Health Care Proxy vs. Power of Attorney: What’s the Difference?

Which document covers medical decisions, which covers money, and why the names get mixed up.

By No Brainer Forms Team Updated 3 min read

Key Takeaways

  • A health care proxy names a person to make medical decisions for you if you can’t. In many states it’s the same thing as a health care (medical) power of attorney.
  • A financial power of attorney covers money and property, such as banking, bills and taxes, and usually gives no authority over medical care.
  • Most adults need both, plus a living will for their treatment wishes and a HIPAA release so family can talk to doctors.
  • The name depends on your state: “health care proxy,” “health care power of attorney,” “health care agent” and “advance directive” can overlap.
  • All of these documents end at death; after that, your executor takes over.

Why the terms get confusing

“Power of attorney” is a general term for any document that lets someone act on your behalf. When people say “power of attorney,” they usually mean a financial power of attorney. A health care proxy is the medical version. States such as New York and Massachusetts officially call it a health care proxy; many other states call it a health care or medical power of attorney. They do the same job.

Side-by-side comparison

Health care proxy (medical POA)Financial power of attorney
CoversMedical treatment and care decisionsMoney, property, bills, taxes, contracts
Person namedHealth care agent or proxyAgent or attorney-in-fact
When it’s usedUsually only when you can’t make or communicate decisionsImmediately or on incapacity, depending on how it’s written
Who relies on itDoctors, hospitals, care facilitiesBanks, investment firms, government agencies
Typical signing rulesWitnesses, a notary or either, by stateUsually notarized
EndsAt death, or if you revoke itAt death, or if you revoke it
Health care proxy and financial power of attorney compared

What a health care proxy lets your agent do

  • Consent to or refuse treatments and procedures
  • Choose doctors, hospitals and care facilities
  • Make decisions about life-sustaining treatment, guided by your living will
  • Access your medical information, especially when paired with a HIPAA release

See medical power of attorney for more detail.

What a financial power of attorney lets your agent do

  • Pay bills and manage bank accounts
  • File taxes and deal with government benefits
  • Manage investments and real estate
  • Sign contracts on your behalf

To keep it working if you become incapacitated, it should be durable. See durable vs. springing power of attorney.

Should it be the same person?

It can be. Some people choose one person for both because they trust them completely. Others pick a calm, nearby person for health decisions and a detail-oriented person for finances. What matters most is that each person is willing, available and knows your wishes.

Frequently asked questions

Is a health care proxy the same as a medical power of attorney?

In practice, yes. Both name a person to make medical decisions for you if you can’t. The name depends on the state.

Does a financial power of attorney cover medical decisions?

Generally no. A financial power of attorney covers money and property. You need a separate health care proxy or medical power of attorney for health decisions.

Is a health care proxy the same as a living will?

No. A health care proxy names a person to decide for you. A living will states your treatment wishes in writing. Many states combine them in one advance directive form.

Can my spouse make medical decisions without a health care proxy?

Many states let a spouse or close relative decide under default rules, but disagreements and delays are common, and unmarried partners often have no automatic rights. A health care proxy removes the guesswork.

Does a health care proxy work after death?

No. It ends at death. Decisions about your estate are then made by your executor under your will.

Keep reading

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This guide is general educational information written by the No Brainer Forms Team. It is not legal advice, and No Brainer Forms is not a law firm. Laws and signing requirements vary by state; for advice about your situation, talk to a licensed attorney in your state.