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Providing management and coordination of personal, financial, legal, and health insurance matters
| October 2009 - Issue 14: Seniors in Transition: How Can We Manage Long-Distance Care?
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In This Issue:
1. Re-creating a Care Team in Another Part of the Country - A Client's Story
2. Managing Health Insurance
Across State Lines - A Client's Story
3. Nationwide Resources
4. Free Consultation
5. Rebecca R. Eddy & Gideon Y. Schein in the Public
6. Previous Newsletters Archived on Our Website
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Seniors in Transition: How Can We Manage Long-Distance Care?
As Eddy & Schein enters its tenth year of service, we cannot help noticing two growing trends in senior care management:
• The increasing number of seniors who travel between multiple homes and/or decide to move their primary residence outside of the New York area to be closer to loved ones.
• The need to sift through health care policies and determine the differences in requirements and benefits from state to state when these moves occur. State laws and insurance policies vary widely nationwide even within the same insurance provider.
Eddy & Schein has extended services for seniors whose needs encompass areas outside of the New York Tri-State. We help to manage and organize personal, financial, legal, and health insurance matters in multiple states.
Re-creating a Care Team in another Part of the Country – A Client's Story
George was 91 years old and had been splitting his time between an apartment in an assisted living facility in Tucson, Arizona and an apartment in New York City. Following the death of his wife three years ago, he spent more and more time in Tucson. During that same period, his health declined substantially and he needed 24/7 care from competent and trusted aides. For two years his aides from New York City were able to travel with him to Tucson. Since he had some good Tucson physicians and the regular team of aides from New York City, the “short-term” visits were relatively easy. The major transition that had to be solved was the management of his finances, legal affairs, and insurances. Here is where the team concept Eddy & Schein uses translated well. We worked together with his attorneys, accountant, and assisted living staff to create a plan whereby the bills that arrived in Tucson would be forwarded to New York and we could pay and track his expenses.
For two years the system proved successful until last November as George was preparing for his winter trip. His aides declared that they could not go with him again. He was, however, determined to get back to Tucson, as he said, “whether to live or to die.” Since his health was a greater issue than during previous flights, the first problem was getting George to Tucson. There were no direct flights to Tucson and given his care needs, changing flights and going unsupervised was impossible. Fortunately, he had the means to travel by air ambulance accompanied by Gideon Schein. It was clear that transportation was only the beginning of the problem. The well-functioning team of medical physicians and aides that had served him in New York would have to be re-created in Tucson. Together, with information from the National Association of Geriatric Care Managers' website and the assistance of local geriatric care managers, Gideon and his accountant in Tucson were able to find a wonderful care manager who set up a system as strong and caring as the one George had in New York. She was also a phenomenal co-ordinator and kept everyone informed all across the country.
By the time George got to Tucson in the spring of 2008, a system was in place that included all the members of his team – his physicians, the geriatric care manager, his lawyer, accountant, and Gideon as his financial organizer. Unfortunately, George passed away in July of this year. Until then, because of his team, he was able to live as good and fulfilling a life in Tucscon as he had in New York.
Managing Health Insurance across State Lines – A Client's Story
Debbie is a physician who lived most of her professional life in New York, but as a result of a difficult divorce, a career opportunity, and suffering from multiple sclerosis, she decided she would be better working in Madison, Wisconsin. She was referred to us by her financial advisor because Debbie had a problem figuring out what to do about her health insurance, which included the complex terms of her COBRA coverage. The challenge to Eddy & Schein was to learn about the differences in laws that governed the two states. Gideon worked with her attorney, Medicare, her previous supplemental insurance company, and her ex-husband's firm to determine what benefits she was eligible for. It became clear that her COBRA had expired, but that under New York law, she still had over a month left to transition into a new supplemental policy and establish Medicare as her primary insurance. However, when Gideon contacted Empire Blue Cross in Wisconsin (since that is what she had in New York), to see what they had to offer he was informed that the laws were different in Wisconsin and that she had only three days left to make the change without being subject to the pre-existing condition clauses of any “new” insurance. By that time she was bedridden due to MS and could not get to the insurance office in time.
