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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?
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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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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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Medicare does not pay room and board. You are still responsible for that. Medicare pays for the hospice staff, Depends, prescriptions, wipes, equipment, etc.
If, as it says in your profile, mom is living in a snf while getting hospice care, Medicare will not pay for the patients accommodations....JUST for the hospice bills.
I was reading not long ago that Hospice does not cover all medications.
"Medicare's hospice benefit should cover any prescription drugs you need for pain and symptom management related to your terminal condition. You pay a $5 copayment for outpatient pain and symptom management drugs."
"When you begin hospice care, medication and other treatments to cure or control your serious illness will stop"
"For example, if a person has long-standing high blood pressure but is admitted to hospice due to terminal cancer, the hospice benefit will pay for the cancer drugs, but not the blood-pressure medications. The hospice staff can tell you which drugs are related to your terminal diagnosis, and which are not."
So the prescriptions they pay for are only those used by Hospice to keep your pain free and comfortable and those related to your illness that keep you comfortable is how I look at it.
Medicare will not pay for the facility nor the food that is provided by the facility. And staff that does what Hospice does not do must also be paid. If a CNA comes in to give mom a bath or shower the Facility staff discontinues doing this as it is covered by Medicare/Medicaid. Hospice will have a Nurse come in at least 1 time a week to check on mom. That is covered by Medicare/Medicaid. The Hospice doctor is now your mom's doctor and the facility doctor will no longer write orders or see her. Prescription medication is covered by Medicare/Medicaid and ordered by Hospice. Some over the counter ointments, creams will also be provided by Hospice as will incontinence products, wipes, gloves. So Medicare DOES pay for Hospice it does NOT pay for "room and board"
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.
Are you getting bills from your hospice organization that have been submitted to Medicare and payment denied?
I just saw your other post, and I'm confused by it.
Hospice does not pay for room and board and a nursing home or AL, for instance.
"Medicare's hospice benefit should cover any prescription drugs you need for pain and symptom management related to your terminal condition. You pay a $5 copayment for outpatient pain and symptom management drugs."
"When you begin hospice care, medication and other treatments to cure or control your serious illness will stop"
"For example, if a person has long-standing high blood pressure but is admitted to hospice due to terminal cancer, the hospice benefit will pay for the cancer drugs, but not the blood-pressure medications. The hospice staff can tell you which drugs are related to your terminal diagnosis, and which are not."
So the prescriptions they pay for are only those used by Hospice to keep your pain free and comfortable and those related to your illness that keep you comfortable is how I look at it.
If a CNA comes in to give mom a bath or shower the Facility staff discontinues doing this as it is covered by Medicare/Medicaid. Hospice will have a Nurse come in at least 1 time a week to check on mom. That is covered by Medicare/Medicaid. The Hospice doctor is now your mom's doctor and the facility doctor will no longer write orders or see her. Prescription medication is covered by Medicare/Medicaid and ordered by Hospice. Some over the counter ointments, creams will also be provided by Hospice as will incontinence products, wipes, gloves.
So Medicare DOES pay for Hospice it does NOT pay for "room and board"