News & Resources: Blog

Important Documents to Consider as a Young Adult

Published: June 9, 2021

Turning 18 years old is one of life’s most exciting milestones. Finally free to make your own choices, entering adulthood is an exhilarating time in one’s life, filled with hope and a sense that anything is possible. Decisions that were left to your parents for your entire life are now yours and yours alone to make. With this freedom though comes tremendous responsibility and the decisions you make carry consequences. While the feeling of invincibility at this time of life is a universal one, the unfortunate reality is that at any time life can throw you a curve that puts you into a crisis situation. This could be a financial or health crisis or both, and, by definition, you often won’t see it coming. This is why we constantly stress the importance of having the proper paperwork in place in the event you are injured, become ill, or are otherwise incapacitated.  

Worst Case Scenario

While uncomfortable to consider, the below scenarios are examples of why we highly recommend creating a plan once you enter legal adulthood:

  • You are 19 years old and away at college, enjoying the freedom of being on your own for the first time in your life. Driving home from a holiday visit with your family, you are involved in a car accident that leaves you unconscious and in critical condition. 
  • You are a 22-years-old recent college graduate, on one last trip with friends. While riding jetskis on the lake, you get in an accident and are rushed to the hospital unconscious. 
  • As a 25-year-old, you are employed and have settled into your first apartment, living alone for the first time. After suffering a brain hemorrhage, you are put into a medically induced coma. 

In each of these scenarios, your parents call the hospital and plead for details about your condition.  “I’m sorry, but I am not authorized to provide you with any information or allow you to make any decisions.” Without the proper documents, legally, the hospital has no choice but to withhold any information because of your status as a legal adult, even if you are still covered under your parent’s insurance. 

Three Critical Legal Documents for a Young Adult

It is highly prudent to consider the following three documents when you enter adulthood.

1. HIPAA Authorization Form 

HIPAA, or the Health Insurance Portability and Accountability Act of 1996, exists for good reason; it is a federal law that safeguards who can access an adult’s private health data. In fact, healthcare providers are prohibited by law from revealing your health information and could face severe penalties if they violate HIPAA laws.  

This illustrates why a HIPAA authorization, signed by you and naming your parents as an authorized recipient, is so critical. It gives your parents the ability to ask for and receive information from healthcare providers about your health status, progress, and treatment. This is particularly important in the event you are unconscious or incapacitated for a period of time. Without a HIPAA authorization in place, the only other way to obtain information regarding your child’s health would be to go to court.

2. Healthcare Power of Attorney (for Medical Decisions)

If you sign a Healthcare Power of Attorney naming your parents as your “medical agent,” they will have the ability to view your medical records and make informed medical decisions on your behalf. Without this document or a court-appointed guardianship, healthcare decisions concerning your diagnosis and treatment will be solely in the hands of healthcare providers. While this is not always a bad thing, a physician’s primary duty is to keep the patient alive. So, a healthcare provider might not pursue a risky or experimental course of treatment at the risk of exposure to liability.

3. General Durable Power of Attorney (for Financial Decisions)

If you were ever incapacitated, you would also benefit greatly from having a General Durable Power of Attorney in place, where your parents are named as the “agent” authorized to make financial decisions on your behalf. This would allow your parents, as the named agent, to manage bank accounts, pay bills, sign tax returns, apply for government benefits, break or apply for a lease, and conduct similar activities relating to your financial and legal affairs. Otherwise, your parents will not be able to assist in managing your financial affairs without a court-appointed conservatorship.

With all of these documents, there are things to consider that the team at Scott Bloom Law will help you with in order to develop the best, customized strategy for you going forward. While considering these matters can certainly leave you feeling uneasy and uncomfortable, they are the stark realities of adulthood and when completed, leave you and your family in a much better long-term situation.

The team at Scott Bloom Law is pleased to introduce our Young Adult Dependent Program, specifically developed to help you as you enter legal adulthood. Being prepared for any crises that may arise as you enter adulthood allows for peace of mind for you and your family. Having the proper paperwork in place now can help you avoid undue stress in the future should an unexpected crisis arise. Contact the team at Scott Bloom Law to schedule a free consultation and to find out how we can help you make the most of your independence.

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- Fred T., Willow Grove, Pennsylvania

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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