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Missing my Mom and Health Care Decisions

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Michael Sicuranza, CFP®, AEP®
President and Sr. Financial Advisor
Affinity Wealth Management LLC

My mother would have been 72 this month. I wrote the article below shortly after she passed. I still think that the advice and resources I discuss are as important today as they were then. Being an advocate for ourselves sometimes seems like we are being “a pain” or a difficult patient but if you don’t ask for details and explanations, you cannot make a good decision regarding healthcare choices. The system is bound to get even more complicated and it is up to us as individuals (and financial advisors) to help our families and ourselves navigate it.

Here is actual blog I wrote:

When health care “coverage” is discussed in the news, the topic usually focuses on cost, affordability and the availability of insurance.

But when I talk with individuals and families about health care “coverage,” my take is quite different. To me, “coverage” means access and quality of health care-in other words, how well will your medical and wellness needs be “covered” by the health care facilities and professionals in your area.

This comes as a result of a lesson I learned the hard way with my own parents after they retired. Now it’s become a part of the conversations I have with individuals and couples as I help them plan ahead for their important retirement decisions.

My parents now live in an area that’s become very popular among retirees. The weather is warm year-round. There are plenty activities nearby to keep them busy and active. And the cost of living is reasonable, which will help them keep spending in check and ensure their savings lasts for as long as they need it.

These are all qualities common to places that are looking to attract retirees to grow their communities. While many areas showcase local attractions and amenities that cater to a particular retirement lifestyle, much of the community’s basic and essential infrastructure remains a work in progress. This often includes health care and medical facilities, as is the case in my parents’ current community.

For example, hospitals tend to be smaller in many new retirement communities. These hospitals may not have the space or equipment to manage emergency situations or complicated medical procedures. This is particularly importance for older residents. The lack of adequate facilities or capabilities could lengthen trips for emergency care or ambulance service, when time is most essential.

Plus, health care needs become more acute as people age. Treatments often require the attention of specialists. But not every area has specialists on call. Some specialists may only visit a community once a week. For others, patients may have to make extended trips to a closer metropolitan area to meet with doctors who specialize in acute care.

I came up with the following short checklist to help measure the health and medical care “coverage” of an area being considering for retirement:

  • Proximity to a metropolitan area – Access to care and physicians will be greater where there is more people.
  • Availability of teaching hospitals or university health care systems – These facilities are often incubators of research and cutting-edge procedures.
  • Growth of practices in key areas of specialization – The expansion of specialist doctors in an area will attract other specialists and improve access.
  • Age of doctors – Younger doctors are typically more interested in growing their practices and expanding the services they provide.
  • Local hospital partnerships – By teaming with larger and more renowned hospitals, smaller facilities gain from following standard processes and can refer patients for more complex care.

Many of us take health care access and quality for granted when we’re younger and relatively healthy, or while we live in larger communities. Hospitals are often close at hand, and the pool of physicians and other medical professionals is deep and wide.

We take these expectations with us into retirement, and don’t give these questions much thought as we scout for locations to spend our golden years. Yet they can make a difference in the quality of life you can enjoy during retirement.

Here are my three takeaways for reviewing retirement options with consideration to health care needs:

  • Evaluate health care “coverage” in the area – Hospital Compare (available through the Medicare.gov website) is one on-line resource you can use to research facilities in an area. U.S. News & World Report, Truven Analytics Ratings and The Leapfrog Group-Hospital Safety score can also provide rankings that can aid your search.
  • Know the specialists for any pre-existing conditions – Locate where these specialists have offices and which hospitals where they admittance privileges. Find out if there is a waiting list for new patients as well.
  • Don’t fear a delay in your retirement plans – If you have in mind an ideal retirement location with adequate medical coverage but feel the cost of living is too high, consider retiring later. Adding more to your savings can help you afford a community that’s suits your needs, rather than compromising your health care coverage.

Michael Sicuranza, CFP® & AEP®, is an *award-winning wealth advisor who is  the President of Affinity Wealth Managment, LLC.  He focuses on providing comprehensive wealth management solutions to medical professionals, small business owners, and affluent families in the Delaware Valley. Together with his partners, he helps clients address their five biggest concerns: preserving wealth, mitigating taxes, providing for heirs, protecting assets, and giving to charitable organizations.

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