What to Discuss With Your Aging Parents as They Get Older
The time will come when you need to have a conversation with your parents about their plans as they age. Here are some of the things you should talk about.
Profit and prosper with the best of Kiplinger's advice on investing, taxes, retirement, personal finance and much more. Delivered daily. Enter your email in the box and click Sign Me Up.
You are now subscribed
Your newsletter sign-up was successful
Want to add more newsletters?
Delivered daily
Kiplinger Today
Profit and prosper with the best of Kiplinger's advice on investing, taxes, retirement, personal finance and much more delivered daily. Smart money moves start here.
Sent five days a week
Kiplinger A Step Ahead
Get practical help to make better financial decisions in your everyday life, from spending to savings on top deals.
Delivered daily
Kiplinger Closing Bell
Get today's biggest financial and investing headlines delivered to your inbox every day the U.S. stock market is open.
Sent twice a week
Kiplinger Adviser Intel
Financial pros across the country share best practices and fresh tactics to preserve and grow your wealth.
Delivered weekly
Kiplinger Tax Tips
Trim your federal and state tax bills with practical tax-planning and tax-cutting strategies.
Sent twice a week
Kiplinger Retirement Tips
Your twice-a-week guide to planning and enjoying a financially secure and richly rewarding retirement
Sent bimonthly.
Kiplinger Adviser Angle
Insights for advisers, wealth managers and other financial professionals.
Sent twice a week
Kiplinger Investing Weekly
Your twice-a-week roundup of promising stocks, funds, companies and industries you should consider, ones you should avoid, and why.
Sent weekly for six weeks
Kiplinger Invest for Retirement
Your step-by-step six-part series on how to invest for retirement, from devising a successful strategy to exactly which investments to choose.
Today, many people are living longer, but that means the “sandwich generation” (i.e., the generation of people responsible for taking care of both their children and their aging parents) is growing. Many children of aging parents struggle with the idea of when to approach their parents about a plan for their senior years. Oftentimes, aging parents themselves are uncomfortable with the role reversal and hesitate to initiate conversations.
Many parents have already determined, through an estate plan, how their assets will be dealt with in the event of their death. The issue to consider next is how to ensure things are taken care of if your parents have health problems. It is important to have this conversation because advanced planning can alleviate stress, and circumstances can change quickly as your parents age.
The following are things to discuss with your parents in their golden years.
From just $107.88 $24.99 for Kiplinger Personal Finance
Become a smarter, better informed investor. Subscribe from just $107.88 $24.99, plus get up to 4 Special Issues
Sign up for Kiplinger’s Free Newsletters
Profit and prosper with the best of expert advice on investing, taxes, retirement, personal finance and more - straight to your e-mail.
Profit and prosper with the best of expert advice - straight to your e-mail.
Updating legal documents
Your parents should each have a durable power of attorney and a healthcare proxy. In fact, everyone over age 18 should have these documents. (See my article Three Legal Documents Your Child Should Sign When They Turn 18 for more information on this.) Should one or both of your parents need care either at home or in a nursing home, these documents will ensure that the care that is provided is in line with their wishes.
A durable power of attorney allows an agent to make financial decisions on a person’s behalf, while a healthcare proxy allows someone to make medical decisions on a person’s behalf.
In most cases, if your parents are married, they will have designated each other as agents. In the case of a parent who’s in ill health, it is advised that you have a conversation with the other parent about different scenarios that would require him or her to make medical decisions and pay medical expenses.
It is possible, however, that there will be a scenario in which both parents are in ill health. If this is the case, a backup agent (such as one of their children) should be chosen for the power of attorney and healthcare proxy.
In other situations, spouses acknowledge that their spouse may no longer be best suited for the role and name a child as the primary designee.
Protecting their assets
Most seniors don’t want to lose control of their assets, and a conversation about protecting assets through the transfer of assets is a difficult conversation to have. The best way to address this concern is to have an open and honest conversation about your parents’ financial situation and the assets they would need in their control to feel financially secure.
Any assets remaining in their control could be at risk if they experience a medical event that requires long-term care in a nursing home or extensive home care. Medicaid, a government program that helps eligible individuals with medical costs, can be used to pay for nursing home care, but typically an individual is required to use all of their own assets to pay for their medical care before they are eligible to use Medicaid benefits.
To protect their assets if a medical emergency occurs, parents should consider the transfer of assets. This process works best when planned in advance:
- Transferring assets. If your parents are married, assets can be easily transferred from the ill parent to the healthy parent at any time. If you have a single parent, the transfer of assets is more complicated. A plan must be put into place five or more years in advance of any medical emergency. Your parents’ assets should be transferred to a trusted individual, usually a beneficiary of their will, five years before they anticipate the need for long-term medical care. If your parent’s health deteriorates before Medicaid’s five-year look-back window, assets will need to be given back to them and used to pay for their care.
