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Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
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By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
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I know she can't give gifts if in the future she goes in a nursing home. But, can she use it to pay for respite care at a nursing home? She will be using her own money now for respite care. Will it affect her going to a NH in the future?
It shouldn't but why would you pay for something when it would be covered by insurance. As long as her money is used for her needs only, there shouldn't be a problem.
Glad, Per Medicare.gov website Respite care under Medicare is short term (usually 5 days or less) and offered under the hospice benefit. So the parent would need to be in hospice care for the respite benefit to apply. Respite would have to be coordinated through hospice provider. The original poster's parent might qualify for hospice, might not. Medicare pays for 95% of the cost; patient/family would have to pay for the rest. Some facilities will waive the copay; some won't. Medicare is not set up to simply provide respite care - you have to go through their certified hospice providers and arrange it. Otherwise, it's not covered by insurance.
Per Medicaid, it's fine to use the patient's money to pay for a respite stay during the lookback, but you'd need to find a place that had available short term beds and was set up for respite. You cannot pay for a hotel or travel for the caregiver from the patient's funds as part of the respite. You cannot pay for meals, etc. for anyone other than the patient during respite.
Medicare will pay for respite time so that home caregiver gets a break. I think it may be two weeks per year, but check that. It does not effect future benefits. Medicare does not pay for long term care. It will pay for rehab following a qualifying hospital stay.
Spending her money on her needs really shouldn't pose any problem, and respite care is a perfectly legitimate expense. It may be you who needs the down time, but it's she who needs the care - just as she would if you didn't exist at all, or just as she would if she had hired caregivers at home and they took their vacation entitlement.
If you are thinking about her possibly needing to apply for Medicare in future, and the "look back" at where her funds have gone to, I suppose you could always call and ask them just to make double-sure. Does anybody know if there are published guidelines about what does and does not qualify as a legitimate expense for this purpose?
Lindyann; I think you are assuming that Medicaid (what might pay for mom's long term care in the future if she is impoverished) (not Medicare) would consider respite a "gift" to you in the future, rather than a necessity.
It is considered a necessity; that's why it's paid for by Medicare (elder health insurance)
To be honest, most respite care has a minimum of 2 weeks and the moving back and forth may have an impact on her mental. I guess a little more detail would allow for more helpful answers. Is she bedridden, does her health merit 24-hour care, can her own money afford 24-hour care in her own home, does she live with you, etc.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Respite care under Medicare is short term (usually 5 days or less) and offered under the hospice benefit. So the parent would need to be in hospice care for the respite benefit to apply. Respite would have to be coordinated through hospice provider. The original poster's parent might qualify for hospice, might not. Medicare pays for 95% of the cost; patient/family would have to pay for the rest. Some facilities will waive the copay; some won't. Medicare is not set up to simply provide respite care - you have to go through their certified hospice providers and arrange it. Otherwise, it's not covered by insurance.
Per Medicaid, it's fine to use the patient's money to pay for a respite stay during the lookback, but you'd need to find a place that had available short term beds and was set up for respite. You cannot pay for a hotel or travel for the caregiver from the patient's funds as part of the respite. You cannot pay for meals, etc. for anyone other than the patient during respite.
If you are thinking about her possibly needing to apply for Medicare in future, and the "look back" at where her funds have gone to, I suppose you could always call and ask them just to make double-sure. Does anybody know if there are published guidelines about what does and does not qualify as a legitimate expense for this purpose?
It is considered a necessity; that's why it's paid for by Medicare (elder health insurance)