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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.
Share a few details and we will match you to trusted home care in your area:
Disgustedtoo you are talking about Medicare Advantage Plans not Medicare Supplement. Advantage plans are regional and come in PPO, HMO and PFFS and limit you to a certain area for coverage and certain providers who participate in the plan. They are also generally cheaper than Supplement plans. Medicare Supplements do just that, Pay after Medicare pays. They only cover a skilled nursing visit after a minimum of a 3 day hospital stay and only for Rehab treatment. They do not cover Assisted living. You are only limited on what Dr you can see by if the MD accepts Medicare. If they don't accept Medicare then the insurance won't cover that provider.
Compasioaire- go ahead and apply. Get on the waiting list. If something happens then your LO will go into a hospital and then a skilled nursing facility and will stay there until the waiver comes through. My inlaws have been in skilled nursing since las February awaiting provable for waiver. Because of their financial situation they were quickly approved for coverage at NH until their waiver comes through. Then they will be moved into memory care. They are in riverside county but I don't think it matters which county- it's all California for waiting list. They recently told us it will probably sometime next year. My mil and FIL hate it in NH but they have no choice. They can not care for themselves and they are volitile in personality so they can not live with us in our small house. Plus he is a huge man and I'm a small woman.
Unfortunately the best way to determine what Medicare plan to select is to explore ALL the options available to you. The Medicare gov page can help with this - given some information from you it will provide a list of options, then you must pick through details and weigh the differences.
My options are limited due to being in a more "rural" area, however several are HMO and those do not suit my needs. For this year I chose the PPO (preferred provider option) as in checking what hospitals, doctors and other services were covered, this one had them all. The others did not. Of course, that plan is no longer available for next year, so I have to choose next best, which (no surprise) costs more - but it still gives me access to the doctors, etc that I use.
Once you enter zip, I believe next is a list of all medications (I skip this as I am not taking anything, but you can also skip it - if you do enter it, that list can be "saved" for future inquiries). It is not an easy site to navigate, so if you are not very computer savvy, you can find resources to call and ask for help. Take lots of notes, ask lots of questions (co-pays, coverage, deductibles, maximums, what medications are covered and how much).
As the first person responded noted, choosing a Medicare plan really has nothing to do with AL, whether traditional AL or Memory Care, as those are NOT covered. The concerns with which plan to choose relate to what ongoing or future medical conditions and/or issues that you anticipate and whether your current medical providers are In-Network or not.
Most Assisted Living Waivers are state-run plans that come out of Medicaid money. Since they are funded by the state often they are restricted by state budgets and when the money runs out they have waitlists. I would contact MediCal and discuss your options with the local Area Agency on Aging for your county. Try to get on the waitlist. If you have any extra funds to pay for assisted living for a time those already in assisted living may get priority for waivers to stay there over those currently living at home (depends on the state).
Medicare does not pay for assisted living. It doesn't matter what plan you choose- AL is out of pocket. Medicare will pay for a skilled nursing facility for a fixed amount of time should a Dr. order it for rehab after a fall or surgery ,etc. If you are indigent you may qualify for medicade which will help pay for AL if you qualify.
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.
My options are limited due to being in a more "rural" area, however several are HMO and those do not suit my needs. For this year I chose the PPO (preferred provider option) as in checking what hospitals, doctors and other services were covered, this one had them all. The others did not. Of course, that plan is no longer available for next year, so I have to choose next best, which (no surprise) costs more - but it still gives me access to the doctors, etc that I use.
Once you enter zip, I believe next is a list of all medications (I skip this as I am not taking anything, but you can also skip it - if you do enter it, that list can be "saved" for future inquiries). It is not an easy site to navigate, so if you are not very computer savvy, you can find resources to call and ask for help. Take lots of notes, ask lots of questions (co-pays, coverage, deductibles, maximums, what medications are covered and how much).
As the first person responded noted, choosing a Medicare plan really has nothing to do with AL, whether traditional AL or Memory Care, as those are NOT covered. The concerns with which plan to choose relate to what ongoing or future medical conditions and/or issues that you anticipate and whether your current medical providers are In-Network or not.