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Y's Ways to Fiscal Fitness
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Personal Financial Planning
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Taking care of aging parents is a complex responsibility. If your parents ever require assistance
or care, you'll be in a better position if you ask them to help you prepare ahead of time.
ELDERCARE PLANNING CHECKLIST
The following steps are a good place to start as you and your parents plan for care:
Review healthcare coverage. Find out if they're covered by Medicare, and if so,
which Medicare plan. Do they have supplemental healthcare coverage? Do they have
long-term care insurance? What services are not covered under their health insurance?
Review finances. Do they have any emergency funds? How much do they receive from Social
Security and other income sources? How would they pay for home care?
Decide who should be responsible for care. Who would they like to handle their financial
affairs if they were disabled? Who would they trust to make medical decisions for them?
Gather emergency information. You'll want to collect doctor contact information, health
insurance provider and account numbers, Medicare account numbers, medical conditions, allergies,
Social Security numbers, dates of birth, and copies of any legal documents like healthcare proxies
and powers of attorney. Keep this information together in a binder for easy access.
Assess housing. Will their home be safe for them as they grow older? Are there home modifications
they can make to reduce their chance of injury? Would they consider moving to a more suitable location or
one that was closer to you or their other children?
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CALL IN THE EXPERTS
Sometimes experts can help you and your parents understand
your situation and your options. To find the following experts in your area, you can call your
Area Agency on Aging (AAA), which you'll find in the government pages of your phone book
listed under social services, or by using the Eldercare Locator at
www.eldercare.gov.
Geriatric care managers work for hospitals, social services agencies, or private
care firms. They may be able to help you with many aspects of care, including help with the
initial discussions with your parents, a thorough needs assessment, selecting care providers,
and managing ongoing care.
Elderlaw attorneys can help you sort out the legal aspects of Medicare and Medicaid,
insurance, Social Security, estate planning, taxation, and rights for the elderly and disabled.
Elderlaw attorneys can also draft wills, healthcare proxies, and other important planning
documents.
Geriatricians are physicians who specialize in eldercare. They can help determine
if your parents' health symptoms reflect normal aging processes or are signs of more serious
problems.
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POWERS OF ATTORNEY
With the help of a lawyer, each parent can set up legal documents known
as powers of attorney to authorize a trusted friend or family member to act
on his or her behalf to make financial or medical decisions.
You and your parents' attorney should keep a copy of these documents, as should their
doctors, if the documents authorize a medical decision-maker. Be sure that any legal
documents meet state requirements.
Nondurable power of attorney, also known as simply power of attorney (POA), takes
effect immediately and ends when your parent revokes it, becomes mentally or physically unable
to make decisions, or dies. It covers financial and legal decisions, not healthcare decisions.
Durable power of attorney (DPOA) may be used immediately and stays in effect if your parent
becomes mentally or physically disabled. It ends when your parent revokes it or dies. The DPOA for
finances allows the person named to make financial decisions, and some states allow a DPOA for health,
which allows the person named to make medical decisions. Some states use a document called a healthcare
proxy instead of the DPOA for health to authorize a medical decision-maker.
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PAYING THE BILLS
If your parents want to appoint someone to receive their income and pay their
bills, they can appoint a payee representative.
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Springing power of attorney will only go into effect after a certain event usually your parent's
illness or disability. Unlike the other powers of attorney, it cannot be revoked, except by a court.
Otherwise, the springing POA ends at your parent's death. The agreement may specify that your parent's
doctor must determine whether your parent is fit to handle legal and financial matters before it goes into
effect.
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OUTSIDE LINKS
www.eldercare.gov
The US Administration on Aging provides a toll-free Eldercare Locator
at 800-677-1116, which can point you to eldercare services where your
parents live. Some information is available online.
www.aoa.gov
The US Administration on Aging website features information and resources
for elders and their families, including information about rights, housing,
disaster assistance, nutrition, and more.
www.medicare.gov
The Medicare website explains all of the Medicare plans, answering questions about
eligibility, choices, benefits, premiums, and more. It also explains how to file a
reimbursement claim and provides Medicare appeals forms.
www.ssa.gov
The Social Security Administration website provides news and updates about Social Security, as well
as information about applying for benefits and direct deposit of benefits.
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