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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.
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We have been told that she doesn't qualify for Medicare and would have to use private care for 5 years until she qualifies if she needed long-term care in a nursing home what might happen? It seems like her staying in Canada might be a smarter move?
Yes, your mother needs to stay home in Canada so that she can access her own system for care. Unless she is a multi-billionaire she isn't going to be able to afford care in our country at all. She can't be moved here, and she will be stuck with going into care in her own country, with you visits so often as you are able.
Paying for care and navigating insurance and government benefits is one of the number one worries for people who use this forum, 90+% of whom are Americans. Is she an American citizen? Does she qualify for social security? Does family live near enough to travel easily back and forth? Has she accessed any Canadian services in her province, and have you compared the cost and availability of those services in America? I have a dual citizenship acquaintance that has recently returned to Canada in order to enter a nursing home, for her the comparative cost of care made the decision a no brainer.
First question is whether she can move there. Does she have citizenship?
I agree with cwillie's response.
Medicare doesn't pay for any custodial (facility) care in the US. The cost of custodial and medical care here is eye-watering. Options for financial help vary by state but it isn't much until one qualifies for LTC medically *and* financially through Medicaid (combined with their SS income). If on Medicare, hospice is covered. In some states the Medicaid "look back" period is 2.5 years, in some it's 5. In some states the income threshold is higher than others. The "look back" period has to do with what the applicant was doing with her assets prior to applying (was she gifting money? Hiding assets? etc).
You don't reveal what state she'd go to, but you can contact a Medicaid Planner for that state to get more accurate and specific info rather than on this anonymous global forum where there is no accountability if we give you inaccurate information.
Medicare is health isurance that goes with Social Security, neither your mother is entitled to unless she has worked 40 qtrsbin the Us which equals about 10 yrs. Its taken out of our payroll checks. She is entitled to no benefits for 5 years and that is with establishing residency here. She can get no Medicaid for over five years and Medicaid helps to pay for nursing facilities. She would need to pay for health, dental, prescription and vision insurance.
Hospitalizations and nursing homes go hand in hand. With no Medicare, then out of pocket costs become quite prohibitive in the 10s of thousands. Nursing homes cost 10 to 14 k per month. How does that compare with Canada?
Each province has their own pay structure but if you really want a comparative number the current long stay semi private rate in my province (Ontario) is $2,455.24.
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.
I have a dual citizenship acquaintance that has recently returned to Canada in order to enter a nursing home, for her the comparative cost of care made the decision a no brainer.
I agree with cwillie's response.
Medicare doesn't pay for any custodial (facility) care in the US. The cost of custodial and medical care here is eye-watering. Options for financial help vary by state but it isn't much until one qualifies for LTC medically *and* financially through Medicaid (combined with their SS income). If on Medicare, hospice is covered. In some states the Medicaid "look back" period is 2.5 years, in some it's 5. In some states the income threshold is higher than others. The "look back" period has to do with what the applicant was doing with her assets prior to applying (was she gifting money? Hiding assets? etc).
You don't reveal what state she'd go to, but you can contact a Medicaid Planner for that state to get more accurate and specific info rather than on this anonymous global forum where there is no accountability if we give you inaccurate information.
I too think she may need to stay in Canada.