- Irrevocable trusts. An irrevocable trust transfers assets from the grantor's control and moves them to a trust to be held for the beneficiary or beneficiaries. Irrevocable trusts cannot be modified or terminated without the permission of the grantor's beneficiary or by the order of a court. If your parent creates an irrevocable trust and transfers their money into the trust, they will not have a legal right to that money. While the parent is alive, the trustee may have the right to transfer any amount of money back to the parent or any of the beneficiaries of the trust. Following the death of the parent, the assets would be transferred pursuant to the parent’s estate plan.
Additional considerations
Most parents want the majority of their assets to be passed on to their children, and they want to avoid paying estate taxes on their assets. However, before gifting assets, which may avoid estate tax, consider that it may create an income tax liability in the future for the children. Prior to gifting, thought should be given to the potential income tax consequences of gifting low-basis assets and the income tax benefits of a step-up in basis.
As a rule of thumb, it is recommended that you start having these conversations with your parents when they reach their 70s, or if you start to notice memory loss or other health conditions. Of course, you are the best gauge of your parents’ physical and mental health, and only you can determine the appropriate time to initiate this conversation.
It might be uncomfortable at first, but you’ll appreciate having these things worked out ahead of time as your parents age.
Profit and prosper with the best of Kiplinger's advice on investing, taxes, retirement, personal finance and much more. Delivered daily. Enter your email in the box and click Sign Me Up.

Attorney Allen Falke is the practice group leader of Mirick O’Connell’s Trusts and Estates group and a member of the firm’s Business group. He focuses his practice on tax law and estate and business planning. Allen provides estate planning for high-net-worth individuals and succession planning for business clients. He advises clients on tax matters related to business acquisitions and restructuring, and business formations and combinations. He reviews and advises clients on estate, gift, individual, corporate, partnership and fiduciary tax compliance matters. He also has extensive experience representing clients on audits with taxing authorities.
-
Quiz: Do You Know How to Avoid the "Medigap Trap?"Quiz Test your basic knowledge of the "Medigap Trap" in our quick quiz.
-
5 Top Tax-Efficient Mutual Funds for Smarter InvestingMutual funds are many things, but "tax-friendly" usually isn't one of them. These are the exceptions.
-
AI Sparks Existential Crisis for Software StocksThe Kiplinger Letter Fears that SaaS subscription software could be rendered obsolete by artificial intelligence make investors jittery.
-
Social Security Break-Even Math Is Helpful, But Don't Let It Dictate When You'll FileYour Social Security break-even age tells you how long you'd need to live for delaying to pay off, but shouldn't be the sole basis for deciding when to claim.
-
I'm an Opportunity Zone Pro: This Is How to Deliver Roth-Like Tax-Free Growth (Without Contribution Limits)Investors who combine Roth IRAs, the gold standard of tax-free savings, with qualified opportunity funds could enjoy decades of tax-free growth.
-
One of the Most Powerful Wealth-Building Moves a Woman Can Make: A Midcareer PivotIf it feels like you can't sustain what you're doing for the next 20 years, it's time for an honest look at what's draining you and what energizes you.
-
I'm a Wealth Adviser Obsessed With Mahjong: Here Are 8 Ways It Can Teach Us How to Manage Our MoneyThis increasingly popular Chinese game can teach us not only how to help manage our money but also how important it is to connect with other people.
-
Looking for a Financial Book That Won't Put Your Young Adult to Sleep? This One Makes 'Cents'"Wealth Your Way" by Cosmo DeStefano offers a highly accessible guide for young adults and their parents on building wealth through simple, consistent habits.
-
Global Uncertainty Has Investors Running Scared: This Is How Advisers Can Reassure ThemHow can advisers reassure clients nervous about their plans in an increasingly complex and rapidly changing world? This conversational framework provides the key.
-
I'm a Real Estate Investing Pro: This Is How to Use 1031 Exchanges to Scale Up Your Real Estate EmpireSmall rental properties can be excellent investments, but you can use 1031 exchanges to transition to commercial real estate for bigger wealth-building.
-
The 8 Stages of Retirement: An Expert Guide to Confidence, Flexibility and Fulfillment, From a Financial PlannerRetirement planning is less about hitting a "magic number" and more about an intentional journey — from understanding your relationship with money to preparing for your final legacy.