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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
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?
Acknowledgment of Disclosures and Authorization
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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If you are considering getting Mom Medicaid fot health, this is a question you need to ask a Medicaid caseworker. I am in NJ and my nephew gets vision, dental and prescriptions. He has been disabled since birth.
Is your LO in facility care? I see you posted under Assisted Living. Not all states accept Medicaid for ALF. Without more info just trying to give you heads up on red flags.
In my DH aunts case they do pay for prescriptions except for the times they don’t. 🧐
I’m assuming you may be looking at the new price of the Part D drug plan? It was a shock for me when I saw it but since she’s on Medicaid it will be adjusted.
Or maybe you are filling out a Medicaid application and wondering whether to list the drug plans? My attorney advised me to keep her Part B, Supplement and Part D. The premium for the Part D comes out of her SS along with Part B. The supplement is deducted from her bank account but is allowed for along with her monthly Personal Needs Allowance (PNA). The rest of her SS goes as her share of cost. So, it isn’t costing YOU, it is part of the benefit of Medicaid, of course that’s IF your state accepts it.
Or you might in the future have a LO on hospice and this question comes up again? In which case, Medicare pays for meds received through hospice compensation. Since it comes out of their profit, you may find them less than willing to provide meds that you want your LO to receive. You keep the plan and they are covered just in case. I’ve had the facility not go along with the hospice on who should pay for what. While they fussed, I picked up the prescription.
Or you might be wanting a drug for your LO that the NH pharmacy can’t get easily and you know with LO drug plan you can go pick it up at the drug store? Has happened more than once for DH aunt.
Or you might wonder what would happen if your LO came off Medicaid? How would you get their meds then?
Because the pharmacy the NH uses is out of network for my LO insurance, they applied for extra credit from Medicare and her meds are zero when I have picked them up. When her SS statement came in I see that the premium for her Part D was reduced to $2.20 from last year when it was $6.60 and $20+ the year before. If she weren’t on Medicaid it would now be over $40.
There is a lot wrong on the surface for this appearance of overpayment for insurance premiums but you nor I wrote the rules. We just have to manage the best we can within them for the benefit of our loved ones.
I imagine most people don’t keep it. That was advice aunt paid for and I’m glad I followed it.
Now this is my personal experience. She has been on Medicare for 2+ yrs.
In my state (MN) the answer is yes in my MIL's case. My hubs is her PoA. We manage her Medicaid application and paperwork. She' not had to pay for anything, but then against, she hasn't required much either. She's on meds for thyroid, depression, and OTC pain (acetaminophen and ibuprofen). Can't speak to anything more than that.
Because Medicaid varies so much state to state I think it would be difficult for us to answer this for your own particular situation. I think also that as is the case with most insurance, some scripts must be written for generics and there are certain drugs that may be unproven and/or very expensive while still in patent protection that may not be covered. I would discuss this with your pharmacy and they should be able to better inform you, or to inform you as to how to obtain the information you need.
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.
In my DH aunts case they do pay for prescriptions except for the times they don’t. 🧐
I’m assuming you may be looking at the new price of the Part D drug plan?
It was a shock for me when I saw it but since she’s on Medicaid it will be adjusted.
Or maybe you are filling out a Medicaid application and wondering whether to list the drug plans?
My attorney advised me to keep her Part B, Supplement and Part D. The premium for the Part D comes out of her SS along with Part B. The supplement is deducted from her bank account but is allowed for along with her monthly Personal Needs Allowance (PNA).
The rest of her SS goes as her share of cost. So, it isn’t costing YOU, it is part of the benefit of Medicaid, of course that’s IF your state accepts it.
Or you might in the future have a LO on hospice and this question comes up again?
In which case, Medicare pays for meds received through hospice compensation. Since it comes out of their profit, you may find them less than willing to provide meds that you want your LO to receive. You keep the plan and they are covered just in case. I’ve had the facility not go along with the hospice on who should pay for what. While they fussed, I picked up the prescription.
Or you might be wanting a drug for your LO that the NH pharmacy can’t get easily and you know with LO drug plan you can go pick it up at the drug store?
Has happened more than once for DH aunt.
Or you might wonder what would happen if your LO came off Medicaid?
How would you get their meds then?
Because the pharmacy the NH uses is out of network for my LO insurance, they applied for extra credit from Medicare and her meds are zero when I have picked them up. When her SS statement came in I see that the premium for her Part D was reduced to $2.20 from last year when it was $6.60 and $20+ the year before. If she weren’t on Medicaid it would now be over $40.
There is a lot wrong on the surface for this appearance of overpayment for insurance premiums but you nor I wrote the rules. We just have to manage the best we can within them for the benefit of our loved ones.
I imagine most people don’t keep it. That was advice aunt paid for and I’m glad I followed it.
Now this is my personal experience. She has been on Medicare for 2+ yrs.
They even changed it to one company handling all requests. Gainwell.
I would discuss this with your pharmacy and they should be able to better inform you, or to inform you as to how to obtain the information you need.
Good luck!