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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.
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Um, why wouldn't it? I don't understand what factor age plays...or maybe there's some new regulation of Medicare?
Best thing to do is ask your physician - if he/she performs surgery, he/she likely has someone who boards surgery and/or deals with Medicare. Then you'll get reliable answers.
According to data from the Centers for Medicare and Medicaid Services, it costs Medicare $5000 to $7000 for an arthroscopic rotator cuff repair. Medicare will cover it if you are healthy enough for surgery. A reverse total shoulder arthroplasty costs approximately $15,000 to $17,000 or more. Unfortunately over 50% have failures or complications. Medicare says NO, too risky for the patient. A reverse total shoulder implant ranges from $10,500 to $13,000 or more, depending on the manufacturer; the Medicare reimbursement doesn’t cover the cost of this procedure either. If you have supplemental coverage, check with your insurance company.
My mom had rotor cuff surgery when she was in her late 80's. She was Medicare & a high option federal BCBS for her secondary. Both required a secondary review of her health status as part of the pre admit. Also the ortho MD required that mom get evaluated by a gerontologist. Not her old internist either but a gerotologist within the system (health science center with medical school) he was affiliated with. Surgery was pretty straightforward & covered 100% between the 2 insurance programs. But surgery is only just part of it. There will be rehab too. Doing the PT & OT afterwards was pretty challenging for mom. She did it about 6 months and really I think that if she did not have the federal BCBS who paid for most of the rehab (PT & OT), I don't think she would have found a rehab group who would take her.
Really speak with your secondary insurance to see what they will pay for in rehab and for how long (like do they just take the report of the PT or do they do their own evaluation). You may have to pay a lot of the % of the rehab costs. If you don't "progress" in your PT/OT, you will get discharged from insurance too. My mom was driven in rehab as her goal was to be able to roll her hair and hold a mirror to see the back of her head too. Think if you could reasonably do the rehab needed.
Some rehab facilities actually recruit elder folks. You'll find these at aging expos, sometimes at AAA annual expos and sometimes at smaller community ones.
Having used both private and hospital affiliated rehab facilities, I'd go with the hospital ones any time, especially the ones right on a hospital campus or in a hospital clinic or other facility specifically affiliated with the hospital.
Two of the ones I've gone to at the time had special programs by which a patient could return for either 1 or 2 months after completing insurance paid therapy and work out on his/her own for $25/month. That's a bargain by any standard. A doctor's approval might be necessary for an older person; for me, I just signed up and paid.
Another one wanted about $100 for another month of therapy, 3x what I could have paid had I chosen a hospital affiliated PT program.
Another advertised at a senior expo that they also offered patient paid follow-on otherapy at a reasonable price (something around $50/month if I remember correctly), but balked, hedged and wavered when we got to that point. They won't be getting any more of our business.
My sister is 65 years old and she had rotator cuff surgery done. They have special facilities which covers your surgery costs. If Medicare doesn't cover it, you can opt for those facilities. It was very beneficial for us as they also have the best orthopedic care in long island.
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.
Best thing to do is ask your physician - if he/she performs surgery, he/she likely has someone who boards surgery and/or deals with Medicare. Then you'll get reliable answers.
A reverse total shoulder arthroplasty costs approximately $15,000 to $17,000 or more. Unfortunately over 50% have failures or complications. Medicare says NO, too risky for the patient.
A reverse total shoulder implant ranges from $10,500 to $13,000 or more, depending on the manufacturer; the Medicare reimbursement doesn’t cover the cost of this procedure either.
If you have supplemental coverage, check with your insurance company.
Really speak with your secondary insurance to see what they will pay for in rehab and for how long (like do they just take the report of the PT or do they do their own evaluation). You may have to pay a lot of the % of the rehab costs. If you don't "progress" in your PT/OT, you will get discharged from insurance too. My mom was driven in rehab as her goal was to be able to roll her hair and hold a mirror to see the back of her head too. Think if you could reasonably do the rehab needed.
Having used both private and hospital affiliated rehab facilities, I'd go with the hospital ones any time, especially the ones right on a hospital campus or in a hospital clinic or other facility specifically affiliated with the hospital.
Two of the ones I've gone to at the time had special programs by which a patient could return for either 1 or 2 months after completing insurance paid therapy and work out on his/her own for $25/month. That's a bargain by any standard. A doctor's approval might be necessary for an older person; for me, I just signed up and paid.
Another one wanted about $100 for another month of therapy, 3x what I could have paid had I chosen a hospital affiliated PT program.
Another advertised at a senior expo that they also offered patient paid follow-on otherapy at a reasonable price (something around $50/month if I remember correctly), but balked, hedged and wavered when we got to that point. They won't be getting any more of our business.