Medicaide not covering some prescription costs due to missing info.. ARGH!!!!!

I just found several bills for 3 months worth of Mom's prescriptions at the nursing home - this is for her portion of prescription costs after payment by her supplemental insurance.   I was told that these would be covered by Medicaide but OHH NOOOOOOO!!!  No one told me she MUST be enrolled in Medicare Part D to get this co-pay covered!!!

Generally, if a person is on Medicaide, their Medicare premium is paid the the state (Medicaide) and their premium for Medicare part D is greatly reduced to $1-$5 per month.  Long story short, the Social Security Administration  which administers Medicare has no communication from Mom's state Dept of Health that she's been approved and receiving medicaide, there fore, she can get Medicare Part D to cover this co-pay but until the SS office gets word from the state - her monthly premiums and deductible are MORE than the co-pays!!  I learned all this after four calls this morning.  I was especially preturbed that I spoke with a woman at the Medicare-Medicaide service call center - I assume she's paid by the federal government or employed by a contractor of the federal government - who took down all kinds of information then suggested a specific PRIVATE company that would best meet mom's needs for the least amount of money.   This choice is based on her prescriptions - it seems that private companies are diving up the pie.

I HATE this confusing BS and it really makes me want to advocate for ONE SOCIALIZED system - as it stands now her expenses are covered by two government programs, one private program and I need to get her enrolled with a 2nd private company to pay what the other 3 (2 public/government and 1 private) will not.   It means 4 sets of paper work, 4 sets of billings, 4 mailings, 4 account numbers - IT'S INSANE!!! It's no wonder that Medicare fraud is so easy!   I don't want to reduce American jobs but I wonder just how many people are employed to manage this mess? How many people are employed by doctors offices and nursing homes to wade through this mess?  If it were in ONE program, might it cost less money to administer?    I get especially frustrated when I consider the number of people to manage this bureaucracy and the waste versus the needs of patients and the push to drive down the cost of their care.  If it were all under one umbrella plan, perhaps it could cost less and my Mom wouldn't suffer the indignity of the cheap solution!!

Lost clothes at nursing home a COSTLY pain!

Last month I noticed that two pair of Mom's pants were missing.  I alerted the staff and called social services with the brand names, size and color.  Today (3 weeks later) I called to check on it - the pants have been declared officially lost.

This REALLY ticks me off so BAD!   They can't loose the cheap sweatpants Mom wears most of the time. They have to loose the nearly BRAND NEW nice soft slacks that I bought for her last fall.    She had them at the assisted living facility but only wore them for a few special events.  I waited to take them to the nursing home because I wanted to see how she settled in..  I took them there one month ago, a week later they were MIA. I took 3 pair to her - light blue, dark blue and brown.  The dark blue and brown pair disappeared in one week.  ONE WEEK!!!  This makes me quiet suspicious.  I doubt she even had a chance to wear them.    They were a size 14, soft on the inside and out with pockets for her tissues.   They would be a good basic item in anyone's closet - obviously they are a good basic in someone else's now!!!  

The nursing home apologized of course and said they'd reimburse me replacement cost.  But replacing them is probably impossible.   First, it's middle of summer, so I can't replace these until late August or September when the fall merchandise comes in.  Second, the fabric - soft on the inside and velvety soft on the outside will be hard to find.  AND - third - pockets! Elastic waist pants with POCKETS are hard to find.  GRRRRR.... I am SO SOO MAD!!!

The social service rep that called me said "unfortunately, this happens more often than we'd like..." My reply - THEN FIX THE PROCESS!!!  Obviously something is not working so analyze it and FIX IT!!!   How much are they spending on replacement clothes?  How many angry families are out there like me? What if a family can't afford to replace the clothes?    After our conversation, I could tell I made the gal angry - I told her I was ticked but ticked at the situation NOT at her.    It didn't seem to matter.   I always get the same answer - "You could write a letter to our executive administrator.."   The Director already hates me because I gave them hell for leaving mom in an uncomfortable wheelchair for two months!!!    She hated that I was right about the pad in the chair being all wrong and letting mom slip all over.  She'll really hate me now that I all but told social services that I think someone stole mom's pants.  I should have kept my mouth shut but it's just too suspicious to me!!!  

Shoes and clothes actually MADE for mom!!

Finding clothes and shoes - especially SHOES!! - for Mom has become really difficult.   Often I have to run to several different places getting one item at each store.  I finally found a catalog called National, that has all kinds of comfy and practical shoes for Mom as well as clothes she finds attractive.  She has arthritis in both feet but one is worse and  made wider by bunions. To fit her well, I'd have to buy two different size shoes.  National has shoes with velcro closures that also open really wide to get off and on easily.   This enables her to get her own shoes off and on - THAT makes her feel more capable -  anything that makes her feel capable is terrific!

I find their clothing rather conservative but they have a variety of suits, house coats and easy-dressing tops and pants. National also has stuff that I might consider "old lady" products - old fashioned girdles, plain white garter belts, large size bras that close in front, sleeping caps and shawls with pockets!  While I wouldn't wear these (not yet), I can see where these would be helpful to my mom or to women with her limitations.
Where can in find tops for dowagers hump? shoes for arthritic feet, shoes for wide feet, easy on shoes,  easy off shoes. clothes for old ladies, house coats for old ladies, robes for old ladies

Catalog with sentimental things for mom (me too)

Mom often longs for familiar things from her childhood and trying to find them is really difficult if not impossible.  I did find one catalog, Vermont Country Store, that has a lot of things that she enjoys.  I found licorice, ribbon candy, soap and other things that bring back warm memories of her youth.   I've even found some things that I find useful and enjoy - a hand cranked food mill, replacement lids for pans, glasses.... all kinds of stuff.  I find that I like to get a catalog first then browse through the web site.   I also take the catalog to Mom in case there's anything she might want to order.

Where can i find old products that mom likes?  where can i find ribbon candy? clove ribbon candy, cinnamon ribbon candy, old-fashioned old fashioned products for mom dad grandma grandpa