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My uncle needs a hip replacement too but hopefully can return to work. We need to get her help at home but don’t have cash to cover this, anyone gone through this, any recommendations?

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No Medicare does not. Medicaid may if she qualifies. Most CG at home are paid out of pocket by the family.
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How is grandma's day to day care handled while Uncle is at work?

Short term, what you are looking for is called "respite care".

Is grandma eligible for hospice? Hospice will often cover a week or so of respite so that the caregiver can recharge. Is uncle going to be going to rehab after surgery?

Long term, is grandma being cared for by uncle, who is aging himself sustainable?

Is grandma eligible for Medicaid?
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Each state has different resources available. Try calling Las Vegas Area Agency on Aging. See what services are available in your GMs area. Here is the website. http://adsd.nv.gov/

Here is a home health agency that you can call.
https://www.lasvegashomehealthcareinc.com/index.html

Discuss with them your gms info and see what they advise.

Here is a list of over 100 agencies in the Las Vegas Area.
https://www.caring.com/senior-care/home-health-agencies/nevada/las-vegas

If your GM has Original Medicare and she is basically homebound, she may qualify for home health. This is a weekly check of vitals, setting up pills. Little more than that. If she qualifies for this much, then a bathing aide is also available as well as physical therapy BUT she must first need nursing care, but less than full time nursing care. It’s a narrow window but call one or two of these agencies and they will tell you if your GM qualifies. It requires a doctor’s order but they will help you get the order if she is eligible.
This however, is very limited help. Probably not enough if your uncle is going to be in the hospital.
If your GM qualifies for Medicaid by being indigent, then she might qualify for more care than original Medicare offers.
Once you start calling these agencies you will learn what services are available and the requirements.
I find the help my aunt gets from original Medicare very helpful. Each situation is different so you need to just dive in and see what you can find her. Good luck.
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