Never heard of a care manager? You wouldn’t be the first to say that. We may be the best kept secret in elder care! Here are some FAQs (Frequently Asked Questions) about care management and about our psychological services.
Care Management FAQs
Can a care manager save you money?
The answer is yes! And time. And headache. For instance:
- Effective planning, monitoring and prevention can help you avoid expensive and painful crises such as a fall, or hospitalization.
- Deep knowledge of community resources and eligibility requirements allow you and your loved one to avail yourselves of existing free or low cost services that may mean the difference between staying at home or having to move to an expensive facility.
- Thorough understanding of Medicare, Medicaid and long-term care insurance helps assure that the proper billing occurs and that all covered medical, hospital and facility expenses are paid to the fullest extent allowable. Duplicate coverage, duplicate medical tests, and other inefficiencies can also be identified and addressed.
- Extensive experience working with elders, and their families, helps you avoid common, and emotionally/financially costly mistakes. Fewer days off work. Fewer moves. Easier transitions.
How does the service work?
As a general rule, a care manager begins by doing an assessment. This involves meeting with the elder (client) over the course of a visit or two to the home. They discuss the elder’s personal priorities and values, any concerns he or she might have, and what activities and interests are most important to him or her.
Over the course of the visit, the care manager will observe physical and mental capabilities. A few tests or physical exams may be administered. The assessment is as much about identifying strengths as it is about addressing problems, since building on existing strengths is key to promoting independence and quality of life.
Other assessments may include a review of the home for safety hazards, and a review of insurance and financial resources to help the client and family maximize use of any social service programs that may be available.
Following the visit, an individualized care plan will be recommended. The elder and family then have the option to proceed with this plan independently, or retain the services of the care manager to assist with the plan’s implementation.
What is a care plan?
A care plan involves a series of recommendations for current support options, as well as some suggestions for likely needs within the next 6 months or so. Some elements that might be included in the care plan are:
- Home modifications to improve safety and reduce risk of falls.
- Medication management strategies to reduce the likelihood of over/under-medication and a consequent hospitalization.
- Recommendations for meals, transportation, housekeeping, pet care and other services.
- Review of insurance coverage and analysis of eligibility for services covered under existing policies.
- Hiring of professionals such as bill payers or legal or financial services.
- Periodic visits and reassessments to assure appropriate supports are working as expected and to monitor in case new needs develop.
- Personalized suggestions for appropriate housing arrangements such as in-home care, assisted living, residential care, or skilled nursing facilities.
What is a care manager?
A care manager is a professional who specializes in assisting older adults and their families as they navigate the aging process. Health challenges, memory problems or living far away, all contribute to a daughter or son’s worries. Loss of independence, loss of dignity, loss of friends and community are concerns that haunt seniors and threaten their quality of life. A care manager brings a firm grasp of the physical, emotional and mental complexities of the aging family and works with everyone to develop a mutually agreeable plan of care.
When is a care manager needed?
Care managers are usually called in when the time and the stress of providing care to an aging relative conflict with a family member’s work or other obligations. Perhaps the closest family members live far away.
Sometimes there’s a crisis, such as a fall and a broken hip, which requires a temporary change in support. Perhaps a spouse has died and the remaining elder is having trouble with grief and loss, making the adjustment to widowhood. Other times a holiday visit may bring to light memory problems or other difficulties that bring into question the safety of the current living situation.
Care managers are often called in when there is disagreement among siblings and a professional, objective opinion is needed to determine the best course of action.
Are these services covered by insurance?
Because Medicare and Medicaid only pay for the services of physicians and facilities, the assessment and care coordination of a care manager are not a covered service. Some long-term care insurance policies will cover the costs of a care manager. Also, we can help you determine if there are other options, such as Veterans Aid and Attendance, to help defray the out-of-pocket expense.
Give us a call if you are concerned about:
- Whether your parent should still be driving
- Whether your parent is taking his/her medicines as directed
- Whether your parent is safe living at home
Similarly, give us a call if you are worried about your family member’s needs and how they are impacting your work, your spouse and kids, your own health and well-being.
You don’t have to do this alone. We can help. Call us at (855) 998-4376.Return to top
Psychological Services FAQs
Does my insurance cover psychological services provided by GeroPartners?
GeroPartners accepts most major insurances, including Medicare and Medicaid, for covered psychological services.
What is a cognitive evaluation?
A cognitive evaluation is a procedure in which a clinician examines a person’s memory, attention, hand-eye coordination, and other abilities. This is often done when some kind of impairment is suspected, and it can help in determining what could be causing the problem. Often, the clinician will use paper-and-pencil tests and interview questions to gather the necessary information. It may also be helpful for the individual’s loved one to be present to provide additional information or perspective. These examinations usually last between 1-2 hours, and a separate appointment is made to discuss the results when they are ready.
Does GeroPartners prescribe and manage medications?
No, though GeroPartners professionals work closely with prescribing professionals (physicians, nurse practitioners, etc.) to help manage issues a client is experiencing. GeroPartners can perform ongoing client monitoring and will always collaborate with all healthcare professionals to develop and carry out the right plans for the client.
Does GeroPartners work with families?
Yes. GeroPartners professionals are available to meet with family members of clients for support, education, or intervention around issues of the older adult client. (For example, an older adult’s illness that is impacting the entire family’s relationships.) GeroPartners does not provide services for non-geriatric clients at this time (for example, a 35-year-old having relationship problems), though if a need for services for a younger adult becomes evident we will make the appropriate referral to a colleague in the area who can provide such services.
Can someone with dementia benefit from counseling?
In many cases, yes. Individuals in the earlier stages of dementia often struggle with the changes they are going through, and many are painfully aware of what is happening. Grief and loss counseling is very beneficial to these individuals as they adapt to their new reality. When dementia becomes more advanced, however, their ability to benefit declines as well.
If I have a memory problem, does that mean I have Alzheimer’s Disease?
Alzheimer’s Disease is the most common form of dementia, but there are several others that must be considered as well (e.g., Vascular Dementia, Lewy Body Disease). Dementia is unfortunately irreversible and will continue to progress over time. No cure is available at this point but some treatment options are available that can have a minor impact for some individuals.Return to top