| Dedication and acknowledgments |
|
xv | |
| Preface |
|
xvii | |
| Introduction: Planning for your future |
|
xxi | |
| The demographic imperative |
|
xxi | |
| Future shock, future anxieties |
|
xxi | |
| Planning lessons from elder law |
|
xxii | |
| Multiple strategies for survival |
|
xxiv | |
| How to use this book |
|
xxvii | |
|
PART 1: PLANNING FOR YOUR HEALTH CARE NEEDS |
|
|
1 | (60) |
|
|
|
2 | (16) |
|
|
|
2 | (3) |
|
|
|
5 | (1) |
|
Getting the medical information you need |
|
|
6 | (2) |
|
|
|
8 | (1) |
|
|
|
8 | (1) |
|
|
|
9 | (1) |
|
|
|
10 | (1) |
|
|
|
11 | (1) |
|
How hospitals are organized |
|
|
12 | (1) |
|
|
|
13 | (3) |
|
|
|
16 | (1) |
|
Regulating doctors and hospitals |
|
|
16 | (2) |
|
Making health care decisions |
|
|
18 | (11) |
|
The emergence of patient rights |
|
|
19 | (1) |
|
|
|
20 | (3) |
|
|
|
23 | (1) |
|
|
|
24 | (1) |
|
The Patient Self-Determination Act |
|
|
24 | (2) |
|
|
|
26 | (1) |
|
|
|
27 | (2) |
|
|
|
29 | (12) |
|
|
|
30 | (1) |
|
Activities of daily living (ADLs) |
|
|
30 | (1) |
|
|
|
31 | (1) |
|
|
|
32 | (1) |
|
|
|
32 | (1) |
|
|
|
33 | (1) |
|
|
|
34 | (1) |
|
|
|
34 | (1) |
|
Community-based services and care |
|
|
35 | (1) |
|
|
|
36 | (1) |
|
How to evaluate a home care agency |
|
|
37 | (1) |
|
|
|
38 | (1) |
|
|
|
39 | (1) |
|
|
|
40 | (1) |
|
|
|
41 | (20) |
|
|
|
42 | (1) |
|
|
|
42 | (1) |
|
How to evaluate a nursing home |
|
|
43 | (2) |
|
|
|
45 | (1) |
|
The nursing home contract |
|
|
46 | (1) |
|
Admissions and discrimination |
|
|
46 | (1) |
|
|
|
47 | (1) |
|
|
|
47 | (1) |
|
|
|
48 | (2) |
|
Chemical and physical restraints |
|
|
50 | (1) |
|
Bed-hold and bed reservations |
|
|
51 | (1) |
|
|
|
52 | (1) |
|
Resident's Bill of Rights |
|
|
53 | (2) |
|
|
|
55 | (1) |
|
|
|
56 | (1) |
|
|
|
56 | (1) |
|
|
|
57 | (4) |
|
PART 2: MANAGING AND PAYING FOR HEALTH CARE |
|
|
61 | (52) |
|
|
|
62 | (23) |
|
|
|
63 | (1) |
|
Enrollment (Part A hospital coverage) |
|
|
64 | (1) |
|
Enrollment (Part B medical insurance) |
|
|
65 | (1) |
|
|
|
66 | (1) |
|
|
|
67 | (2) |
|
Medicare and Alzheimer's disease |
|
|
69 | (1) |
|
|
|
70 | (1) |
|
Deductibles and copayment |
|
|
71 | (1) |
|
Outpatient (ambulatory) care |
|
|
72 | (1) |
|
|
|
73 | (2) |
|
Hospital costs and treatment |
|
|
75 | (1) |
|
|
|
76 | (1) |
|
Expedited review before discharge |
|
|
77 | (2) |
|
Appealing a Medicare decision |
|
|
79 | (6) |
|
|
|
85 | (19) |
|
Types of health insurance |
|
|
86 | (1) |
|
Policy terms and conditions |
|
|
87 | (2) |
|
Preexisting conditions and waiting periods |
|
|
89 | (2) |
|
|
|
91 | (1) |
|
Checking the insurance company |
|
|
92 | (1) |
|
Filing an insurance claim |
|
|
93 | (2) |
|
|
|
95 | (1) |
|
Continuing coverage when you stop working |
|
|
96 | (2) |
|
|
|
98 | (1) |
|
Medigap supplemental insurance |
|
|
99 | (4) |
|
Medicare coverage when you're working |
|
|
103 | (1) |
|
Managed care, HMOs, and Medicare + Choice |
|
|
104 | (9) |
|
|
|
104 | (1) |
|
|
|
105 | (1) |
|
|
|
106 | (1) |
|
|
|
106 | (1) |
|
Enrolling in Medicare + Choice |
|
|
106 | (1) |
|
Medicare + Choice coverage |
|
|
107 | (1) |
|
Your Medicare + Choice rights |
|
|
107 | (1) |
|
Switching Medicare + Choice coverage |
|
|
108 | (1) |
|
Appealing an HMO decision---external review |
|
|
109 | (1) |
|
Appealing a Medicare + Choice plan decision |
|
|
110 | (1) |
|
|
|
111 | (1) |
|
Assessing the Medicare + Choice program |
|
|
