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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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Medicaid basically takes over when you have no money left to pay for health care. If your Mom needs to go into a Nursing Home for an extended period, she likely will need Medicaid to pay for it. Medicare does not cover Long term care in a NH.
Medicare A is hospital care, Medicare B is physician/medical benefits and part D is drug coverage. They’re are also private pay supplemental policies to cover what Medicare doesn’t pay
You can have Medicare and also apply for Medicaid.
I guess I need more education. I do my best to understand all of this stuff but I get confused at times. I have no idea what those separate parts of Medicare are. The other thing I don’t get is when I see people post about having Medicare and Medicaid. So do you apply for Medicaid and you still keep Medicare? Forgive me ignorance!
Can you explain a bit more, please. Another thing, this pay down stuff. I guess I screwed up because mom is 93, almost 94 so if she does end up needing LTC in a NH will I have to pay back money? Sorry to ask so much. It’s just not totally clear to me. I’ve tried to read up on it from time to time but honestly, I get somewhat confused. Here in Louisiana it’s five years. So that would make mom close to 100 to qualify for Medicaid.
What about hospice? That’s covered by both, right? Medicare and Medicaid.
Sorry for being such a dummy! Hahaha. You’re a gem for answering our questions. You have way more experience in these things. I’m trying to learn as I go along.
I'm coming at this from a very different cultural background, because in European countries I think there is probably less stigma attached to receiving state benefits than there used to be here or currently seems to be in the States. But one of the things I've realised after years on the forum is that whatever the approach, the aim of almost all governments and societies worldwide is pretty much the same: to ensure that no citizen of any society that wants to call itself civilised is left sick or starving or homeless.
(I never said any of them necessarily achieves that aim.)
If or when she needs Medicaid, the state doesn't own your mother. It owes her, in her old age and infirmity. She's done her bit, hasn't she? She's paid her taxes and been a good citizen? So now, if she needs care or health care and doesn't have the means to pay for it, the state is responsible for ensuring that her needs are met. It's the state's duty to do that, enshrined in law.
My personal problem with many of these "safety net" services, and others such as education which have historically been taken over from the church and other charitable institutions by the state, is that states tend to run them badly. But that's another question.
It’s true a safety net is needed at times. Why some people view that as shameful boggles my mind. As you say, if we are good citizens so be it. Actually, all human beings deserve dignity. Thanks for sharing valid points.
Medicaid is for the truly needy. There is community Medicaid for medical and drug expenses. Long term care Medicaid for nursing home coverage. Both are need based and determined by income and asset qualifications.
Essentially medicare is the insurance provided to elders by the government; it is paid for through Social Security, and a portion of Social Security is withdrawn monthly for medicare insurance. Then when there is medical need a portion of the bills are paid by medicare. There are several parts to it and it is complicated, and most people have medigap insurance as well, from United Health Care/AARP program, through a hospital such as Kaiser, or in any number of ways. That is all very complicated in choosing and more complicated even than that is Medicaid which takes over when there are no funds. An elder must be flat out BROKE with some small amount they can keep and with some monthly allowance, and then Medicaid comes in to provide care (albeit not as good or as expensive care as that the elder pays for him or herself. I think what Mom means is that THEY OWN YOU in the sense they have a right to investigate every single asset you have to be certain that the government is not paying for someone with a pile of saving they could use themselves. Moreover, after death Medicaid can attempt to"recover" money spent on the elder when protected life assets such as a home is sold. There are books out there such as Medicare for Dummies, but I will tell you it is hideously complicated and kind of learn as you go. She is right. They are all in your business, including looking back five years to every penny they can see that you spent or gave away. So this BIG question is way to complicated for little me. But this gives you some TEENSIE idea as to what it is all about. Ha, stick with Mom. Looks like she may know whereof she speaks in a sense.
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.
You can have Medicare and also apply for Medicaid.
Yes, mom has Humana gold plus as a supplement.
I guess I need more education. I do my best to understand all of this stuff but I get confused at times. I have no idea what those separate parts of Medicare are. The other thing I don’t get is when I see people post about having Medicare and Medicaid. So do you apply for Medicaid and you still keep Medicare? Forgive me ignorance!
Can you explain a bit more, please. Another thing, this pay down stuff. I guess I screwed up because mom is 93, almost 94 so if she does end up needing LTC in a NH will I have to pay back money? Sorry to ask so much. It’s just not totally clear to me. I’ve tried to read up on it from time to time but honestly, I get somewhat confused. Here in Louisiana it’s five years. So that would make mom close to 100 to qualify for Medicaid.
What about hospice? That’s covered by both, right? Medicare and Medicaid.
Sorry for being such a dummy! Hahaha. You’re a gem for answering our questions. You have way more experience in these things. I’m trying to learn as I go along.
(I never said any of them necessarily achieves that aim.)
If or when she needs Medicaid, the state doesn't own your mother. It owes her, in her old age and infirmity. She's done her bit, hasn't she? She's paid her taxes and been a good citizen? So now, if she needs care or health care and doesn't have the means to pay for it, the state is responsible for ensuring that her needs are met. It's the state's duty to do that, enshrined in law.
My personal problem with many of these "safety net" services, and others such as education which have historically been taken over from the church and other charitable institutions by the state, is that states tend to run them badly. But that's another question.
It’s true a safety net is needed at times. Why some people view that as shameful boggles my mind. As you say, if we are good citizens so be it. Actually, all human beings deserve dignity. Thanks for sharing valid points.
I don’t quite understand Medicaid either. Work? A job? What about a homemaker like my mom was all her life. I’m confused.
There are books out there such as Medicare for Dummies, but I will tell you it is hideously complicated and kind of learn as you go. She is right. They are all in your business, including looking back five years to every penny they can see that you spent or gave away.
So this BIG question is way to complicated for little me. But this gives you some TEENSIE idea as to what it is all about. Ha, stick with Mom. Looks like she may know whereof she speaks in a sense.
Medicaid is public assistance insurance for the poor and needy.