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WHAT IS A POWER OF ATTORNEY?

Published: March 21, 2019
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WHAT IS A POWER OF ATTORNEY?

  • Power of attorney is a legal document which is used to designate someone to act on your behalf in legal matters such as healthcare and finance.
  • Power of attorney is also the authority to act on someone else’s behalf–it appoints an “attorney-in-fact;” the person with the power of attorney is the one who will take action for you.
  • A power of attorney document can be tailored to specific matters such as:
    • Business
    • Personal finance including tax, purchases and sales of assets, investments
    • Healthcare decisions
  • A power of attorney designation can be put in place for a specific transaction like buying a house or vehicle at auction. Once the transaction is complete, the power of attorney is no longer valid.
  • Other powers of attorney can only be effective once you’ve become incapacitated (known as “Springing”), or they can become effective upon executing the document.
  • Without question it’s best to create your Power of Attorney document(s) before you need them. A Power of Attorney can only be created while you are still of sound mind—an important legal standard that must be met for Powers of Attorney to be valid.

WHAT ARE THE DIFFERENT KINDS OF POWER OF ATTORNEY?

  •  Durable power of attorney

    • A durable power of attorney is a document that appoints an individual to act as your agent. The scope of their agency can be finances, legal matters or health.
    • The term durable means the power of attorney has no expiration date, it endures even if you are incapacitated.
    • You can appoint anyone you want as your agent, it can be a trusted family member or friend; it can also be an attorney.
  • Healthcare Power of Attorney

    • A healthcare power of attorney is a kind of durable power of attorney, that is specific to healthcare. You appoint a person to act as your healthcare “agent,” the person who will make medical decisions for you, particularly when you no longer can.
    • When you prepare your healthcare power of attorney, your attorney will ask you all kinds of questions about life sustaining measures, end-of-life considerations and giving medications. The document can spell out your wishes and how you want your agent to act for you.

WHAT IF I DON’T HAVE A POWER OF ATTORNEY?

If you have no power of attorney in place and you become incapacitated and can no longer make decisions for yourself, then two possible courses of action will come into play:

  • For financial matters, the state in which you reside will open probate proceedings on your behalf, and a guardian or conservator will be appointed to oversee your finances. This person may or may not be someone you know. Family members and others will then have the ability to apply to the court to take care of financial matters for you. The probate process will be costly and lengthy.
  • If no Healthcare Power of Attorney is in place, medical personnel will seek out close family members to make decisions for you. Without a Healthcare Power of Attorney, where you’ve made your wishes known in advance, your family’s conflicting opinions may override what you would want to happen.
  • If there is no next of kin available to medical personnel, then medical professionals will make the best possible decision on your behalf–which may or may not align with what you would want them to do.

For example:

Michael is divorced, 58 years old and is enjoying his later years. He loves his work, his girlfriend and his extended family—not necessarily in that order! He dotes on his family including his grown kids and grand kids. Everyone lives pretty close by and family get-togethers are frequent and so much fun.

Fortunately, he and his ex-wife get along just fine, so much so their children and grand kids can all socialize together without the worry of heated family drama. He delights in seeing the little ones play and he loves to spoil them with trips to the ice cream shop about a mile away from the house. Michael can keep up with the kids pretty well, he exercises each day with a walk around the neighborhood after work. He also quit smoking when he was 55 and he’s feeling better than ever since he stopped.

At dusk one Friday evening, Michael was on his walk, crossing the street just two blocks from home. He was struck by a car, driven by a drunk driver, who went too far with happy hour specials after she left work. She was celebrating a promotion. She was speeding, looking at her phone and never saw Michael at all.

Michael suffered catastrophic injuries: he has cuts all over him from hitting the windshield, multiple bone breaks and a serious brain injury. Michael is in a coma, he can’t breathe on his own or feed himself. A ventilator is doing his breathing for him. A feeding tube nourishes him. It’s been 5 weeks now and there is no change in his condition. His doctors are not optimistic about any recovery, but no one can really say for sure what will happen.

Michael has no Healthcare Power of Attorney or Durable Power of Attorney in place. There is no way for him to communicate what he wants. His ex-wife says he would “never want to be a vegetable.” She is correct: if Michael could speak or communicate in some way, he’d tell his children to take him off the breathing machine and remove the feeding tube.

He’d tell them this is no way to live.

Right now, his three grown kids are grappling with a really big decision: whether or not to keep him on the ventilator and the feeding tube. None of them know what their Dad said in the past about being kept alive if he were in a coma. Two of them think he’d never want to be kept alive in this state. One thinks he may have a miraculous recovery and wants to wait and see what happens.

They’ve all decided they need to agree on what they do for their dear father. Without consensus in sight, his kids have a standing date to sit together by their Michael’s bedside every Saturday morning— their Dad looks so young lying there. At just 58, the family’s had their father, grandfather stolen away by a horrible tragedy.

Michael lies still in his nursing home bed, he’s safe from further harm, his life may be just this from now on: a bed, a ventilator, a feeding tube and visits from his grown kids, girlfriend and the older grand kids. And caregivers: lots of caregivers will tend to him.

If he could only say it, he’d tell his kids to unplug the ventilator and disconnect the feeding tube. He’d tell them to remember all of the wonderful things they did together. He’d tell them he loves them and that he will be watching over them always.

