Caregivers Story

Story

I just helped my mother, age 89, deal with her Medicare HMO. Her primary care doctor referred her to a specialist for a nerve conduction study to see if she was a candidate for carpal tunnel surgery. The office staff did not realize that they were required to get prior authorization for that procedure and the HMO denied coverage for the procedure.
My mother got a bill for over $2000. I helped her go through the grievance process to ensure she met the deadlines and used language that would help her case. I argued that the elderly do not fully understand all the fine print in their insurance contracts, and they rely on their primary care doctor to send in the proper forms and get care authorized for them. The HMO reversed its decision and paid the claim.

by: S.

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QUESTIONS

  • I need info pertaining to my rights power of attorney for my father and how to keep ex-stepmother from getting his pension.
  • I live in another state, mother lives in AZ. are all POA's from state to state? Do I need to get a POA from AZ for her?
  • I reading tutor and have a student who works as a caregiver. Is it true that as of Jan. 1, 2010 she will have to be certified as a caregiver?
  • Is it legal for a caregiver to take funds from their patients and can you give case precedents? Also does this apply to power of attorney too?
  • My Mom is disabled, she should be doing physical therapy but she refuses to help herself and wont let us help her, she ignores her health completely and sits around all day drinking and taking her prescription pills and is in and out of the hospital, she's becoming a danger to herself and refuses to see it. what are the laws to putting her into a rehab or nursing home.
  • I am the single mother of a severly multiply disabled child. Before moving to Phoenix last year I lost conservatorship of my son's estate. It is very difficult to get things paid for through the court-appointed fiduiary and I don't plan on moving back to detroit. What steps do I need to take to regain the conservatorship?
  • Is it legal for a caregiver to take funds from their patients and can you give case precedents? Also does this apply to power of attorney too?
  • I am my mother's caregiver. She is 87 years old and requires me to be home 24/7. I cannot get a job because of this situation. Is there compensation for me as a caregiver through her health benefit plan, medicare or some other avenue. I am glad to be her caregiver but it has put a strain on us financially. Thank you.
  • How do we change the guardianship of my mentally disabled bother from my mother who is now ill herself, to another family member? Also is it possible to have more than one guardian? This would help to prevent this situation in the future if it was possible.
  • I have been mostly supported by my spouse the last few years. After a heart attack, I am no longer able to work and trying to get on social security so I can eventually receive medicare. Social security told me that I have not worked enough quarters the last 15 years to qualify. What about all the years before that?

STORIES

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