Financial Caregiving For an Ill or Disabled Adult
If you're a typical elder-caregiver you, or someone else close to your senior,
are helping with bill-paying, insurance claims, applications for benefits,
investment decisions, tax issues, housing, budgeting for care and living costs,
and on and on.
This financial caregiving job can be particularly difficult if you live far
away or if you have other important demands on your time (or both). There are
innumerable pitfalls when you are responsible for managing someone else's
financial affairs. Making a mistake can cost your elder financial security, can
lead to irreparable rifts with other family members, and could conceivably even
lead to legal difficulties.
There are several documents that will make your job as financial caregiver
easier. There's a good review in the articles listed at the bottom of this page.
If you don't have these, you are strongly urged to get them as soon as you can,
unless your elder is no longer able to sign legal documents.
Assuming you have the legal authority to do what has to be done regarding
your elder's legal and financial affairs, here are several things that can help
immensely with the task:
Don't Wait to Get Advice
Get solid financial and legal advice from professionals you know and trust.
Contact bankers, lawyers, accountants, insurance agents or financial planners
your family has dealt with in the past. Let them know of your situation and your
problems. Ask how they'd recommend you deal with matters, and find out how they
can assist.
Consider working with lawyers and financial advisors who specialize in
helping the ill or elderly. Elder law attorneys regularly handle estate
planning, Medicare and Medicaid issues, insurance disputes, fraud cases and
other legal affairs affecting the elderly. Daily money managers are
professionals who pay bills, balance checkbooks, monitor insurance claims and
handle other daily financial responsibilities for other people. Geriatric care
managers typically are nurses or social workers trained to help, or find help,
with various tasks, including money management and evaluating housing options.
Work only with professionals you believe are reputable and ethical. If
friends or relatives can't give you a referral, talk to your doctor or your
doctor's bookkeeper, or a social worker at a hospital or nursing home.
Take advantage of free or low-cost assistance programs. Many lawyers,
financial advisors and other professionals offer free initial consultations. For
ongoing assistance that may be available at reduced or no cost, consider the
services available from private organizations and government agencies in your
city or state. One way to track down these programs is through the Eldercare Locator, a service
of the U.S. Administration on Aging.
Dig Into Benefits and Insurance Right Away
Closely review your relative's insurance coverage and government benefits.
You may be pleasantly surprised, for example, to find a disability insurance
policy covers more than just wages; it also could pay for physical therapy or
other services. Similarly, a life insurance policy might have cash value or, in
dire situations, an option to receive an advance payment of some of the policy's
death benefit. You or someone knowledgeable should check out your relative's
rights and benefits under Social Security, Medicare, Medicaid, private insurance
and employee benefits.
Share the Burden
Share financial decisions with the family. The person you're caring for
always should be given as much control and involvement in financial decisions as
possible. If you must assume full responsibility for a relative's finances,
share information with other family members. Open communication about the
financial decisions you are making may reduce the possibility of future
second-guessing. Keep good notes about significant discussions you have with
family members and the actions taken as a result.
Think about sharing duties with family and friends. Some regular
responsibilities, such as bill paying or deposit making, might be done most
efficiently by one person. But don't be shy about asking family, neighbors and
old friends to help out where appropriate, from occasional banking matters to
basic errands, phone calls and letters. Those with legal, health-care or
financial training can be particularly helpful with certain tasks. If help is
available on a regular basis, that's even better. You'll need a break
periodically.
Watch For Risks
Be aware of your possible pitfalls and potential liabilities. As a financial
caregiver you may become a joint owner of a checking or savings account, serve
as a legal representative (through a power of attorney) or become someone's
trustee or guardian. Any time you agree to share responsibility with or for
someone else you may be taking on unexpected risks and liabilities. Before you
sign any documents that have been prepared for someone else, have it reviewed by
a lawyer who represents only you.
Beware of combining your money with that of your senior. Doing so may
jeopardize future benefits, and you may unknowingly put some of your own
money over the current FDIC insurance limit.
Be prepared for out-of-pocket expenses. Caregivers rarely are paid, rarely
are thanked, and frequently don't get reimbursed for long-distance phone calls,
travel, groceries, medications, personal care items or other purchases. Discuss
a plan for reimbursement with your senior and your other close family members.
Consult with your attorney about the best way to set up a plan for reimbursement
of time, travel and out-of-pocket expenses.
Preserve Your Senior's Autonomy
Respect your relative's opinions and desire for autonomy. "Caregivers mean
well but often, out of their own anxiety and guilt, become overly protective and
begin making decisions that the relative is fully capable of," says Gail Hunt,
executive director of the National Alliance for Caregiving, a Washington-based
organization for families caring for older Americans.
"The care recipient, even if physically frail, should always be making his or
her own financial decisions," Hunt says, adding that important decisions should
be in consultation with other family members, if appropriate. "The caregiver may
have to step in if confusion, dementia or mental illness becomes an issue."
Finally
As a caregiver, it's easy to feel overwhelmed and to forget to take time for
yourself. That can lead to burnout, which isn't good for you or for the senior
who depends on you. With the many resources now available a caregiver doesn't
have to be alone when making or carrying out decisions, even if there are no
other suppportive family or friends to share the burden.
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