If he could only say it, he would tell them it’s okay to let him go.

HOW DO I PREPARE MY POWER OF ATTORNEY DOCUMENTS?

  • As a first step, think about who you will place in charge of your finances and your healthcare when you no longer can do this for yourself. The selection is up to you, and you should choose someone who will have your best interests in mind–and who will carry out the wishes in good faith: exactly the way you would do it if you could.
  • A team of professionals can guide you through the steps to prepare your Durable Power of Attorney and your Healthcare Power of Attorney. They will discuss all of the options with you so you can make the best decision for your needs.

To get started, talk to the professionals at the Scott D. Bloom Law office.

To schedule your free consultation,
email us, or call 1-215-364-1111
or 1-855-992-6337 (Toll Free)

CLIENT Testimonial

It can be quite confusing to determine which Medicare plan is best for you. There are several types of plans, and each has its own advantages and disadvantages. Understanding some basic features will help you decide how to maximize your healthcare dollars and choices. You should review your choice periodically, especially as elements of the Inflation Reduction Act of 2022 change prescription medication and vaccine policies. Coverage can also change from year to year..

There are three basic types of plans:

  1. Original Medicare
  2. Medicare Advantage
  3. Medigap

Original Medicare

Medicare is a government health insurance plan for people 65 and older. Original Medicare, sometimes called traditional Medicare, comes in several parts. Each part covers different things and has various associated costs. 

Most people do not pay for Part A as it was deducted from their taxes paid while working. It is primarily for hospital visits and nursing care. However, there are many fees associated with being in a hospital that Medicare does not cover, which you still might have to pay out of pocket.

Part B requires monthly premiums, which can be deducted from your social security. You can elect to enroll in part B through Original Medicare. It covers a portion of doctors' visits, durable medical goods, and more. 

Part D covers the cost of many prescription medications. You can add it to Original Medicare or purchase it as part of a Medicare Advantage plan.

Medicare Advantage

Medicare Advantage is offered through private insurance companies that Medicare approves. Most plans include Parts A, B, and D of Original Medicare with some variations from the original. There are a wide variety of Medicare Advantage plans, including Preferred Provider Organizations (PPO) or Health Maintenance Organizations (HMO). PPOs tend to have higher premiums and offer more choices than HMOs. Medicare Advantage HMOs and PPOs often have higher premiums than traditional Medicare because they usually cover more expenses, including prescription drug costs, vision, hearing, and dental.

However, the overall costs, premiums, plus out-of-pocket expenses for Advantage plans can be lower than Original Medicare because the private insurers manage patient care and limit choices. They assemble networks of hospitals and physicians to control their costs and reduce their customer's premiums. They also restrict access to certain providers and increase the cost of care obtained out-of-network.

Traditional Medicare allows people to seek care from any provider participating in Medicare, which includes virtually all hospitals and physicians.

Medigap

Medigap is a co-insurance or supplement to Original Medicare. You can enroll when you first enroll in Part B. It is also available through Medicaid, a union, or a former employer when you qualify for both programs. You can’t have both Medicare Advantage and Medigap plans. Medigap helps cover expenses that Original Medicare does not cover, such as co-pays and deductibles. Due to the enrollment restrictions, you should strongly consider Medigap when you first become eligible.

The Right Choice for You

With all the different plans, parts, choices, and restrictions, it is crucial to consider your priorities for care. Limited access to doctors and hospitals may become important if you need specialized medical care, such as cancer treatment. Before enrolling, consider what specialty hospitals are included in Advantage plans. Likewise, Advantage plans can make it difficult to see a specialist for ongoing and chronic conditions due to limitations in long-term care services. An estate planning lawyer or elder law attorney can help address long-term care planning and the potential to qualify for Medicaid when necessary.

The Kaiser Family Foundation has put together a cost analysis to help you determine when Medicare Advantage would save you money. As you can see, the longer you stay in the hospital, the less advantageous an Advantage plan becomes.

Consumer Reports notes that the JAMA reported that seniors on Advantage plans often get more preventive care than those on traditional Medicare plans. JAMA published a comprehensive paper about how Medicare plan choice affects spending and discovered that Medicare Advantage enrollees usually spend less.

Consumer Reports notes that the JAMA reported that seniors on Advantage plans often get more preventive care than those on traditional Medicare plans. JAMA published a comprehensive paper about how Medicare plan choice affects spending and discovered that Medicare Advantage enrollees usually spend less.

A Guide in Choices after 65

Enrolling in the right Medicare coverage is one of many decisions that will affect your quality of life in your senior years. We are here to help you navigate a wide variety of choices.

If you have questions or would like to discuss your legal matters, please do not hesitate to contact our office at 215-364-1111 to schedule a consultation.

- Medigap, Medicare Advantage, and Traditional Medicare

Schedule Your Free Consultation

At Scott Bloom Law, we strive to provide excellent client service and will contact you as soon as possible. Send us an email, or call us to speak to someone directly.

CLIENT Testimonial

Our family had the good fortune to find Scott Bloom.  He was invaluable helping us set up our trust. We had an unexpected health crises and realized that we had nothing in place to protect our children.  Scott explained our options and got the necessary paperwork ready for us to hand to our family, accountant and banks. Scott was absolutely the right attorney at the right time for us. We would highly recommend him and his team.
- Tricia B., Hamilton, New Jersey