111 | (2) |
|
PART 3: FINANCING LONG-TERM CARE |
|
|
113 | (42) |
|
Medicare and long-term care |
|
|
114 | (6) |
|
Post-hospital care under Medicare |
|
|
114 | (2) |
|
Home health care under Medicare |
|
|
116 | (3) |
|
Medicare and hospice services |
|
|
119 | (1) |
|
Medicaid and long-term care |
|
|
120 | (18) |
|
|
|
121 | (1) |
|
``Spending down'' for Medicaid |
|
|
122 | (1) |
|
|
|
123 | (1) |
|
|
|
123 | (1) |
|
Your home and other exempt assets |
|
|
124 | (1) |
|
Protecting spousal resources |
|
|
125 | (3) |
|
Protecting spousal income |
|
|
128 | (1) |
|
|
|
129 | (2) |
|
Trusts and Medicaid planning |
|
|
131 | (3) |
|
|
|
134 | (1) |
|
Appealing a Medicaid decision |
|
|
135 | (1) |
|
|
|
136 | (2) |
|
|
|
138 | (7) |
|
Evaluating the long-term care policy |
|
|
139 | (3) |
|
Public-private partnership policies |
|
|
142 | (3) |
|
Reverse mortgages, annuities, and life insurance |
|
|
145 | (10) |
|
|
|
145 | (2) |
|
Qualifying for a reverse mortgage |
|
|
147 | (1) |
|
Loan amount and payment options |
|
|
147 | (2) |
|
Truth in Lending requirements |
|
|
149 | (1) |
|
Reverse mortgages and government benefits |
|
|
150 | (1) |
|
Finding a reverse mortgage |
|
|
150 | (1) |
|
|
|
151 | (1) |
|
|
|
152 | (3) |
|
PART 4: LIFE PLANNING FOR YOU AND YOUR FAMILY |
|
|
155 | (92) |
|
Advance directives for health care |
|
|
156 | (34) |
|
The three basic directives |
|
|
157 | (1) |
|
|
|
157 | (3) |
|
Specific treatment instructions |
|
|
160 | (2) |
|
Instructions on nutrition and hydration |
|
|
162 | (1) |
|
``Do not resuscitate'' orders |
|
|
162 | (2) |
|
Physician responsibility and liability |
|
|
164 | (1) |
|
Living will statutes and legal formalities |
|
|
165 | (5) |
|
|
|
170 | (1) |
|
|
|
171 | (1) |
|
Appointing a health care agent |
|
|
172 | (3) |
|
|
|
175 | (1) |
|
Surrogate and family consent |
|
|
176 | (2) |
|
Organ and tissue donation |
|
|
178 | (2) |
|
|
|
180 | (1) |
|
Oregon Death with Dignity Act |
|
|
181 | (2) |
|
Supreme Court rulings on physician-assisted suicide |
|
|
183 | (3) |
|
|
|
186 | (1) |
|
|
|
187 | (1) |
|
|
|
188 | (2) |
|
Property management systems |
|
|
190 | (15) |
|
|
|
190 | (1) |
|
Durable power of attorney |
|
|
191 | (1) |
|
Springing power of attorney |
|
|
192 | (1) |
|
|
|
193 | (5) |
|
Legal capacity and formalities |
|
|
198 | (1) |
|
|
|
199 | (1) |
|
Revoking a power of attorney |
|
|
200 | (1) |
|
|
|
200 | (2) |
|
|
|
202 | (1) |
|
|
|
202 | (2) |
|
Designating a representative payee |
|
|
204 | (1) |
|
Planning for the disabled child |
|
|
205 | (8) |
|
Services and entitlements |
|
|
205 | (1) |
|
|
|
206 | (2) |
|
|
|
208 | (1) |
|
|
|
208 | (2) |
|
|
|
210 | (1) |
|
|
|
211 | (1) |
|
|
|
212 | (1) |
|
Guardians and protective services |
|
|
213 | (15) |
|
|
|
214 | (1) |
|
|
|
215 | (1) |
|
|
|
216 | (1) |
|
|
|
216 | (2) |
|
|
|
218 | (1) |
|
|
|
219 | (2) |
|
|
|
221 | (1) |
|
Alternatives to guardianship |
|
|
222 | (1) |
|
|
|
223 | (1) |
|
|
|
224 | (2) |
|
|
|
226 | (1) |
|
Investigation and services |
|
|
226 | (1) |
|
|
|
227 | (1) |
|
Wills and estate planning |
|
|
228 | (19) |
|
|
|
228 | (3) |
|
Your will and estate taxes |
|
|
231 | (1) |
|
Bequests to spouses, children, and other family members |
|
|
232 | (3) |
|
Disposing of your personal effects |
|
|
235 | (1) |
|
|
|
236 | (1) |
|
|
|
236 | (1) |
|
|
|
237 | (1) |
|
|
|
237 | (1) |
|
Community property states |
|
|
238 | (1) |
|
