Follow
Share

My friend has been living in my home for 16 mos. her condition has deteriorated drastically in that time. Has been in hospital 6 times in last yr. Went back in 3 weeks ago, and still there. I can no longer care for her at home, but she does not have Medicare as her primary and choices are very limited. It looks like we may get her into rehab . I want her in a safe place. would anyone have a suggestion ? I am 65 and my friend is 62. I am her legal guardian . She has Multiple Sclerosis and dementia. I took care of my husband who had Parkinson's and Dementia until he passed away 2 yrs. ago. So I have an understanding of her physical needs . I don't know where to turn. Her family is not involved and will not help. Any suggestions would be greatly appreciated.

This question has been closed for answers. Ask a New Question.
Find Care & Housing
I have Blue Options which is a group plan with my former employer who continues to cover me, my wife and our two boys.
Helpful Answer (0)
Report

cmagnum, which Blue Cross plan do you have ?
Helpful Answer (0)
Report

Thanks everyone, I gathered all the advise and I have been in touch with social worker today. We are making progress. You are right ba8alou, blue advantage is a medigap plan. I finally met with a nursing home admissions co-ordinator today. She told me how to go about changing the insurance to a better plan for my friend. I also have the papers to start Medicaid ( the insurance won't change until Oct. 1st ) The nursing home is dealing directly with social worker and Blue Cross. They think we may get rehab approval by tomorrow. I appreciate all the input, it was so nice to hear from people who really wanted to help ! Thanks !
Helpful Answer (2)
Report

People on disability go on medicare automatically and is treated as primary. I'm on disability and that is how it worked for me. I have another health insurance policy with BCBS, but it is treated as secondary.
Helpful Answer (0)
Report

Persons on disability are eligible for Medicaid. In some states it is automatic; in others you have to go through the application process. This is definitely the route for you to pursue!
Helpful Answer (0)
Report

According to my Googling, Blue Advantage is a medigap plan. One of our insurance gurus needs to weigh in here.
Helpful Answer (0)
Report

Yes, she's very lucky to have you! But don't let them discharge her until you have this straightened out. Much easier to get someone into a facility from a hospital than from home. Remember, they can't force you to take her home.
Helpful Answer (0)
Report

Hmmm. I thought that Medicare was always the primary. What is she in the hospital for? And does she have Medicaid? It seems that getting her on Medicaid would be beneficial. Unless Blue Advantage is actually a Medicaid plan?
Helpful Answer (0)
Report

She has been on disability for about 17 yrs. She has insurance called Blue advantage . Hospital explained that Blue Cross is primary and Medicare is secondary , which seems to be the problem. If they refuse Rehab, I don't know what to do next. I have a sick feeling right in the pit of my stomach !
Helpful Answer (0)
Report

Talk to the social worker about getting her qualified for Medicaid. Is she on disability?
Helpful Answer (0)
Report

Carol, did your friend get on disability when she was no longer able to work? That eases the way for getting Medicaid.

Getting social services involved in determining options is a very good idea.

Your friend is lucky to have you on her side!
Helpful Answer (1)
Report

I appreciate the input . I will check all options. Thanks, Carol
Helpful Answer (1)
Report

Have a meeting with the social worker and discharge coordinator about rehab possibilities. Even though she is under 65, she should be on Medicare NOW, and receiving monthly checks, due to her disability. Apply on line for her at ssa.gov.
Helpful Answer (2)
Report

That she's in the hospital is a good thing from the standpoint of finding her adequate alternative care. If you talk to the Social Services Department, I'm confident they can walk you through some alternatives for her.

If she can private pay for a while, she'll have more options.

Get Social Services involved immediately if you haven't already done so.
Helpful Answer (3)
Report

This question has been closed for answers. Ask a New Question.
Subscribe to
Our Newsletter