Advance Healthcare Directive

No. A DNR (do-not-resuscitate order) is a specific medical order signed by a doctor that tells staff not to perform CPR. An advance healthcare directive is broader, covering many treatment wishes and naming a decision-maker. You can express DNR preferences within a directive, but a standalone DNR is a separate physician's order.

An advance healthcare directive can cost nothing if you use your state's free official form and sign it with witnesses. If you have it notarized, expect a small notary fee, often under $25. Hiring an attorney to prepare one as part of a broader estate plan costs more but isn't required for most people.

Keep the original somewhere accessible at home, not locked in a safe-deposit box your family can't reach in an emergency. Give copies to your healthcare agent, primary doctor, and hospital. Some people carry a wallet card noting they have a directive and where to find it, which helps first responders act quickly.

Generally no. A valid advance directive legally guides your care, and your named healthcare agent's decisions take priority over other relatives' wishes. That's why naming a trustworthy agent and discussing your values in advance matters. Conflicts are far less likely when your wishes are documented clearly and your agent understands them.

Medicare Part B covers voluntary advance care planning during your annual wellness visit and as a separate service at other times, so you can discuss a directive with your doctor. Costs may apply outside the wellness visit. Call 1-800-MEDIGAP (1-800-633-4427) to confirm your coverage details.