Witnesses and other formalities |
|
|
238 | (3) |
|
|
|
241 | (1) |
|
Renouncing an inheritance |
|
|
242 | (2) |
|
|
|
244 | (3) |
|
PART 5: YOU AND YOUR TAXES |
|
|
247 | (14) |
|
Planning and tax implications |
|
|
248 | (13) |
|
|
|
249 | (3) |
|
Using the lifetime exclusion and marital deduction |
|
|
252 | (1) |
|
Selected trust strategies |
|
|
253 | (2) |
|
|
|
255 | (4) |
|
|
|
259 | (2) |
|
PART 6: WORKING AND RETIREMENT |
|
|
261 | (66) |
|
Protections in the workplace |
|
|
262 | (21) |
|
Age Discrimination in Employment Act |
|
|
263 | (1) |
|
Your rights under the ADEA |
|
|
263 | (4) |
|
Americans with Disabilities Act |
|
|
267 | (1) |
|
|
|
268 | (4) |
|
|
|
272 | (3) |
|
Back pay and other relief |
|
|
275 | (1) |
|
Mediating employment disputes |
|
|
276 | (2) |
|
State discrimination laws |
|
|
278 | (1) |
|
Family and Medical Leave Act |
|
|
279 | (3) |
|
|
|
282 | (1) |
|
Pensions, benefits, and IRAs |
|
|
283 | (20) |
|
ERISA---the law of pension plans |
|
|
284 | (1) |
|
Your right to participate |
|
|
285 | (2) |
|
|
|
287 | (1) |
|
Receiving pension benefits |
|
|
288 | (1) |
|
|
|
289 | (1) |
|
|
|
290 | (1) |
|
Getting information on your pension |
|
|
290 | (1) |
|
Appealing a claim decision |
|
|
291 | (1) |
|
Pension plan terminations |
|
|
292 | (2) |
|
Benefits and welfare plans |
|
|
294 | (1) |
|
Changing employee benefits |
|
|
295 | (1) |
|
|
|
296 | (1) |
|
IRA and retirement plan distributions |
|
|
297 | (6) |
|
Social Security and disability |
|
|
303 | (24) |
|
Social Security eligibility and benefits |
|
|
304 | (2) |
|
Retirement and early retirement |
|
|
306 | (1) |
|
Applying for Social Security benefits |
|
|
307 | (1) |
|
Working past retirement age |
|
|
308 | (1) |
|
|
|
309 | (1) |
|
|
|
309 | (1) |
|
|
|
310 | (1) |
|
Social Security overpayments |
|
|
311 | (1) |
|
Social Security disability insurance |
|
|
312 | (1) |
|
Disability eligibility and benefits |
|
|
312 | (1) |
|
|
|
313 | (3) |
|
Continuing disability review |
|
|
316 | (1) |
|
Supplemental Security Income |
|
|
316 | (1) |
|
|
|
317 | (1) |
|
New transfer rules for SSI |
|
|
318 | (2) |
|
|
|
320 | (1) |
|
|
|
320 | (1) |
|
|
|
321 | (1) |
|
|
|
321 | (1) |
|
Appealing a Social Security decision |
|
|
322 | (2) |
|
Creditor protection for your benefits |
|
|
324 | (1) |
|
Your Social Security number |
|
|
324 | (3) |
|
PART 7: MEETING YOUR HOUSING NEEDS |
|
|
327 | (28) |
|
|
|
328 | (15) |
|
|
|
328 | (1) |
|
|
|
329 | (1) |
|
|
|
329 | (3) |
|
|
|
332 | (1) |
|
|
|
333 | (1) |
|
|
|
334 | (1) |
|
|
|
335 | (1) |
|
|
|
336 | (1) |
|
Zoning and age discrimination |
|
|
337 | (1) |
|
|
|
337 | (3) |
|
|
|
340 | (3) |
|
|
|
343 | (12) |
|
|
|
345 | (1) |
|
|
|
346 | (1) |
|
|
|
347 | (1) |
|
Entrance fees and payments |
|
|
348 | (1) |
|
Housing and related services |
|
|
349 | (1) |
|
Social and support services |
|
|
350 | (1) |
|
Assisted living and nursing services |
|
|
351 | (1) |
|
|
|
352 | (1) |
|
|
|
352 | (1) |
|
|
|
353 | (1) |
|
Regulating adult living communities |
|
|
353 | (2) |
|
|
|
355 | (8) |
|
|
|
356 | (7) |
|
|
|
356 | (1) |
|
|
|
357 | (1) |
|
|
|
357 | (1) |
|
|
|
358 | (1) |
|
|
|
358 | (1) |
|
Legal problems of the elderly |
|
|
358 | (1) |
|
|
|
359 | (2) |
|
Aging organizations and agencies |
|
|
361 | (2) |
| Appendix I. Where to get information or help |
|
363 | (11) |
| Appendix II. State agencies |
|
374 | (22) |
| Index |
|
396 | |