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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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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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The dr in charge of your dads care can arrange for X-rays to be done at the facility he lives. The facility may have an arrangement for nurse practitioner to oversee residents care. If your dad normally is managed by a Dr outside of his facility, his care gets transferred over. This is the most streamlined way . My moms care was handled this way and I didn’t regret it..
He has been in the facility for about six months now so this is all new to me. I have just been letting the doctor/nurses at the facility take care of him. I just can’t handle taking him to a doctor’s appointments etc… any longer. I’ve done it for 13 years. He is a big man that is in a wheelchair most of the time due leg weakness. I physically can’t do it.
So if the doctor at the facility determines he has a broken bone, torn ligament or whatever is bothering his shoulder and needs to have something done what do they do? Do they take him to a hospital or a specialist?
Check with the facility. I am assuming Dad still has his own MD? Or is the facility providing medical and MD? Check with them to get your question answered. Who has notified you of injury or concern re Dad's shoulder?
No longer seeing his MD. I just couldn’t manage getting him there anymore. I did get him set up on this program, I think it is called 360 care or something like that. So a dentist, hearing doctor, podiatrist, and eye doctor come in periodically. It may be a state program, not sure if all states offer it. I am so thankful that. Thanks for answer
If you feel he has a broken shoulder, bring it to the Director of Nursing's attn. She can order a portable Xray be done at the facility. Then the doctor associated with the facility can go from there. My Mom broke her shoulder in a place they could not cast. She had to use a sling and keep it close to her body. That maybe all they do. Elderly don't do well going under for an operation. Dad can be transported to a local hospital for treatment and transported back. If he is on Medicaid, they will pay for it. Family is not responsible for the cost of any care a resident gets.
If you are continuing to take him for Dr appts outside the facility, I would re-evaluate. Once Mom was in LTC, I allowed their Dr. to take over her care. Before that, I had cut down on Dr visits. Her PCP had her coming every 2 months. She was on two meds, Cholesterol and B/P. Every 6 months for refills was enough. The only reason she was seeing one Dr was because during a hosipital visit they saw something in an xray of her stomach. Dr. figured it was just a thickening from her Gerd. Watched it for a year or so, never enlarged so we went to once a year. Her bladder Dr. She had been cancer free for over 5 years and he still wanted to scope her and she was tired of it. Stopped going to him. Why, because she was in her 80s showing signs of Dementia and if she got cancer she had already said she was going to do nothing about it. She was tired of being poked and prodded.
You said in response to me: He has been in the facility for about six months now so this is all new to me. I have just been letting the doctor/nurses at the facility take care of him. I just can’t handle taking him to a doctor’s appointments etc… any longer. I’ve done it for 13 years. He is a big man that is in a wheelchair most of the time due leg weakness. I physically can’t do it.
i am unclear on who see’s your dad for his care.. the facility can let you know if they have a medical group who visits their residents…get your dad on board. You won’t have to take him out. It’s charged as an office visit, when they see him. I don’t know how much Medicare picks up. You can call them and ask. My mom had very good health insurance so I didn’t have to worry about it. If your dad needs to go to the hospital for treatment, the facility can arrange for transport.
Having a medical group see your dad at the facility will be a big relief for you. My moms had an excellent patient portal and the nurse practitioner was great at communicating with me.
OP stated that the Dr. associated with the facility sees her Dad. Thats what I did with Mom.
Surfgirl, When your Dad went on Medicaid for his care it also includes for his health. It becomes his secondary to Medicare. You need to pay for any other suppliment especially if it means you have to pay it. Medicare is the primary. So lets say the Dr bills Medicare $200 each time he sees Dad. Medicare pays 80% of what they consider reasonable so lets say reasonable is $160. They then pay 80% of that which is $128. Medicaid will pay the 20% which is $32. A Medicare Dr cannot bill for more than Medicare feels is reasonable.
"So a dentist, hearing doctor, podiatrist, and eye doctor come in periodically." This is part of his Medicaid.
If they find Dad has a broken arm or whatever, he will be sent to the hospital to see what they will do. If they feel a specialist, IMO, thats on the NH how that will be handled. Medicaid does supply some type of transportation. The only problem is if a staff member will be sent with him. Thats what u need to ask.
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.
The facility may have an arrangement for nurse practitioner to oversee residents care. If your dad normally is managed by a Dr outside of his facility, his care gets transferred over. This is the most streamlined way . My moms care was handled this way and I didn’t regret it..
So if the doctor at the facility determines he has a broken bone, torn ligament or whatever is bothering his shoulder and needs to have something done what do they do? Do they take him to a hospital or a specialist?
Does Medicare/Medicaid pay for all of that?
Who has notified you of injury or concern re Dad's shoulder?
If you are continuing to take him for Dr appts outside the facility, I would re-evaluate. Once Mom was in LTC, I allowed their Dr. to take over her care. Before that, I had cut down on Dr visits. Her PCP had her coming every 2 months. She was on two meds, Cholesterol and B/P. Every 6 months for refills was enough. The only reason she was seeing one Dr was because during a hosipital visit they saw something in an xray of her stomach. Dr. figured it was just a thickening from her Gerd. Watched it for a year or so, never enlarged so we went to once a year. Her bladder Dr. She had been cancer free for over 5 years and he still wanted to scope her and she was tired of it. Stopped going to him. Why, because she was in her 80s showing signs of Dementia and if she got cancer she had already said she was going to do nothing about it. She was tired of being poked and prodded.
He has been in the facility for about six months now so this is all new to me. I have just been letting the doctor/nurses at the facility take care of him. I just can’t handle taking him to a doctor’s appointments etc… any longer. I’ve done it for 13 years. He is a big man that is in a wheelchair most of the time due leg weakness. I physically can’t do it.
i am unclear on who see’s your dad for his care.. the facility can let you know if they have a medical group who visits their residents…get your dad on board. You won’t have to take him out. It’s charged as an office visit, when they see him. I don’t know how much Medicare picks up. You can call them and ask. My mom had very good health insurance so I didn’t have to worry about it. If your dad needs to go to the hospital for treatment, the facility can arrange for transport.
Having a medical group see your dad at the facility will be a big relief for you. My moms had an excellent patient portal and the nurse practitioner was great at communicating with me.
wish you the best
Barbara
Surfgirl, When your Dad went on Medicaid for his care it also includes for his health. It becomes his secondary to Medicare. You need to pay for any other suppliment especially if it means you have to pay it. Medicare is the primary. So lets say the Dr bills Medicare $200 each time he sees Dad. Medicare pays 80% of what they consider reasonable so lets say reasonable is $160. They then pay 80% of that which is $128. Medicaid will pay the 20% which is $32. A Medicare Dr cannot bill for more than Medicare feels is reasonable.
"So a dentist, hearing doctor, podiatrist, and eye doctor come in periodically." This is part of his Medicaid.
If they find Dad has a broken arm or whatever, he will be sent to the hospital to see what they will do. If they feel a specialist, IMO, thats on the NH how that will be handled. Medicaid does supply some type of transportation. The only problem is if a staff member will be sent with him. Thats what u need to ask.