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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.
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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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There are 2 big players in dialysis- DaVita and Fresenius. They imo provide the same services. They both have pretty extensive websites that explains what they do. They both have freestanding buildings across the US to go to for services.
End stage renal disease is actually a special category for Medicaid and Medicare, he may need to become a “dual” that is on Medicare and Medicaid to get coverage with little or no copay. A lot will depend o what his gap / supplemental policy is. I’d ask both daVita and Fresinius if there is a supplemental that works with MediCARE in your region. Right now (November) is the window to change his gap policy if need be, and that’s fortunate.
If his situation is needing several time a week sessions, it may be that location proximity is the determining factor. Driving 20 minutes will be better than having to drive an hr+. He’s not driving, so family is going to have to be available to do this. Some folks are able to have several weeks or months of kidney care at a facility and get stabilized enough to be independent and so that they can do at home filtration. Think if that could be a goal for him to strive for.
He will likely be told There will need to be dietary changes. If your states Medicaid pays for nutritional counseling, take advantage of it. Fresenius few years back had Aaron McCargo chef/ cookbook author out with a whole series of recipes for kidney health.
Every dialysis center in the US should have a social worker & a dietician on staff. It’s a federal law in the ESRD conditions of coverage. Has your dad started on dialysis in center? Those treatments are often 3.5 to 4 hrs 3x/week every week. Medigap should pay the 20% Medicare doesn’t pay. Dialysis social worker can help you find a supplemental plan. I don’t know your father’s age but sometimes dialysis is exhausting for a patient. Sometimes it’s not, though. It depends on how much fluid has to be taken off via the dialysis machine. The majority of folks on dialysis don’t make urine anymore so dialysis takes off the excsss fluid or the person will be short of breath. Often patients are tired the day of dialysis and begin feeling better the next day, then the cycle begins again. I wonder what kind of dialysis access he has - a catheter, graft or fistula? The send two requires large needles be inserted to get the blood in and out. His diet will limit fluids to 1000cc/day. Best of luck!
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.
They imo provide the same services. They both have pretty extensive websites that explains what they do. They both have freestanding buildings across the US to go to for services.
End stage renal disease is actually a special category for Medicaid and Medicare, he may need to become a “dual” that is on Medicare and Medicaid to get coverage with little or no copay. A lot will depend o what his gap / supplemental policy is. I’d ask both daVita and Fresinius if there is a supplemental that works with MediCARE in your region. Right now (November) is the window to change his gap policy if need be, and that’s fortunate.
If his situation is needing several time a week sessions, it may be that location proximity is the determining factor. Driving 20 minutes will be better than having to drive an hr+. He’s not driving, so family is going to have to be available to do this. Some folks are able to have several weeks or months of kidney care at a facility and get stabilized enough to be independent and so that they can do at home filtration.
Think if that could be a goal for him to strive for.
He will likely be told There will need to be dietary changes. If your states Medicaid pays for nutritional counseling, take advantage of it. Fresenius few years back had Aaron McCargo chef/ cookbook author out with a whole series of recipes for kidney health.
Has your dad started on dialysis in center? Those treatments are often 3.5 to 4 hrs 3x/week every week.
Medigap should pay the 20% Medicare doesn’t pay. Dialysis social worker can help you find a supplemental plan.
I don’t know your father’s age but sometimes dialysis is exhausting for a patient. Sometimes it’s not, though. It depends on how much fluid has to be taken off via the dialysis machine. The majority of folks on
dialysis don’t make urine anymore so dialysis takes off the excsss fluid or the person will be short of breath. Often patients are tired the day of dialysis and begin feeling better the next day, then the cycle begins again.
I wonder what kind of dialysis access he has - a catheter, graft or fistula? The send two requires large needles be inserted to get the blood in and out.
His diet will limit fluids to 1000cc/day.
Best of luck!