The Elder Law Firm of Marshall & Associates
Contact Us Meet Our Staff Articles Of Interest Long Term Care Planning Estate Planning Our Newsletters


Search PAElderLaw.com
 

The Elder Care Law Alert

Marshall, Parker & Associates' E-mail Newsletters

2006

 

Elder Care Law Alert

                     August 17th, 2006 Issue 

_________________________________________

Jersey Shore, Williamsport, Wilkes-Barre

1-800-401-4552

www.paelderlaw.com 

________________________________

The Elder Law Firm of Marshall, Parker  & Associates, LLC, is a recognized leader in providing coordinated legal and elder care planning services to older adults and their families throughout Pennsylvania.

__________________________________________

In This Issue


 Comprehensive Estate Planning

 Written By: Attorney Jeffrey A. Marshall , CELA*

Many people think estate planning is about dying.  But comprehensive estate planning is more about life - your life and the lives of the people you love. It is about protecting you and your family by preparing for the future while there is time to plan. 

Comprehensive estate planning allows you to:

           ensure that your values will be respected and your intentions followed in the event of your illness;

           permit your trusted family members to manage finances and have access to needed health information if you are incapacitated;

           protect your family from the cost of your health care and long-term care expenses;

           provide for family members with special needs such as a disability;

           avoid family disputes;

           protect and provide for your family after you are gone.                                 

Creating a Comprehensive Estate Plan

Comprehensive planning starts by planning for the remainder of your life. You need to create a life plan that will protect your lifestyle and financial security and help you attain your goals during the rest of your lifetime.

Especially important is planning for the possibility of our incapacity.  Who should be authorized to step in and manage our finances if needed?  Who should have access to our personal medical information?  What financial and medical decisions should they be authorized to make?   

What if we need long-term care?  What can we do to make sure we are able to stay at home rather than in a nursing facility?  What if we do need nursing home care?  The costs are staggering - now over $80,000 a year, with an average stay of 2 ½ years. This can quickly destroy your family’s financial security. With advance planning you can protect your family from this risk. 

If you are married, a comprehensive estate plan will help ensure that your spouse will be able to live his or her remaining years with dignity and financial security. At your death, it can preserve an inheritance to pass along to your family in a manner that will not be squandered because of inexperience, illness, or a marriage gone bad. 

Created with the help of your lawyer and financial advisors, your plan will show you how your assets can best be utilized for your benefit and ultimately protected and preserved for the benefit of your intended beneficiaries. 

Implementing Your Plan

Once you have devised your plan, it needs to be implemented.  Implementation usually involves a number of legal, financial, and health care documents, such as the following:

 ∙           Power of Attorney

For most people there is no legal document that has the potential to become as important in their lives as a power of attorney.  In the event of your incapacity, a power of attorney can help ensure that the desired decisions will be made for you by the people you choose. A well-drafted power of attorney will increase the likelihood that your values will always be respected and that your family can be protected from your health care costs. 

A power of attorney can be the key that opens the door to effective asset protection planning and the preservation of your family's financial security. The document, however, must be carefully crafted in order to authorize this type of planning. The absence of appropriate authorizations in a power of attorney can seriously jeopardize your family’s financial security. And a poorly drafted power of attorney can be a license to steal.

            Health Care Directives and Authorizations

The health care power of attorney and the living will are documents that give you some measure of control over the medical treatment you will receive if you ever become incompetent.  The health care power of attorney is more flexible because it is not limited to just terminal illness situations.  Recent federal rules may be used by health care providers to deny your family access to your health information and participation in your care.  You need to authorize the right family members to have access to your information and provide them with the authority to serve as advocates and decision makers for you.  

            Asset Protection Documents

In addition to an asset protection power of attorney, specialized deeds, trusts, and other agreements may help protect your assets in the event that you (or your spouse) should ever require long-term care either at home or in a nursing facility.   

