Dealing with the Financial Aspects of A Medical Emergency
Posted by Jim Heitman on September 30th, 2010My apologies to all for the long break. My laptop died in its sleep a couple weeks back and the restoration process was long. Then that was followed by the catch-up on all the work I get paid for and a great NAPFA conference in the middle. I am back on track, I hope, for regular updates. Oh, if you are not sure what NAPFA is go to www.napfa.org and check us out. It really is the source for financial advisors dedicated to a no commission model.
Returning to the topic of dealing with medical emergencies, we already discussed the need for emergency savings and the importance of knowing how exactly your disability insurance works. This time we will consider two other important preparatory steps.
There are a number of documents you really should prepare today. Every adult should have a general power of attorney and a medical power of attorney. A power-of –attorney (POA) is a document that gives another person the authority to make decisions and act on your behalf as if they were you. You want to make these “springing”, meaning they become effective only if certain circumstances come about (like your incapacitation due to illness or injury). Obviously you want to give this power to someone you trust to make good decisions for you. Often it is a parent, sibling, or spouse but can be just about anybody. You should discuss the appointment with your chosen person and make sure they are willing to serve. Also take a look at Advance Directives (sometimes called a Living Will) that allow you to state what your wishes would be in certain extreme situations; the doctors concluding that you will remain in a vegetative state and are unlikely to improve would be an example of extreme. Also the Do Not Resuscitate (DNR) form for people who have a terminal disease and would prefer that the medical folks not take “extreme measures” to prolong life. A sad example that I witnessed: an older (late 70s) man was suffering from terminal cancer. He was near the end and needed regular pain medications. He was struck by a sudden and serious heart attack, which should have ended his life. Unfortunately the paramedics and the hospital were required to try to prolong his life. The emergency bill was astronomical, and then he died from complications from the cancer a week later. That is what a DNR is designed to avoid. These documents and the rules vary between the states, so check out the requirements for where you live.
An important prep step for all kinds of emergencies is the “where is all my stuff and here’s what I want to happen” list. This is a list of critical phone numbers, people who need to be informed, accounts, wills, deeds, insurance policies, and all that stuff that someone might need if you are not around to tell them where it is. This letter or book should also discuss funeral arrangements and other end of life issues. Don’t forget pets in the process; who is your vet, and who gets to watch the cat are important questions if you are incapacitated. That book might also state who doesn’t get to take care of the cat. My cat hates my buddy Dan, and he is none too fond of her.
In my next blog post we will look at reactive things to do when an emergency strikes.
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Jim Heitman, CFP®, is a writer, speaker, Certified Financial Planning practitioner in Southern California, and the founder of Compass Financial Planning – a fee-only planning and money management firm. Phone (909) 373-5204 Facsimile (909) 912-8290 |




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