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The Durable Power of Attorney: Health Care and Finances

Understand medical and financial powers of attorney and why you need to prepare both.

By , J.D.
Nolo

What if an accident or illness—or simply the effects of aging—left you unable to tell your doctors what kind of medical treatment you want, or made it impossible to manage your financial affairs? No one likes to consider such grim possibilities, but the truth is that almost every family will eventually face this kind of difficulty. While medical and financial powers of attorney can't prevent accidents or keep you young, they can certainly make life easier for you and your family if times get tough.

What Is a Durable Power of Attorney (DPOA)?

A power of attorney (POA) is a legal document that gives someone you choose the power to act in your place. In case you ever become mentally incapacitated, you'll need what are known as "durable" powers of attorney for medical care and finances. A durable power of attorney (DPOA) simply means that the document stays in effect if you become incapacitated and unable to handle matters on your own. (Ordinary or "nondurable" powers of attorney automatically end if the person who makes them loses mental capacity.)

With a valid power of attorney, the trusted person you name will be legally permitted to take care of important matters for you—for example, paying your bills, managing your investments, or directing your medical care—if you are unable to do so yourself.

Taking the time to make these documents is well worth the small effort it will take. If you haven't made durable powers of attorney and something happens to you, your loved ones may have to go to court to get the authority to handle your affairs.

To cover all of the issues that matter to you, you'll probably need two separate documents: one that addresses health care issues and another to take care of your finances. Fortunately, powers of attorney usually aren't difficult to prepare.

Medical Durable Power of Attorney or DPOA for Health Care

A medical durable power of attorney is a type of health care directive—that is, a document that set out your wishes for health care if you are ever too ill or injured to speak for yourself.

When you make a durable medical POA—more commonly called a "durable power of attorney for health care"—you name a trusted person to oversee your medical care and make health care decisions for you if you are unable to do so. Depending on where you live, the person you appoint may be called your "agent," "attorney-in-fact," "health care proxy," "health care surrogate," or something similar.

Your health care agent will work with doctors and other health care providers to make sure you get the kind of medical care you wish to receive. When arranging your care, your agent is legally bound to follow your treatment preferences to the extent that the agent knows about them.

To make your wishes clear, you can use a second type of health care directive—often called a health care declaration or living will—to provide written health care instructions to your agent and health care providers.

Many states combine the durable power of attorney for health care and the health care declaration (living will) into a single form, commonly called an "advance health care directive" or "advance directive."

For more information about preparing documents to direct your health care, see Nolo's collection of articles on health care directives.

Financial Power of Attorney

A financial POA is a power of attorney you prepare that gives someone the authority to handle financial transactions on your behalf. Some financial powers of attorney are very simple and used for single transactions, such as closing a real estate deal. But the power of attorney we're discussing here is comprehensive; it's designed to let someone else manage all of your financial affairs for you if you become incapacitated. It's called a "durable power of attorney for finances."

With a DPOA for finances, you can give a trusted person as much authority over your finances as you like. The person you name is usually called your "agent" or "attorney-in-fact," though he or she most definitely doesn't have to be an attorney.

Your agent can handle mundane tasks such as sorting through your mail and depositing your Social Security checks, as well as more complex jobs like watching over your retirement accounts and other investments, or filing your tax returns. Your agent doesn't have to be a financial expert; just someone you trust completely who has a good dose of common sense. If necessary, your agent can hire professionals (paying them out of your assets) to help out.

To learn more, see Nolo's collection of articles on the durable power of attorney (DPOA) for finances).

Why You Need a Separate DPOA for Medical Care and Finances

You may wonder why you can't cover health care matters and finances in just one power of attorney document. Technically, you could—but it isn't a good idea. Making separate documents will keep life simpler for your agent and others.

For example, your health care documents are likely to be full of personal details, and perhaps feelings, that your financial broker doesn't need to know. Likewise, your health care professionals don't need to be burdened with the details of your finances.

That said, even though you should make separate power of attorney documents for health care and finances, it makes a good deal of sense to name the same agent under both documents. If not, you must be sure to name people who will work well together.

How to Make a Durable Power of Attorney

Most people can easily make both a durable POA for health care and a durable POA for finances using a good self-help product such as Nolo's bestselling Quicken WillMaker & Trust. Look for a product that offers guidance on how to fill out the documents rather than just a fill-in-the-blank form. If you have a more complicated situation, consult an estate planning lawyer.

As you're making your POAs, you'll of course need to choose a health care agent and an agent to manage your finances. It's a good idea to let these people know that you're naming them as your agents or attorney-in-facts, and to have a conversation about your expectations and any concerns they have.

When you're done creating the documents, you'll need to sign them and finalize them according to the laws of your state. This usually means having your POAs notarized, and some states also require witnesses as well. When witnesses are required, some states have additional restrictions on who can sign as a witness.

To learn more about durable powers of attorney, see the book Plan Your Estate, by Denis Clifford (Nolo).

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