N A E L A - National Academy of Elder Law Attorneys
N A E L A - National Academy of Elder Law Attorneys
N A E L A - National Academy of Elder Law Attorneys
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Are You Ready for Your<br />
2:30 Appointment?<br />
(continued from page 4)<br />
exploitation, housing concerns,<br />
financial issues concerning payment<br />
for acute and long term<br />
care, or facing issues <strong>of</strong> end-<strong>of</strong>-life<br />
estate planning. A myriad <strong>of</strong> <strong>Elder</strong><br />
<strong>Law</strong> issues specific to the old-old<br />
client and the family <strong>of</strong> the old-old<br />
client exist. Medicaid is, <strong>of</strong><br />
course, only one <strong>of</strong> the many<br />
important legal issues facing aging<br />
clients.<br />
What should this<br />
sixty-year-old client<br />
expect from an <strong>Elder</strong><br />
<strong>Law</strong> attorney? Is he<br />
indeed seeing the right<br />
type <strong>of</strong> attorney? Are<br />
<strong>Elder</strong> <strong>Law</strong> attorneys’<br />
skills and training<br />
appropriate to meet his<br />
needs as he contemplates<br />
retirement and<br />
prepares for the legal<br />
and financial issues he<br />
must face as he enters<br />
this entirely new stage<br />
<strong>of</strong> his life?<br />
Let’s look at what<br />
this client needs. First,<br />
he needs to have his<br />
estate plan reviewed.<br />
His life has changed, since his<br />
children are now grown, and his<br />
father has some financial dependence<br />
upon him. Being in a second<br />
marriage, he may need consultation<br />
about ways to provide for his<br />
spouse while still protecting his<br />
estate for the ultimate benefit <strong>of</strong><br />
his own children. He knows nothing<br />
about estate taxes, although<br />
he has heard the number<br />
$600,000 somewhere. His current<br />
will provides for an outright gift to<br />
his spouse <strong>of</strong> his entire estate<br />
with no tax planning, no provision<br />
for his father and no provision for<br />
any ultimate gift to his own children<br />
other than as beneficiaries in<br />
equal shares if his wife does not<br />
survive. Indeed, his wife’s will<br />
provides that the residue <strong>of</strong> her<br />
estate is divided equally among<br />
her children if her husband does<br />
not survive.<br />
Second, he would certainly<br />
benefit from durable powers <strong>of</strong><br />
attorney for health care and financial<br />
management as well as from a<br />
living will that sets forth his personal<br />
preferences for end-<strong>of</strong>-life<br />
care. The counseling you provide<br />
regarding the selection <strong>of</strong> agents<br />
will be invaluable to your client.<br />
Third, he would benefit from<br />
an assessment <strong>of</strong> his financial<br />
resources in terms <strong>of</strong> his possible<br />
retirement, a review <strong>of</strong> his life<br />
insurance, and advice on whether<br />
his investments are appropriate<br />
for a person facing fixed-income<br />
living in retirement. The man’s<br />
need for life insurance, for example,<br />
has probably changed substantially<br />
from the time it was<br />
bought to put his children through<br />
school, a goal now mostly met.<br />
Fourth, he will likely appreciate<br />
information about what to<br />
expect with his father’s care<br />
needs, the coverage available for<br />
his expenses under Medicare and<br />
potentially Medicaid. Helping him<br />
understand available community<br />
5<br />
resources to assist with his<br />
father’s declining abilities will also<br />
be helpful, as well as consideration<br />
<strong>of</strong> powers <strong>of</strong> attorney from<br />
his father to him for future use if<br />
needed.<br />
Fifth, discussion <strong>of</strong> the benefits<br />
<strong>of</strong> long-term care insurance,<br />
what to look for in a policy, what<br />
to avoid and what to insist upon<br />
as basic coverage will help him to<br />
work better with the insurance<br />
salespersons he will undoubtedly<br />
encounter, each<br />
with his or her<br />
own preferred<br />
product and each<br />
with less-thancomplete<br />
advice.<br />
Sixth, and<br />
finally, and perhaps<br />
most important,<br />
this client<br />
should be advised<br />
that you are now<br />
his lawyer for all<br />
matters as he<br />
enters the retirement<br />
stage <strong>of</strong> his<br />
life, that you are<br />
experienced and<br />
skilled in all <strong>of</strong> the<br />
issues that we<br />
face in later life,<br />
including issues <strong>of</strong> estate planning,<br />
paying for long-term care,<br />
prescription drug coverage under<br />
Medicare, protection <strong>of</strong> resources<br />
in the event <strong>of</strong> long-term care<br />
expenses, managing issues <strong>of</strong><br />
mental or physical disability within<br />
the family, and issues <strong>of</strong> housing<br />
options if the current home<br />
becomes inappropriate for extended<br />
periods. Furthermore, you are<br />
there to advise on insurance questions<br />
or refer him to trusted advisors<br />
who <strong>of</strong>fer quality advice. He<br />
can ask you for a referral to an<br />
advisor who can evaluate his<br />
investments for appropriateness<br />
for retirement. You are there for<br />
him, for his wife, for his father, for<br />
(continued on page 6)