After several urgent calls, one of the Blue Cross managers in Madison offered to have his sales rep drive 45 minutes to her. He did so and three hours later Debbie was covered.
Recently, the disease has worsened and she is no longer able to manage her own financial affairs. Her lawyer, financial advisor, and son, who lives in Minnesota, have joined with Gideon to help set up a new system. Currently they are contacting AADMM (American Association of Daily Money Managers) and NAPO (National Association of Professional Organizers) and other New York colleagues to search for someone in her area to coordinate her daily financial and health insurance needs.
More and more the traditional caregiver model is undergoing change. Just as it has become clear that there is a need to support and care for seniors who don't have local families, friends, or relatives, it is equally clear that the problem becomes more acute as our clients transition to other parts of the country. In our local area, the need to build a "team" to support seniors is vital to the breadth of their care. And it is equally helpful to build a comparable local team when the senior transitions to a new locale.
Nationwide Resources
American Association of Daily Money Managers (http://www.aadmm.com/)
National Association of Geriatric Care Managers (http://www.caremanager.org/)
National Academy of Elder Law Attorneys (http://www.naela.org/)
National Association of Professional Organizers (http://www.napo.net/)
Medicare (http://www.medicare.gov/)
Perhaps someone you know would benefit from our services. We would be delighted to provide a free phone consultation. If it seems appropriate we can meet with individuals or families to share our insights. There is no obligation and all discussions are held in the strictest of confidence. In addition, we are available to speak to staff, clients, or professional organizations on how to prepare for the senior years.
Free Phone Consultation – Call 212-987-1427
Rebecca R. Eddy & Gideon Y. Schein in the Public
September 22th - Listen to Rebecca Eddy on "Managing Paper Before it Overwhelms You." Rebecca was interviewed by Barbara Friesner on VoiceAmerica's Age Wise Living Radio Show on Tuesday, September 22.
November 5th - Rebecca and Patricia Mulvey of Jewish Home Lifecare to speak to Health Leaders of New York (HLNY) - www.hlny.org on "The Team Approach to Elder Care: From Home to Institution and Home Again."
November 5th - "Lunch and Learn" at Center for Hearing and Communication.
November 24th - Fox Rehabilitation Geriatric Therapy at Home - in-service presentation.
November (date to be determined) - Hosted by Village Care of NY, Rebecca and Gideon will speak to Greenwich Village residents.
Rebecca and Gideon are available to speak to groups on a variety of topics related to seniors and their families. Please
contact our office to discuss possible presentations.
Previous
Newsletters Archived on our Website
Our previous newsletters are archived on our
website at http://www.eddyandschein.com/newsletters.php
At any time, from our home page, you can click on the
"View Archives" link situated below the subscription sign up space.
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If you found our newsletter informational or
useful, please scroll back to the top of the page and click on the link send this to a friend - to send it to anyone else
who would benefit
from it!
Please feel free to contact us and take
advantage of our free telephone consultation. We would be happy to talk
to you about how we can provide Life Keeping, Not Just Bookkeeping®.
Sincerely,

Copyright, July 2009, Eddy & Schein, Inc.
About Us
Partners
Rebecca R. Eddy and Gideon Y. Schein, both MBAs and certified
Professional Daily Money Managers, have a primary focus on the needs of
an aging population:
• Seniors
who need help in organizing and streamlining tasks such as expense and
revenue tracking, bill paying, health insurance claims management, or
providing regularly required information to accountants and lawyers.
• Seniors who may or may
not have an estate plan in place, but need to catalog assets and
personal effects and coordinate and track philanthropic activity.
Our Promise
Eddy
& Schein In-Home Administrators for Seniors® is dedicated to making
life easier when it comes to managing seniors' personal administrative
matters. From simply gathering and paying bills each month to
performing a complete review of seniors' financial and personal
affairs, we provide exactly the help needed. Working with Eddy & Schein, clients are given private, one-on-one attention at home. Together, we'll develop a plan to address our clients' specific needs. And of course, privacy is strictly guaranteed.
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