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
[email protected] 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.
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our
Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our
Terms of Use. for information about our privacy practices.
Will have all the bills send their requests for payments (hospital, drs) to medicaid.
What was the exact date in Feb that she / you filed to have her exit Care Plus and date of switching over to Original Medicare?
And
is she getting any $ back from CP & if so are they prorating it to the date of the filing or instead doing it back to the end of January?
The health insurers tend to have the contract end the last day of the month before if Medicaid is taking over mid month…. and if this is what is happened it will be an exasperating clusterF to dealwith. Don’t pay any bills just yet, really truly don’t!
CarePlus (CP) is a MediCARE Advantage Plan. How Advantage Plans work best is that all / every provider, labs, imaging, etc are done at a facility that is “in network” for your moms specific plan and each provider (MD, PA, PT etc) are all themselves “in network”. The Advantage Plans rarely have any in network affiliation with LTC facilities like NH, MC. Look at the bills carefully to see the date and status on the “In network” on each bill as that will determine the supposed copay on the bill.
AND
at the same time see if these all these same vendors also participate in Original Medicare and in State of FL Medicaid program.
Those that are in both categories will end up getting paid either by CP or the M&Ms (MediCARE & Medicaid). They may have to rebill and end up paid less if M&Ms.
BUT
Until mom gets a new # for both M&Ms, there is no way to rebill just yet. She will likely get unfriendly past due bills or threats to debt collectors but until she has both #s a rebill cannot happen.
Inevitably someone will not get paid.
If you want to personally take on the financial responsibility to pay your Moms bills that’s on you. If you decide to do this, the bill may NOT be the amount on the bills you have in hand right now. Those tend to be discounted to reflect the “in network” pricing of CP. So if CP ended, that discount went away and she (you) will get a new bill that can be full tilt private pay rate. Like the MD visit that was $234 but w in network $35 copay will skyrocket to $750. If they have you agreeing to be responsible, you’ll be personally hounded on all this $$$. Yeah no good deed goes unpunished, lol 😂 . Most who go onto LTC Medicaid let the all old debts default….. like CC debt, old health bills, mortgages, etc….. as they basically have zero $ to ever pay these, unless their family pays the bills.
I'm just letting those who sent her bills that she is medicaid pending for them to rebill when its completed.
It will retro to Jan 1 2022 as per my Elder Care/Attny.
I will not be taking financial responsiblities.
there most definitely will be lots of vendors very unhappy. Stay firm and make your mantra that they will have to rebill to the M&Ms.
if you want to be a nice DPOA and don’t mind spending maybe $100 or so and an afternoon, here’s my suggestion:
- make a list of all vendors owed (name address and her acct #). Forget the $amount, or dates of service, etc. not yiur problem
- once she gets both her Original Medicare and LTC Medicaid #’s, you do a short memo to each vendor as to her new health insurance status and that all bills will need to rebilled as appropriate to either M or M.
then
- you mail each one as certified mail and return registered receipt (the green post card) from the post office. Will run abt $8.00 for the duo.
That green card gets returned to you with a date and signature (written or stamped or can be blank) and it’s legal. Yep it’s a legal document to show that they became aware of the changes and on them to rebill.
On the green card, the return section you address it as: Jean Smith Jones, on line to c/o Amy Smith, DPOA, and your address (unless she still is keeping her home, then goes to her home).
- as they come in attach them to their bill & into a box or binder.
Voila! You’ve done your fiduciary duty to protect her financial interests and if anyone gets nasty or threatening they can pound sand. I’ve found that doing stuff like this helps free one up from fear of getting the mail or answering a call on a # your not quite sure about. Well worth the $8.00 per letter imo.
You do realize that these providers have to except Medicare and Medicaid? If not, the balance is Moms debt not yours. Same thing, provider may right if off because Mom in a NH on SS cannot be sued. Its not even worth the effort knowing Mom has no money and you r not responsible for payment.
I can't remember how I did it but my nephew did have Doctor bills prior to Medicaid. I was able to get him reimbursed by Medicaid. Also, if there are balances, when Medicaid kicks in, give the providers that do except medicaid the info and let them try and see if they can be reimbursed.