of watching parents age often clouds financial judgment, leading to decisions that compromise your own retirement security. By quantifying the actual and opportunity costs of caregiving, you can develop strategies that honor your family obligations while protecting the wealth you've worked decades to build.

Strategic Wealth Preservation While Managing Eldercare Costs

Protecting your wealth while caring for aging parents requires a clear-eyed assessment of your financial boundaries and a strategic approach to resource allocation. The first step is conducting a comprehensive audit of your parents' financial situation—including assets, income sources, insurance policies, and potential government benefits they may qualify for. Many families discover untapped resources such as veterans benefits, pension survivor benefits, or long-term care insurance policies that can significantly offset caregiving costs.

Establish separate financial accounts and tracking systems for eldercare expenses. This separation serves multiple purposes: it prevents caregiving costs from invisibly eroding your retirement savings, provides clear documentation for tax purposes, and helps you make informed decisions about sustainable support levels. Consider creating a family care budget that distinguishes between essential expenses you'll cover and discretionary costs that require alternative solutions.

Explore creative wealth preservation strategies that benefit multiple generations. For instance, if your parents need to sell their home, consider whether purchasing it yourself makes financial sense—potentially providing them with needed liquidity while keeping an appreciating asset in the family. If you're directly funding care, structure financial support as loans rather than gifts when appropriate, preserving your estate planning options. Leverage Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) to pay for eligible medical expenses with pre-tax dollars, effectively reducing your caregiving costs by 25-40% depending on your tax bracket.

Creating a Comprehensive Financial Plan That Protects All Generations

A comprehensive financial plan for sandwich generation families must balance three competing priorities: your children's education and launch into adulthood, your parents' care needs, and your own retirement security. The key is establishing clear priorities and non-negotiable boundaries. Financial advisors consistently recommend prioritizing your retirement savings over adult children's expenses and, in most cases, over parents' non-essential costs—because while loans exist for education and care, no one offers retirement loans.

Your financial plan should include specific contingency scenarios for your parents' care trajectory. What happens if a parent needs memory care at $7,000-$10,000 monthly? If both parents require simultaneous care? If care needs extend beyond anticipated timelines? Model these scenarios with concrete numbers, identifying which resources you'd tap in each situation and establishing trigger points for difficult conversations about facility care versus home care, or when to involve siblings in cost-sharing.

Integrate estate planning across all three generations. Ensure your parents have updated wills, powers of attorney, healthcare directives, and a clear succession plan for their assets. Simultaneously, update your own estate documents to reflect your caregiving role and protect your children's inheritance if eldercare costs escalate. Consider trusts that can protect assets while potentially preserving Medicaid eligibility for your parents. This integrated approach prevents the common scenario where eldercare costs deplete both your parents' estate and your own savings, leaving your children to start from zero.

Navigating Insurance, Benefits, and Tax Advantages for Caregivers

Understanding the complex landscape of insurance, benefits, and tax advantages can save sandwich generation caregivers tens of thousands of dollars annually. Start with a thorough review of your parents' Medicare coverage, including Parts A, B, D, and supplemental Medigap policies. Many families don't realize that Medicare covers short-term skilled nursing care, home health services, and durable medical equipment—benefits that go unused because families assume they must pay out-of-pocket.

Long-term care insurance, if your parents have it, can be a game-changer, but policies vary dramatically in coverage. Review policy details carefully: some cover only facility care while others include home care; some have inflation protection while others have fixed daily benefits that haven't kept pace with care costs. If your parents don't have long-term care insurance, evaluate whether it makes sense for you to purchase a policy now while you're younger and premiums are more affordable. Hybrid life insurance policies with long-term care riders offer another option, providing death benefits if care isn't needed.

Tax advantages for caregivers are substantial but frequently overlooked. If you provide more than half of a parent's support and they earn less than $4,700 annually, you may claim them as a dependent, potentially saving thousands in taxes. Medical expenses exceeding 7.5% of your adjusted gross income are deductible, and this threshold includes expenses paid for your parents if they qualify as dependents. The Dependent Care Credit, while primarily for child care, may apply in specific situations. Additionally, some employers offer dependent care FSAs that can be used for adult day care programs. Document everything meticulously—mileage to medical appointments, prescription costs, medical equipment, home modifications for accessibility—as these expenses accumulate quickly and translate to significant tax savings.

Building Your Support Network and Delegating Financial Decisions

No executive would attempt to run a company without delegating responsibilities and building a capable team, yet many sandwich generation caregivers try to manage eldercare entirely alone. Building a robust support network isn't just emotionally beneficial—it's financially essential. Start by having frank conversations with siblings and extended family about cost-sharing, time commitments, and decision-making authority. Unequal distribution of caregiving responsibilities is the number one source of family conflict during eldercare, often resulting in costly legal battles that drain the very resources meant to fund care.

Consider hiring a geriatric care manager—a professional who can assess your parents' needs, coordinate services, and provide objective guidance. While this adds an expense of $100-$200 per hour, care managers often save multiples of their cost by preventing crises, optimizing benefits, and ensuring appropriate care levels. Similarly, a daily money manager can handle bill paying, insurance claims, and financial organization for your parents, freeing your time for higher-value activities in your business and reducing the risk of missed payments or financial exploitation.

Establish a clear governance structure for financial decisions involving your parents' care. Who has power of attorney? How are major decisions made? What's the communication protocol? Document these agreements in writing to prevent misunderstandings when stress levels are high. Consider holding quarterly family meetings to review care plans, expenses, and upcoming decisions. For business owners, apply the same strategic delegation principles you use in your company: identify what only you can do, what others can do as well or better, and what can be systematized. This approach protects your time, reduces burnout, and ultimately preserves both your wealth and your family relationships during a challenging season of life.

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This material prepared by Thayer Partners is for informational purposes only.  It is not intended to serve as a substitute for personalized investment advice or as a recommendation or solicitation of any particular security, strategy or investment product.  Thayer Partners is a Registered Investment Adviser. SEC Registration does not constitute an endorsement of Thayer Partners by the SEC nor does it indicate that Thayer Partners has attained a particular level of skill or ability. The material has been gathered from sources believed to be reliable, however Thayer Partners cannot guarantee the accuracy or completeness of such information, and certain information presented here may have been condensed or summarized from its original source.  Thayer Partners does not provide tax or legal or accounting advice, and nothing contained in these materials should be taken as such.

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