            Last Will and Testament

In this document, you can give important instructions regarding how your property should be distributed after your death, who will care for your children and other loved ones, and much more. Your will helps assure that your assets will be distributed to the persons you want in the right amounts and at the right times. Your will can help reduce or eliminate the taxes that will be levied against your estate, avoid family conflicts, and provide for religious, educational, or other charitable causes. If you have young children, your will is the legal document you use to name a guardian for them.  

           Ownership & Beneficiary Designations

At your death, the transfer of some of your property will likely occur without regard to the provisions of your will. Joint accounts, life insurance, annuities, IRAs and other retirement plans, and other assets for which beneficiaries have been named are all distributed without regard to what your will says. You need to create a plan that covers all of your assets.  Comprehensive estate planning requires a coordinated review and update of all of your ownership and beneficiary arrangements.

 ∙           Trusts

Trusts are particularly useful if you have a family member with a disability.  Specialized trusts can be used to hold funds to enhance the beneficiary’s life without jeopardizing their eligibility for government benefits.  Individuals and married couples can set up trusts that will protect their assets from the cost of care in the event of a future disability. In addition, trusts can sometimes be used to minimize taxes.

The benefits of comprehensive estate planning are compelling.  Once your plan has been implemented, you will enjoy the peace of mind of knowing that you have done all you can to protect yourself and your family from whatever the future may hold.  It is never too early to get started. Just make certain that your estate planning is comprehensive.  

Attorney Marshall ’s article was originally published in the Insights & Opportunities Column of the Williamsport Sun-Gazette on July 2, 2006.  

Attorney Marshall can be contacted at webmail@paelderlaw.com or at 1-800-401-4552. 


 Mental Health Advance Directives

Written By: Patti Jo Turner , Marshall , Parker & Associates’ Estate Planning Paralegal

The general public is becoming more and more educated about estate planning documents like wills and trusts.  There is even a growing awareness of the differences between two forms of advance health care directives – the “living will” and the “health care power of attorney.”  Even so, there is a relatively new form of health care document that has gone virtually unmentioned - the Mental Health Advance Directive.

In January of 2005, legislation became effective in Pennsylvania that allows individuals to make very specific decisions regarding their own mental health care before an emergency arises.   These documents include instructions that aren’t spelled out in most health care powers of attorney.

The Mental Health Advance Directive comes in two parts: The Mental Health Declaration and the Mental Health Power of Attorney.  They can be used separately or as a combined document.  The Declaration allows an individual to make his choices known regarding treatment preferences well before a crisis that may render him incapable of doing so.  For example, the Declaration allows a patient to state a preferred treatment facility.  It also enables the patient to list medications that cause adverse side effects, a preference for or against electroconvulsive therapy (ECT), and a willingness to participate in new drug trials, or experimental therapies.

In order to establish a Mental Health Advance Directive, an individual must be 18 years of age and competent at the time of the document signing.  This document is only valid for 2 years (or less if it is revoked, or if a new document is executed).  If the patient is incapacitated at the time of expiration, the existing document will stand. 

A Mental Health Power of Attorney allows an Agent (and a back-up Agent) to be named who can make treatment decisions on behalf of the patient.  The authorized Agent can then confer with doctors in real time to make the best informed decisions. The Agent can use the Declaration as a guide.  In the case of ECT, experimental studies, and drug trials, the patient must specifically indicate on the form whether or not his Agent has the power to consent to these treatments.  

Voluntary and involuntary commitment procedures are NOT affected by having the Mental Health Advance Directive, but treatment after commitment is.  For those who suffer from mental illness, these documents can be a valuable tool in asserting their desires and controlling their lives in the event of a crisis.   

Patti Jo Turner can be contacted at webmail@paelderlaw.com or at 1-800-401-4552. 


