Compare care preferences with the resources available
A useful planning conversation puts three questions side by side: What kind of care would the person prefer? Who may be able to make decisions if the person cannot speak for themselves? What insurance, income, savings or other resources should be considered when evaluating possible care arrangements?
These questions are related, but they are not interchangeable. A healthcare directive can record an agent or alternate and healthcare preferences. A financial power of attorney authorizes an agent to act on someone’s behalf, but its scope, duration and limits matter. Neither document should be assumed to give its agent every kind of authority.
- Write down care preferences, including what matters most and what remains uncertain.
- List people who may be asked to help, and identify which decisions each document is meant to address.
- Gather current insurance information and a general record of income, assets and care-related resources.
Make a care-planning snapshot
Bring a one-page snapshot to a planning discussion. Note the person’s preferred care setting, important healthcare preferences, potential decision-makers, existing financial and healthcare documents, insurance contacts, and questions about how care may be paid for. Mark information that is missing rather than guessing.
This snapshot can reveal gaps early—for example, a named healthcare agent may be clear while financial authority, access to information, or the person’s understanding of available resources still needs discussion. Keep healthcare decision-making, financial authority and access to records as separate items to review.
- Bring copies of existing powers of attorney, advance healthcare directives and related planning documents.
- Gather insurance policy or plan information and a current list of financial resources.
- Note who can be contacted for records or account information, without assuming that a role automatically grants access.
Consider TennCare as a question, not an assumption
Tennessee’s CHOICES program provides long-term services and supports. Both medical and financial requirements apply, so it should be treated as a program to ask about—not as promised funding or a conclusion that a person will qualify.
A planning discussion can identify what information may be relevant to a TennCare inquiry and how that question fits alongside care preferences, insurance and other resources. Avoid making care decisions based on an assumed outcome.
- What care needs should be discussed with an appropriate healthcare professional?
- What information would be needed to evaluate a possible CHOICES inquiry?
- Which decisions should be handled by a healthcare agent, and which by a financial agent or another authorized role?
Plan for decision-making and coordination
Different roles carry different authority. An agent under a power of attorney, a court-appointed guardian or conservator, a trustee, and a government-appointed benefit fiduciary are not interchangeable. Identify the actual document or appointment and review its scope before relying on it.
For Bartlett residents, Dale Law Group, PLLC serves clients in Tennessee from its Murfreesboro office. The firm can help with long-term care planning and related planning documents, including financial and healthcare powers of attorney and advance healthcare directives. A focused review can help organize preferences, authority, resource information and next questions into a practical coordination plan.
Questions to bring to the discussion
Does having a power of attorney mean an agent can make every decision?
No. A power of attorney authorizes another person to act on someone’s behalf, but the document’s scope, duration and limits matter. Healthcare authority and financial authority should be considered separately.
Does TennCare CHOICES guarantee payment for long-term care?
No. CHOICES is a Tennessee long-term-services-and-supports program with medical and financial requirements. Whether it may apply to a particular person is a separate question; eligibility or funding should not be assumed.
Discuss your next step with Dale Law Group
Begin with a brief, non-confidential overview. The firm will discuss your needs and appointment arrangements.
General information, not advice for a particular situation. Sending an inquiry does not create an attorney-client relationship.