June 19th, 2019 11:18 AM
Accidents happen. The Clancy household is no exception. In fact, a few of the Clancy kids seem to be downright accident prone. In total Clancy kids have made nine trips to the emergency room so far.
At first, these accidents were a four-alarm incident, particularly when Paul, at age six, skied into the rental house. Eventually, accidents turned into a smooth operation for my husband Mike and me. We were usually near the "scene of the incident" and could quickly whisk the injured kid to the emergency room, talk to the medical staff, obtain treatment and be on our way in a few hours. Even when Paul broke his leg (the second time) at a high school soccer game. We were at the hospital within 20 minutes of getting the call.
Now that Paul, John, and Maureen are adults and living on their own or away at college, an emergency room visit could be much different. (Paul has graduated college, yeah!) The college kids are all over 18 years old. Therefore, they are considered adults in many respects including in the eyes of healthcare law. Although our kids are covered on our healthcare plan, they still retain their right to healthcare privacy. Just like paying our kids' college tuition does not give us the right to receive their college grades, covering our college kids with our healthcare plan does not grant us access to their medical information.
Of course, this is what we want, right? We want our kids to turn into responsible adults. So, we encourage them to assume adult responsibilities (budget money, unsupervised schoolwork, independent living, etc.). If they accept adult responsibilities it only seems fair that they should receive adult privileges. One adult privilege is the right to privacy including healthcare privacy.
For the most part, adult kids keeping their healthcare information private is not problematic. Not unless a college accident turns into a medical emergency. If Paul's soccer accident (broken leg) had happened at college, it would have been upsetting but not a four-alarm incident. Paul would have been conscious and therefore, he would be able to inform Mike and me of his condition.
But what if Paul's accident involved a head injury and he was unconscious? He could not waive healthcare privilege. It would be the medical staff's decision using a "patient's best interest"standard to decide what medical information to reveal. Likely, there would be no problem if Mike and I were present at the hospital and the medical staff could identify us. But Paul's college was 150 miles away. Nowadays medical personnel are not eager to violate a patient's privacy. What if the medical staff refused to reveal medical information over the telephone? Would we have to wait for an update until we drove to the hospital two hours away?
Luckily, there is an easier option. A HIPAA (Privacy Rule of the Health Insurance Portability and Accountability Act) authorization form. This document allows an adult (including adult children) to release medical information to named individuals (like parents). The HIPAA authorization form can be signed by a college student and a copy kept by a parent in case of a medical emergency.
A HIPAA authorization form along with a Medical Power of Attorney (appointment of an agent for medical decisions if incapacitated) and a Property Power of Attorney (appointment of an agent for property decisions if incapacitated) can ensure that your young adult is completely covered in the case of an emergency.
If we ask our college kids to be responsible and prepare for a medical emergency, are we hypocritical if we do not take the same action for ourselves? Draft your estate plan (wills, trust, powers of attorney). It is easier, cheaper and less time consuming than you think.
If I have persuaded you and made my case please contact me or another trustworthy attorney to draft your or your adult child's estate plan.
To view the full print edition of the Wednesday Journal 2019 Answer Book, please click here.
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