  Beware of Telephone Scams About Medicare Drug Benefit  

Written By: Attorney Jeffrey A. Marshall, CELA*  

Con artists are trying to defraud older consumers through a number of telephone schemes related to the new Medicare drug benefit. The schemes attempt to capitalize on the confusion surrounding the federal government's new prescription drug program for seniors and disabled people.  

The federal government reports that scammers are calling seniors with offers to give them a lifetime Medicare card for a fee.  They typically ask for the consumer’s bank account numbers. The callers may use fictitious company names, such as Pharma Corp., National Medical Office, Medicare National Office, and National Medicare.  

Government officials say that seniors should not provide bank account or Medicare numbers to callers unless the senior initiated the contact. Legitimate Medicare drug plans will not send representatives to the homes of beneficiaries without an invitation or ask for payment over the telephone or Internet. Medicare beneficiaries should ask drug plans to mail bills.   

Medicare has been receiving complaints from Pennsylvania as well as other states.  While complaints have been made against several different companies, authorities believe that the companies are the same and are typically based outside the United States . Consumers can report these cases to their local law enforcement agencies or 1-877-772-3379. 

The Pennsylvania Department of Aging and the federal government remind older adults to protect themselves against scam artists by remembering:  

    * No one can come into your home uninvited.

    * No one can ask you for personal information during their marketing activities.

    * Always keep all personal information, such as your Medicare number, safe, just as you would a credit card or a bank account number.

    * Whenever you have a question or concern about any activity regarding Medicare, call 1-800-MEDICARE.  

Medicare beneficiaries in Pennsylvania seeking information about the new federal prescription drug benefit may contact the Department of Aging’s APPRISE program, toll-free, at 1-800-783-7067.  

Attorney Marshall can be contacted at webmail@paelderlaw.com or at 1-800-401-4552. 


Marshall, Parker & Associates Launches New Series of  “Gotta Know” Classes for Baby Boomers and Their Parents  

Written By: Melissa Bottorf, Director of Marketing & Public Ed ucation  

There are some things Baby Boomers and their parents just “Gotta Know” about planning for the future.  Over the next six weeks, attorneys from Marshall, Parker & Associates and invited experts will take some complex topics and make them easy to understand in a series of free, one-hour classes.  Each class will be held at Annunciation Church Hall, 410 West Walnut Street in Williamsport .  For more information, directions, or to register, please call 1-800-401-4552 or visit us online at www.paelderlaw.com/gottaknow.html.  Attend any or all of the classes that interest you.  

Thursday, August 24 at 6:30 PM

Because You Can’t Take it With You:  All About Wills, Trusts & Estate Planning  

Thursday, August 31 at 6:30 PM

Who’s in Charge?  Powers of Attorney, Trusts, Guardianships and Advance Directives  

Thursday, September 7 at 6:30 PM

Is Someone Depending on You?  Planning for a Disabled Loved One  

Thursday, September 14 at 6:30 PM

Caring for an Aging Loved One at Home  

Thursday, September 21 at 6:30 PM

Getting the Care You Need Without Going Broke  

Thursday, September 28 at 6:30 PM

Protecting Your Nest Egg:  Retirement Accounts & Investment Planning  

More information is available on our website at www.paelderlaw.com/gottaknows.html  

Melissa can be contacted at webmail@paelderlaw.com or at 1-800-401-4552


Back issues of The Elder Care Law Alerts are available on our website. 

 You can even search our site by a keyword or phrase!


Do you have a friend or colleague who would enjoy reading the Elder Care Law Alert?  If so, please feel free to forward it to them. Simply use the “Forward” button on your e-mail program.


To subscribe or unsubscribe to the Elder Care Law Alert,

simply send your request to:

webmail@paelderlaw.com  


*Attorneys Marshall and Parker are certified as Elder Law Attorneys by the National Elder Law Foundation under authorization from the Pennsylvania Supreme Court.

Elder Law Firm of Marshal & Associates

© 2000-2005 Marshall, Parker & Associates          www.paelderlaw.com