Planning/Implentation

Establishing Power of Attorney, Health Care Proxies and other legal directives – before a crisis – ensures that everyone understands their rights and responsibilities. We will play an ongoing role as advisors and managers to make sure your wishes are implemented.

There are few things more distressing than disagreements or misunderstandings among loved ones. Though the legal documents that set forth the financial and medical directives for elder family members are relatively straightforward, the responsibilities they entail are complex, time consuming and often confusing. Drawing up these documents requires legal services that can only be provided by an attorney. For that reason, it’s wise to have a trusted family attorney on board well before the time when you and your family need to act upon these directives.

Elder and disability planning typically involves creating Power of Attorney (POA) and Trust documents to empower persons, family members or corporate entities to act on behalf of an elder family member within the financial realm. Similarly, a Health Care Proxy (HCP), Living Will or other Advance Directives are the tools needed to act on behalf of a family member in the medical realm.

Together, all of these documents are meant to facilitate care and comfort and avoid family conflicts.

HV Aging at Home works together with you, your family and your attorney to define the logistics of POAs, Trustees and Proxies. Planning ahead will minimize family conflict and establish the necessary legal agreements that allow family members to act upon and share responsibilities.

Once all your wishes are defined in legal documents, HV Aging at Home can play an ongoing management role and make sure your directives are carried out according to what’s been specified.

We stand ready to assist you – in planning, defining and implementing – as follows:

Power of Attorneys and Trustees

✓ Assist the Trustee concerning responsibilities for:

• Managing finances, pension, social security, 401k, assets, income, annuities, mutual funds and investments
• Appropriately using “spend downs” consistent with Medicaid rules
• Paying home expenses, taxes and maintenance
• Paying insurance premiums and co-pays, and reviewing Explanation of Benefits (EOB’s) payments and denials
• Choosing Medicare plans, Supplemental Insurance, “GAP” Insurance or Medicaid Advantage Plans
• Applying for Veterans benefits
• Evaluating and choosing managed care policies on an annual basis
• Evaluating and choosing service provider agencies
• Benefit Plan Coordination, advocacy and appeal of benefit denials
• Monthly bookkeeping and maintaining documents for Medicaid applications and re-certification
• Arranging pre-paid funeral and burial expenses


Health Care Proxy

✓ Assist the Health Care Proxy concerning responsibilities for:

• Coordinating and implementing medical care, supports and services
• Evaluating, monitoring and advocating for supports and services under Managed Care Plans
• Monitoring health and safety at home, supported residence, Assisted Living or Nursing Home facilities
• Arranging medical appointments, tests, diagnosis and prognosis
• Attending Assisted Living/Nursing Home care planning and management meetings
• Hospital Discharge Plans (crucial for securing home benefits)
• Advocating for implementation of Advanced Directives
• Monitoring and oversight to ensure that agency or private services are timely and appropriately performed
• Contesting and appealing managed care and insurance Explanation of Benefit (EOB’s) denials