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“private geriatric case managers”

It all sounds good in theory…in the brochure…

In reality, I don’t know anyone who uses that, and I don’t know anyone where that worked. The reality is, that some things just can’t be shoved onto someone else (non-family, even if you pay them). Unless you let the State/APS take over everything, there are many problems/decisions that’ll probably land on you OP, no matter how hard you try to get the load off your back.

Anyway, I hope your parents can hire as much help as possible, so you have as little to do as possible.
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ElizabethAR37 Aug 2023
You're absolutely right--there's no "magic" solution. Still, personally, I would seriously consider hiring a geriatric case manager/social worker at least for an initial needs assessment and perhaps guidance on eventually preparing for Medicaid if it appears that we may outlive our resources. (At 93 and 86, we hope that won't happen! We have our legal documents in place, including Wills, POAs, POLSTs, EOL wishes and prepaid cremation instructions.)
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Does your mother have Medicare Advantage? If your mother has Medicare Advantage, they will pay for someone to come in and cook, clean, run errands, and take her to her doctors’ appointments. They will even pay for someone to parent-sit for your mother. Medicare Advantage will pay for about 35 hours of service per week and this help will alleviate some of this workload for you. I have Medicare Advantage and I love, love, love it. I get $70 ever 3 months to spend on OTC products, plus all the above perks that I just mentioned and many, many more perks that’s too many to mention here. My Medicare Advantage also pays for Lyft or Uber transportation to my doctors’ appointments. Also, for people with diabetes, heart conditions, and kidney disease, the Medicare Advantage that I have gives $75 every 3 months to buy fruits and vegetables, along with the $70 to buy OTC products which adds up $145 every 3 months. Some people on this forum complain that Medicare Advantage is no good, but I have no complaint whatsoever about the Medicare Advantage PPO that I have.
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Pjdela Aug 2023
I am glad your private plan is working so well for you. These plans vary by state and are private plans, not Medigap plans. I would be very careful about doing that where I live.
A friend who has Medicare Advantage had to get a referral from her PCP to see a specialist about her lower back. When she finally got her visit, she mentioned that she also had pain in another part of her back. The specialist told her he couldn't talk to her about that because she had only been referred for the lower back and that she would need to go back to her PCP and get another referral to see him about her upper back! She also had to have a referral to see any specialist from her PCP and they had to be in the network.
I prefer to have the option to see whoever I want without needing a referral. I am not sure I want to sever ties with Medicare for good. It is my understanding that when you choose Medicare Advantage plans which are actually privately offered plans you cannot go back to traditional Medicare.
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Since it’s your parents just hire it out. When the money runs out put them on Medicaid. Just be happy it is not your spouse where it gets a lot more complicated.
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As many others have said, you can't and shouldn't add caregiving to your already full plate. My plate is probably not as full as yours, but still very full.

I have many priorities, a bed-bound mother with dementia, an MIL that lives in a different country suffering from heart issues, teenage kids, one with health issues and a full-time job with travel. I have tried to manage it all myself and prioritized everything other than my physical and mental health.

I was just released from hospital having had multiple blood transfusions because I didn't deal with something that was very easy to resolve, if only I had the time. I am also facing surgery to resolve issues that would have taken an hour or less to deal with (if only I had the time).

My point is you and your own family must be priority. You can't continue to add more to your already full plate without impacting something. In all likelihood, it would be your own health.

Good luck, I know how difficult is but set your boundaries, find a solution for your parents and ensure you prioritize yourself and your family.
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I'm sorry about your circumstances. Truly you came to the right place where you can get much needed advice. First off,I put myself second in being a caregiver.
I drained my heart and soul doing everything and lost myself. I got overwhelmed with financial matters and family that just talked the talk. I soon realized that I couldn't be or do everything! It's time to care for you and your family first. Don't get lost in your effort to be your parents lifeline, just know you are looking for help and that's all you can do for now. Just ease into the situation and don't blame yourself about it. You can find outside help to come in but it's not a given. It will progress into assisted living and memory care, very expensive. Please tell me you are POA and everything is in order? Oh, I hate being so responsible for everything! I thought I was POA but didn't help with selling the townhouse.
Just saying that you need to think this through and the for coming care they need is going to stress the stress you have. I want to say, hiring outside help, doesn't help when family members need to be placed for their benefit and yours. How do I say that, there's ten commandments and honor thy father and mother is number 4. You can't honor them being ill and not focused. You really have to put yourself first in order to help them. Please don't take this on alone! Love!!
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MaryPL: Your parents require managed care facility living NOW. You do not possess the medical training and knowledge required to care for them, even if you had nothing else to do; your own family is your priority.
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If your parent(s) are in the hospital, ask to meet with the case manager or social worker to discuss assistance. You can meet in person or talk over the phone. Let him/her know about your concerns. He/She can help arrange all the assistive services your parents qualify for if they stay in their home... or help with placing them into residential care.
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When my parents were in their early 80s, they moved to be closer to me so that I could assist them in their old age. They recently passed away at the ages of 95 and 97. I was the only child in close proximity to them to assist with shopping, the doctors, accountant, lawyer, and other service providers. I agree with everything all of the others mentioned. The time involved can be intense, especially when you are trying to take care of your own family. I, too, have a special needs child who needs a great deal of care. The stress of trying to do it all can be overwhelming.

One important aspect of their care is the ability to pay their bills. Getting your name added to all of their financial accounts is essential to do while your parents are still able to make decisions. Otherwise...you just never know what will happen. My dad had always been in charge of the finances and was slow to give up control or share even where their savings were. When dad had a heart attack, my mother had to sign checks. At that point, she could barely remember how to spell her name. Fortunately, the banks honored the checks and bills were paid. Dad survived and then told me where to find their money and got me added as a signer to their bank accounts.

All the best to you and your family.
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Make sure you have/get financial and medical POA if you don’t already have it. Get added to their bank accounts as a signer if they will let you. Get a true picture of their finances including investments, ready cash, estimated value of residence, life insurance, etc. Find out what home care agencies are available and cost. Consider hiring a private caregiver if necessary. If they can afford AL get the ball rolling on that. Look around to see what is available. If you will need financial assistance, check with state aging resources for information on how to qualify for Medicaid. You have too much responsibility to try to take this on as a caregiver. You need a plan and a team using what you have. Don’t waste your time trying to hire someone else to make the plan for you. Ask questions, gather information, be open to advice, but you are the best person to sort this out. I agree with others that I have never met anyone who didn’t waste time and money trying to use paid resource
“planners”. Do the background work yourself and it will pay off in the long run. You must have the tools though - POA is essential.
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