When a spouse becomes ill, the well spouse is suddenly faced not only with the emotional toll, but the burden of handling all the financial responsibilities and long-term planning on his or her own. If the ill spouse always handled the financial matters, even paying bills can be overwhelming. Additionally, the well spouse may not know what long-term planning considerations have been made for him/her or what is even available. This article will provide an outline of things to consider and steps to take when the financial responsibility and long-term care planning burden passes to the spouse who has generally not had to deal with these issues previously. Though not always possible, it is important to be as proactive as you can and review and familiarize yourself with these matters before a spouse becomes ill.
Locate and Organize Documents
First, it is very important to locate and organize your documents to see what you have, what long-term planning is in place and what needs to be updated. Items to look for include:
- Identification documents: Social Security card, Medicare card, birth and marriage certificates
- Military records
- Insurance documents: including, health, automobile, homeowners, life, long-term care
- Legal documents: Last Wills and Testaments, Trusts and Advance Directives (Power of Attorney, Health Care Proxy, Living Will, HIPAA Release and Burial Designation)
- Financial Information, including bank, brokerage and retirement accounts, stocks and bonds, income, tax records, debts and bills
- Any other important items including: the deed to your home, title and registration to automobiles, and safety deposit box
Understand your Present Situation
Once you locate your documents, it is important for you to learn what they are and what purpose they serve. Understand what your assets and expenses are. Regarding your assets, careful analysis should be made as to what type of account you have, how much money is in it, how the account is titled (who owns it) and whether there are any beneficiaries.
Know what your income is and where it comes from. Does your spouse receive a pension? If so, will it continue if he predeceases you? Do you have any retirement accounts (including IRAs, 401ks, profit sharing plans) that you are required to take minimum distributions from because you have reached the age of 70 ½?
Important resources are available to aide you with this undertaking. Many senior centers offer programs to assist with managing household finances and bills. They also may have volunteers who will review your Medicare coverage with you as well as your medical bills so you understand what you are being charged. If your spouse dealt with the same bank for several years, he may have developed a personal relationship with them and they may work with you to review your accounts. Additionally, an elder law attorney can play a vital role in making this process easier for you. He or she can meet with you either at your home or in the office and go through and explain all of your paperwork with you.
Simplify Your Life
You can set up automatic bill payments to have your utility, insurance and telephone bills paid directly from your checking account every month. If your spouse always prepared and filed income taxes on his own, perhaps it would ease the burden for you by hiring an accountant to prepare your taxes.
If your spouse dies, it is important to contact the Social Security Administration to advise of his/her death and to make sure you receive all of the benefits to which you may be entitled. You may be eligible for a one-time payment of $255. Also, if you are considered full retirement age for survivor’s benefits, as defined by the Social Security Administration, you can receive Social Security benefits based upon your deceased spouse’s earning record. This can be a significant amount if you either did not work outside of the home or earned less than your spouse during the time you were employed. It is important to know that your full retirement age for retirement benefits may be different from your full retirement age for survivor’s benefits. Also, if you are receiving survivor’s benefits you can switch to your own retirement benefit if your retirement rate is higher than the rate you are receiving for survivor’s benefits. The rules are complicated, and, therefore, it is important that you carefully consider all your options before making a final decision.
You need to understand what type of health insurance coverage you have, including Medicare. If you have Medicare, review whether you have Part A, Part B and/or Part D. Also, if you and your spouse has a retiree health plan through your spouse’s former employer, does it continue if your spouse predeceases you?
If it does not, you may be eligible for COBRA. COBRA is federal legislation that allows former employees, retirees, spouses and dependent children to temporarily continue group health coverage that would otherwise be terminated. If you are covered by both Medicare and a group health plan as part of your spouse’s retirement and your spouse dies, then you may have the right to elect COBRA continuation coverage with respect to the group health coverage for the maximum period of coverage available (18 to 36 months). If you become covered by Medicare at any time after an election of COBRA continuation coverage your COBRA continuation coverage will probably end. It is important to know that you only have 60 days from the date of your spouse’s death to elect COBRA coverage so action must be taken promptly. Also, COBRA coverage can be very expensive (i.e., employer can charge up to 102 % of the employer premium). The additional 2% is designed to cover administrative costs.
Make sure your legal documents are in order and up to date. Set up an appointment with your elder law attorney to review them. If your spouse has become ill, consider appointing someone else as your executor under your will or as agent under your power of attorney and health care proxy. You should review with your attorney whether you need to establish a trust to protect your assets should your spouse need long term care either in a nursing facility or at home.
Long term care is not limited to nursing homes. Today, most care is received at home and it is important for you to understand what options you have available to you and your spouse. Review whether you have long term care insurance and what coverage it provides. It is important to familiarize yourself with the differences between Medicare and Medicaid and what each program can offer you. Geriatric care managers are available to assist you with care planning assessments and provide solutions to your individual long term care needs.
If possible, it is important to review, understand and work on these issues. The more familiar you are with these responsibilities, the more comfortable you will become with them and less fearful of handling them on your own. It will help ease your burden and provide peace of mind so most of your attention can be paid to your ill spouse.