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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.
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Let's say you didn't have your medicaid card on you, and you payed a bill upfront because you had to, will medicaid cover for it and you can get your money back?
Ask your provider to bill Medicaid now that you have card info. Payment can sent to you instead of their office (claim system should allow for both). If they say cannot be done - tell them just to Bill but you will expect them to send a check for the credit once payment has processed.
Remember it may take anywhere from 30-90 days for an answer from Medicaid. Check with the billing office monthly or if you don't see a check or any activity on their bill after 3 months.
I'm not so sure about being reimbursed for a medical bill, but I do know you can refuse to pay that bill with Medicaid was supposed to cover it. Around here, when you get into the system such as at the hospital, you normally don't need to have your insurance card with you in the future as long as you stay in the system. The only thing you may have to do is regularly provide your insurance card for your doctors office to keep updated copies. I do know that if you have care source, they can reimburse you for gas to and from your doctor appointment. They also provide free transportation if you can't get there on your own for some reason. However, I don't know about the medical bill reimbursement thing, I don't pay a bill if Medicaid is supposed to cover it, mainly because I don't have that kind of money.
You could submit the bill to Medicaid for reimbursement. However you may not be reimburse the amount you paid the doctor fully. If they reimburse you they will pay you the rate paid to the doctor. However, the doctors office you visited should not have billed you. They should have a copy of your Medicaid information on file. They could have used it to billed Medicaid directly. If you plan to submit the bill to.Medicaid make sure you send it in as soon as possiable. Medicaid has time frames in place for reimbursement. It may vary depending where you reside. Good luck
Take your card top the place you received services, have them bill Medicaid and the place you received services will reimburse you after Medicaid pays them.
my husband still works and we have the companies health insurance and we have medicare for a secondary. The biggest problem we have had is the doctors bill the health insurance and then send us a bill without ever sending to the secondary. Always have to tell them send to medicare too and then it is paid. This is all doctors office problem for us. We tell all this up front.
Submit your bill from the provider with the Medicare form, and send it in. It takes awhile to get the reimbursement, and only expect 80%. Try not to forget your card again as it just makes more work for you!
Good point about not being billed in the first place - patients cannot be billed when a provider accepts assignment (payment directly) either through Medicare or Medicaid.
Maybe it's the case they really don't take Medicaid? If that's true - you may have difficulty getting reimbursement as they are not "in network". Check with Medicaid customer service - they will know the specifics of your state's policies on this issue.
In my state, new "cards" (actually they are just on paper), are sent each month. If you did not have the current paper and you had not already been seen by that provider earlier in that month, they would not have had proof that you were still eligible for Medicaid. That is why they expected payment. As ladylee said, you need to take a copy of your Medicaid eligibility for that month back to the provider and ask them to bill Medicaid. When they receive payment from Medicaid they will refund the amount you paid. They are not allowed to keep any money beyond what Medicaid pays. It may be different in some states, but here only the provider can bill Medicaid, not the patient.
In Ohio, our Medicaid cards also used to be on paper until they switched to wallet sized cards. When I first reobtained Medicaid and started getting the little cards under one of their providers (they redid Medicaid) I remember getting a new card in the mail every so often. At first it was more frequent and then it became less often. I think I was under United healthcare at the time until I switched to care source, which seems to be much better. United healthcare I think was for people who didn't really need much coverage, because I noticed that they don't cover much. Care source actually seems to be much better, and they have little wallet sized cards like United healthcare does. The little cards actually make things easier since there are no papers to lose. All you do is just keep the card in your wallet and pull it out when you need it. Hospitals are actually pretty good at keeping your records if you've ever visited them. I visited a hospital in a neighboring city, and after they took my information the first time, they still had my information the next time. I didn't really need to worry about my wallet at the time. The system has really improved over the years and we've come along way.
People are getting Medicare and Medicaid confused. You can be refused service if you don't show your card. This is to protect the doctor. Medicaid can stop at anytime. From one visit to ànother. Same with people on Medicare under the age of 65. Situations change. Like suggested, call Medicaid.
Have the provider submit to medicaid. When they are paid by medicaid, they should refund your money. If they give you a problem, report them to the Medicaid office. They do not want to lose their ability to take medicaid.
The physician's office should not have asked for payment upfront even if you did not have your card if you had been there before, because they already have all the eligibility info in their system. Even if they did not have eligibilty dates, it is a quick call o Medicid to chek eligibility. Regardless, the Physician should bill Medicaid. Once he gets payment from them, then he/she would need to send you a refund. With electronic claims submissions, etc. it cn take at least 30 days depending on the size and type of practise before you get a refund, but you will need to stay on top of it.
Yes. If the office accepts Medicaid. They have to submit your claim to Medicaid once you give them your card. They also have to return your money and instead take whatever Medicaid gives them , which will be less. They are not allowed to bill you the difference. If they give you a hard time about this at all, threaten to report them to the Medicaid fraud department. They'll comply then.
To answer your question yes. You can even be reimbursed for medical bills that occured up to 3 months prior to getting approved for medicaid. Call your case manager to get instructions on how to file. You may have to go to the place you received care show them your card and have them bill for services, they would them reimburse you what you paid.
if i had a tourist visa and i was covered by medicaid for my baby , and now i would like to reimburse medicaid because i was nor=t supposed to have medicaid and he consular have cancelled my visa
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.
Remember it may take anywhere from 30-90 days for an answer from Medicaid. Check with the billing office monthly or if you don't see a check or any activity on their bill after 3 months.
However, the doctors office you visited should not have billed you. They should have a copy of your Medicaid information on file. They could have used it to billed Medicaid directly. If you plan to submit the bill to.Medicaid make sure you send it in as soon as possiable. Medicaid has time frames in place for reimbursement. It may vary depending where you reside. Good luck
Maybe it's the case they really don't take Medicaid? If that's true - you may have difficulty getting reimbursement as they are not "in network". Check with Medicaid customer service - they will know the specifics of your state's policies on this issue.