Caring for an aging family member and Medicare coverage

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Below are a few questions that many ask when they are caring for an aging family member or wondering how to pay for the expenses. You can contact me directly to help answer any questions that you may have.

Ann Wittoesch 937-297-4300

1. My mother lives with me and my family. I take care of her most of the day and on weekends. I feel like I need a break.      What can I do?

Ask your mother’s doctor about respite care. You might be able to bring your mother to a facility such as Lincoln Park Manor to give yourself a much needed break. Lincoln Park Manor offers 24 hour nursing care in a compassionate and quality environment for your mother on a short term basis.

2. What does Medicare cover?

For any eligible beneficiary needing skilled nursing or skilled rehabilitation consistent with Medicare coverage criteria, Medicare Part A coverage will pay for a semi-private room, meals, nursing services, rehabilitation services, medications, supplies and durable medical equipment for up to 100 days in a benefit period. The first 20 days in a nursing home, Medicare covers 100 percent of skilled care. Day 21 through day 100, the resident must pay a daily co-insurance rate. Most supplemental insurance plans will cover the co-pay charges. Patients who are eligible for the services covered under Medicare Part B will be responsible for an annual deductible plus 20 percent of the total charges for services such as occupational therapy, physical therapy and speech therapy, as well as medical supplies. Again, a supplemental insurance could also pay these charges. For more information on Medicare, please visit their website Medicare.gov.

3. How do I know if my loved one qualifies for Medicare Part A benefits?

Your loved one must have a Medicare card that reads “hospital insurance” and have days left in their benefit period available to use. A qualifying hospital stay means an inpatient hospital stay of 3 consecutive days or more, starting with the day the hospital admits your loved one as an inpatient*, but not including the day of discharge from the hospital. The hospital stay must not have occurred more than 30 days prior to entering the nursing home. Further, a physician must certify that your loved one needs skilled nursing or skilled rehabilitation care on a continuing basis, and the need for skilled care must relate to the reason for hospitalization.

*Are you considered an inpatient?
Staying overnight in a hospital does not mean you are considered as an inpatient status. A doctor must order you to be admitted to the hospital formally to be considered as an inpatient. This is quite different from observation status.
Contact us for more information.

Visit our website for a copy of the Medicare 101 Booklet. You’ll find a link on the home page at LincolnPark-Manor.com.

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Did you know that Lincoln Park Manor offers extensive rehabilitation services?

In fact, therapy services make up over 63% of their skilled nursing area. “It’s always been a focus for our business and the community really needs to think of us, not just as a nursing home, but as a medically
diverse establishment,” explained Dr. Heckman, Medical Director.

We’ve come a long way from the “old school” ways that most nursing homes used to operate on. There were more acute, long term care patients years ago than what there are today. People stay in their homes longer and are living longer.

Over the past ten years or so, Lincoln Park Manor has transitioned into more therapy driven services that meet the needs of today’s seniors, as well as specialty therapies like our Congestive Heart Failure (CHF) program.

Typical stays are driven by elective surgeries for hip and knee replacements and most patients are discharged after less than a three week stay. Many who are planning these procedures, and I’ll share they
are getting younger and younger with most in their 50’s, contact us before they have their surgery to get pre-registered and let us know what services they prefer during their stay. “We cater to your needs as much as possible when you stay with us for any type of condition,” said Ann Wittoesch, Admissions Director. For instance if you prefer to sleep in or have your shower at a certain time, we will try to schedule therapy later in the day.If you would like a newspaper everyday and room service for your meals, all of those preferences are documented in advance. Pre-planning allows us to get your insurance information and approvals,doctor and family contact information and have a room waiting for you.

We have rooms available and can admit patients anytime day or night. Emergency room visits and discharges from the hospital are acted on promptly, however when possible, it makes it a little smoother if you can plan in advance.

Our goal is to get you home as quickly as possible so that you can return to your daily life. These short REHAB stays are the reason many turn to us for their care.

Have a surgery coming up?
Please contact Ann to schedule a tour!
CALL 937-297-4300 Questions? Email her at Ann.Wittoesch@mvg.com

Rehab Services: Physical, Occupational and Speech therapy.For a more complete list of our therapy services visit our website LincolnPark-Manor.com

Lincoln Park Manor Announcements

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Lincoln Park Manor is pleased to announce the appointment of Brenda Wirrig as Executive Director. Brenda has been with Lincoln Park Manor since 2001 and is very familiar with all the residents and daily operations.

Brenda started as an evening receptionist and has worked her way up through the organization quickly. After five years as Human Resource Manager she was promoted to Assistant Executive Director in 2006 upon receiving
her Nursing Home Administrator License. The last eight years she has served in this position. Brenda has worked in the customer service industry for over 20 years and is a graduate of Wright State University, with a Bachelor’s degree in Management Information Systems. She is passionate about providing outstanding care in a quality environment for our residents and their families. Brenda lives in Dayton with her husband and two daughters. If you would like to contact her, please send questions to:
Brenda.Wirrig@mvg.com

Medical Director named as a “Top 10
Doctor in Ohio” by Vitals.com

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Dr. Louis Heckman of Associated Specialists of Internal Medicine in Centerville, and Medical Director of Lincoln Park Manor in Kettering, OH has been recognized as a Vitals Top 10 Doctor in the state of Ohio.

Vitals.com is a website that offers referrals and help in locating a doctor in your area. Dr. Heckman has earned this award as well as the Patient Choice Award.

Top Ten Doctors Awards are chosen by the millions of patients who visit Vitals.com each year to find a new doctor and share their experiences by providing ratings and reviews. In order to differentiate highly regarded doctors from the rest for patients in search of quality care, Vitals awards Top Ten Doctor honors to those physicians within a certain specialty and neighborhood who are consistently given top ratings by their patients. Patients’ Choice recognition reflects the difference a particular physician has made in the lives of his/her patients. The honor is bestowed to physicians who have received near perfect scores, as voted by patients.

Why the increase in knee and hip replacements?

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The boomers who tend to forget their body’s age while exercising or playing too rigorously, too often, may end up damaging hip and knee joints in particular and have spurred a new term “boomeritus” in the orthopedic industry.
It’s the condition with which many middle- aged patients become afflicted when they’ve over-stressed their aging body parts to the point of requiring drastic treatments. A few of the maladies diagnosed in association with boomeritis include tendinitis, bursitis, and arthritis—all conditions further exacerbated by continued activity if left untreated.

Osteoarthritis, or degenerative joint disease, can be particularly debilitating and often requires replacement surgery. Until now, both knee and hip replacement surgeries used to be primarily associated with the Medicare population.
That’s changing with boomeritis on the rise, according to an article by Dr. Matthew Boes, a Raleigh, N.C., sports medicine specialist. Over the last 10 years he says there was a threefold increase in knee replacements among the 45- to 64-year-old age span.

The rise in replacement surgery among boomers is this: “Knee arthritis can be extremely debilitating and interfere with even the basic activities of daily living. Rather than suffer with knee pain, baby boomers realize that a knee replacement typically relieves pain and facilitates a return to a healthy, active lifestyle.”
Hip replacement procedures have been found to result in significant restoration of function and reduction of pain in over 90 percent of patients.

Lincoln Park Manor’s REHAB CENTER has experienced a significant increase in treating joint replacement patients who come for a short rehab stay after surgery.

If you have questions on the therapy services we can provide after surgery, please contact us.
937-297-4300
Source: Orthopedic Institute of Pennsylvania http://www.oip.com