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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.
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My 88 yr old mom recently was refused service at a hospital in Roswell, NM. She was told her insurance, Medicaid refused to pay for the care. She is confused and does not understand how Humana is her coverage?
Was this an emergency room visit? For a REAL emergency? Emergency rooms must by law ascertain that a patient is stable before transfer to their own hospital. I am uncertain what you mean by medicaid, then by Humana. Has medicaid enrolled your Mom in a Humana program? What basically is your question for us? Interestingly, in the new bill on Trump's desk, the latest relief bill, along with 5,000 pages of other stuff no one read between it's presentation at 10 pm and the vote at 2 a.m. is a portion that will make hospitals that give care to patients out of network unable to bill patients. They will have to make negotiations with the covering network. So that is to say if the EMT dumps you at the Humana ER and you are a Kaiser patient, and Humana stablizes you then they cannot charge YOU. Humana and Kaiser will have to work it out. That is the good news. The bad news is that it doesn't take affect until a full year after the bill is signed.
Mom has Medicare, right? Medicaid is secondary? In my State Medicaid has u choose which insurance to use out of a list they have. Same with prescriptions.
Medicaid does not go over State lines. You must stay within ur State and use Drs. and facilities that take Medicaid. I am surprised they didn't except Medicare and have Mom be responsible for the 20% Medicare doesn't cover.
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.
Emergency rooms must by law ascertain that a patient is stable before transfer to their own hospital.
I am uncertain what you mean by medicaid, then by Humana. Has medicaid enrolled your Mom in a Humana program?
What basically is your question for us?
Interestingly, in the new bill on Trump's desk, the latest relief bill, along with 5,000 pages of other stuff no one read between it's presentation at 10 pm and the vote at 2 a.m. is a portion that will make hospitals that give care to patients out of network unable to bill patients. They will have to make negotiations with the covering network. So that is to say if the EMT dumps you at the Humana ER and you are a Kaiser patient, and Humana stablizes you then they cannot charge YOU. Humana and Kaiser will have to work it out. That is the good news. The bad news is that it doesn't take affect until a full year after the bill is signed.
Medicaid does not go over State lines. You must stay within ur State and use Drs. and facilities that take Medicaid. I am surprised they didn't except Medicare and have Mom be responsible for the 20% Medicare doesn't cover.