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.

Comments

Be the First to Post a Comment!

QUESTIONS

  • I have been taking care of my boyfriends dad 24/7 for over a year and was promised i would be paid when they were able establish Gardianship.and access his accounts what do i need to have as proof that i took care of him.
  • I have had someone living with me for the past 3 years as somewhat of a caregiver. I have lupus and Fybromyalgia and there are days when I can not function. I never know when something will happen. I live in an apartment andhave for 6 years. All the other managers knew that someone was with me and why and it was okay. Now we have a new management company who said that he has to fill out a credit report and since he is not working, they said that he has to let them know who is buying the soap, toilet tissue, toothpaste, etc. Since he does not have a job, he does get food stamps. Now, my question is..is it legal for them to ask him who pays for what. I don't think they can ask him that because that has nothing to do with adding him to the lease.
  • Can a sister who has power of attorney,request that the assistant living facility where our elderly mother resides, take my name(mother's son) off of the emergency / hospital notification list? What is the legal procedure to get this reversed?
  • Do I need long-term care insurance?
  • 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.
  • My mother passed away. She does have a will and I was nominated as the executer and trustee. I am the sole beneficiary. She only has a bank account but when the account was setup nobody was on the account but her. no payable unpon death. What is required by the bank for me to access the account to begin paying for her expences? Her will did state that I shoud have immediate access without going through the courts.
  • 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 want to request a change in power of attorney from my sister to myself. My father is in a nursing home, and i do not feel my sister is capable of making good decisions for our father. Do you know what form I would fill out to request this change in Power of Attorney?
  • 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?
  • I have conservatorship and guardianship for my dad. I am the trustee of my dad`s trust. how do I get him out of the court system?

STORIES

  • If you get a divorce, make sure your date of birth is on the Decree if your name is changing!. . .
  • I just helped my mother, age 89, deal with her Medicare HMO. . .
  • He told me that I could actually get all the money I needed by using my home as collateral. . .

LegalLEARN

FIND LEGAL HELP

  • Please select your county of residence below.

    County:
     

OTHER LEGAL RESOURCES

  • State Bar of Arizona
    www.azbar.org
  • Maricopa County Bar
    www.maricopabar.org
    Referral number 602-257-4434
  • Pima County Bar
    www.pimacountybar.org
    Referral number 520-623-4625
  • National Domestic Violence Hotline
    800-799-7233
  • Bankruptcy Court Self Help Center
    866-553-0893
  • Certified Legal Document Preparer Program
    Link

ORGANIZATIONS