Eldercare Dos and Don’ts

Oct 24, 2017

MoneyLife100Perhaps your aging parents are doing well on their own, but you’re concerned about an unpaid bill you noticed the last time you visited. Or maybe one parent needs in-home care, and you’re not sure how the family can pay for it. About 15 percent of the U.S. population, or nearly 50 million people, is age 65 or older, according to U.S. Census statistics. Many remain active and fit, but family members are often called upon to help with things from occasional shopping to health care. If you’re juggling eldercare responsibilities and have concerns about your parents’ finances, the Pennsylvania Institute of Certified Public Accountants (PICPA) offers the following dos and don’ts. 

Do Start the Conversation

If you’re worried that your parents aren’t properly managing their money—or that they may need financial help--it can be a tough subject to talk about. To open up a conversation, consider telling your parents about a financial step you’ve taken recently, like writing a will or opening a college savings account for your children. Use it as an opportunity to tee up financial issues that may be on their minds. Before you begin, make a short list of concerns you’d like to talk about, such as whether their medical coverage and assistance are meeting their needs or whether they have any concerns about household or other expenses. 

Do Plan Ahead

If your parents are expecting to downsize or move in with one of their children, talking with them about their long-term living plans sooner rather than later can help ease the process and ensure you’re all on the same page. This is one of many areas where advanced planning can be very beneficial. You may also want to talk with them about when they plan to begin taking Social Security payments, since their decision will have an impact on how much they receive each month and over their lifetimes. Your local CPA can offer more advice.

Don’t Overlook Documentation

Proper paperwork is vital if a loved one is moving to a new home or needs emergency care, or when you’re settling their estate. Find out where your loved ones keep their critical documents—such as their will, health care proxy, durable power of attorney, investment account information, etc.—so you will have access when you need them.  

Don’t Miss Out on Deductions

Taxpayers can deduct qualified medical expenses that exceed 10 percent of their adjusted gross income (AGI). Qualified medical expenses that are generally deductible include treatments, surgery, and preventive care, as well as dental and vision care. You may be able to deduct costs for health insurance or long-term-care insurance premiums and services. If a parent is claimed as a dependent on the child’s tax return and the child pays for the parent’s medical or nursing home expenses, then the child may be able to deduct those costs. 

Your Local CPA Can Help

Helping an aging loved one can be rewarding, but it can bring challenges too. Every day, CPAs across the country work with people to address a range of family concerns. If you have questions about the best way to manage a senior’s expenses or finances, turn to your local CPA. He or she can provide the answers you need. To find a CPA in your area or for more financial tips, visit www.picpa.org/moneyandlife.

If You Suspect Fraud

Senior citizens and the lifetime of assets they have accumulated are particularly vulnerable to fraud. Often seniors are embarrassed to admit they have been taken advantage of. Know these warning signs if you are starting to take care of your parent’s finances, and if you suspect a fraud has been perpetrated, contact the Pennsylvania Department of Banking at 800-600-0007 or www.dobs.pa.gov.


The Pennsylvania Institute of Certified Public Accountants (PICPA) is a premiere statewide association of more than 22,000 members working in public accounting, industry, government, and education. Founded in 1897, the PICPA is the second-oldest state CPA organization in the United States.

Money & Life Tips are a joint effort of the AICPA and the Pennsylvania Institute of Certified Public Accountants (PICPA), as part of the profession’s nationwide 360 Degrees of Financial Literacy program.