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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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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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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:
If you look at the Medicare & You handbook for 2024 and read the section on home health, Original Medicare DOES cover a home health aide (personal care) IF you are homebound (need cane, wheelchair, walker, etc. to leave the home) and you need a skilled service, either skilled nursing care or one of the skilled therapies.
Medicare covers no more than 8 hours per day and 28 hours of week, up to 35 in certain circumstances, for skilled nursing and a home health aide combined.
The therapy visits are not subject to the 28 hour per week limitation, only the skilled nursing and home health aide visits.
Medicare does not cover a home health aide if that is the ONLY service you need and you are NOT homebound. It seems many home health agencies don't realize what the Medicare coverage rules are.
The Center for Medicare Advocacy has a great webinar that goes over Medicare coverage for home health services in great detail.
The best thing of all is Medicare covers these home health services at no cost.
For durable medical equipment and supplies, you pay the Part B deductible and 20% of the covered cost. This is for original Medicare. Medicare Advantage plans may be different.
You can get home health to provide nurse visits(s) and maybe some occupational/physical therapy sessions. Perhaps bathing assistance a couple times a week. Home health visits are very brief and a Dr has to order what they will do. You are not going to get full or part time hours of care via Medicare, if that's what you're looking for. 24/7 care will come from family members or whatever patient can afford to pay for. If family can't provide the care ..free or paying for it... the next plan would be to figure out what level of facility care she can afford. Perhaps applying for Medicaid to assist with paying for a nursing home.
Sadly, in home care for our elderly is dependent on who in the family will help or how much money is available to hire caregivers. Not much middle ground.
Even hospice, if you use that option will not provide hours per day of care. They do a few things here and there and seem to respond quickly to questions or concerns, but won't do caregiving for and substantial period of time.
I agree with the answers provided but I would like to suggest something else. This would definitely depend on how advanced the cancer is etc But a lot of people(most) think hospice is only used for the very last few days) weeks of life. This is definitely not the case. at stage 4 Inflammatory breast cancer my mom entered hospice. Anyone can enter hospice (with Dr recommendation) if the normal progression of disease will give person 6 mths or less. However, as we all know people can live longer than that (moms recert for hospice is today- 6 mths mark)so one has to be recertified every 6 mths. But technically can be on hospice indefinitely. Even with a few ups and downs hospice has been very very good for us nurse 3x a WK, cna up to 5 times a WK, social worker,clergy, supplies of any kind. Yes with Medicare. I am primary care giver but hospice has been very helpful. May be worth looking into if your situation warrants it. Best of luck
Medicare may cover specific medically necessary visits for therapy or medication following a hospital stay, but it does not cover general at home-care.
I would say if you have supplemental insurance, advantage plan, do check with your doctor, your insurance.
My experience of cancer at age 47 was a different ballgame from cancer now at 81. I am now on Kaiser. WOW! I couldn't get rid of Ma Kaiser for months. I had assigned Social Worker, Nurse Manager, Oncology fellow, radiology followup, surgical followups and YOU NAME IT. Everything got discussed from how to notify of needs to how many steps are in my place, to what future wishes are scanned to chart. I honestly never experienced such thorough care.
So do check out everything. Medicare covers Hospice Care, and I think you may know that. Hospice today sure isn't what it once was and it's pretty rote and by the book, but good access and info, a few baths a week, a social worker, a clergy if wished, an RN once a week and equipment. All paid for by medicare. So not nothing.
Medicaid may have some inhome help and that's dependent on your own state's policies, rules, qualifications.
Good luck on your research for your area. I wish you the very best.
- 24-hour-a-day care at your home - Meals delivered to your home - Homemaker services (like shopping and cleaning) that aren’t related to your care plan - Custodial or personal care that helps you with daily living activities (like bathing, dressing, or using the bathroom), when this is the only care you need.
You're not eligible for the home health benefit if you need more than part-time or "intermittent" skilled nursing care.
You may leave home for medical treatment or short, infrequent absences for non-medical reasons, like attending religious services. You can still get home health care if you attend adult day care."
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.
Medicare covers no more than 8 hours per day and 28 hours of week, up to 35 in certain circumstances, for skilled nursing and a home health aide combined.
The therapy visits are not subject to the 28 hour per week limitation, only the skilled nursing and home health aide visits.
Medicare does not cover a home health aide if that is the ONLY service you need and you are NOT homebound.
It seems many home health agencies don't realize what the
Medicare coverage rules are.
The Center for Medicare Advocacy has a great webinar that goes over Medicare coverage for home health services in great detail.
The best thing of all is Medicare covers these home health services at no cost.
For durable medical equipment and supplies, you pay the Part B deductible and 20% of the covered cost. This is for original Medicare. Medicare Advantage plans may be different.
You are not going to get full or part time hours of care via Medicare, if that's what you're looking for. 24/7 care will come from family members or whatever patient can afford to pay for. If family can't provide the care ..free or paying for it... the next plan would be to figure out what level of facility care she can afford. Perhaps applying for Medicaid to assist with paying for a nursing home.
Sadly, in home care for our elderly is dependent on who in the family will help or how much money is available to hire caregivers. Not much middle ground.
Even hospice, if you use that option will not provide hours per day of care. They do a few things here and there and seem to respond quickly to questions or concerns, but won't do caregiving for and substantial period of time.
My experience of cancer at age 47 was a different ballgame from cancer now at 81. I am now on Kaiser. WOW! I couldn't get rid of Ma Kaiser for months. I had assigned Social Worker, Nurse Manager, Oncology fellow, radiology followup, surgical followups and YOU NAME IT. Everything got discussed from how to notify of needs to how many steps are in my place, to what future wishes are scanned to chart. I honestly never experienced such thorough care.
So do check out everything. Medicare covers Hospice Care, and I think you may know that. Hospice today sure isn't what it once was and it's pretty rote and by the book, but good access and info, a few baths a week, a social worker, a clergy if wished, an RN once a week and equipment. All paid for by medicare. So not nothing.
Medicaid may have some inhome help and that's dependent on your own state's policies, rules, qualifications.
Good luck on your research for your area. I wish you the very best.
Medicare doesn't pay for:
- 24-hour-a-day care at your home
- Meals delivered to your home
- Homemaker services (like shopping and cleaning) that aren’t related to your care plan
- Custodial or personal care that helps you with daily living activities (like bathing, dressing, or using the bathroom), when this is the only care you need.
You're not eligible for the home health benefit if you need more than
part-time or "intermittent" skilled nursing care.
You may leave home for medical treatment or short, infrequent absences for non-medical reasons, like attending religious services. You can still get home health care if you attend adult day care."
Source: https://www.medicare.gov/coverage/home-health-services
https://www.cancer.org/cancer/managing-cancer/finding-care/home-care-agencies/who-pays.html