Assurance of Care Geriatric Care Management

Please reach out to your elder neighbors for the next few days and make sure they have proper cooling equipment for their environment, and that they have proper hydration and nutrition to sustain them! ,

If you would like to talk to me regarding the best choice for you, or your family involving Medicare or Medicare Advantage policies, please feel free to contact me for some Registered Nurse Certified Case Manager, with years of experience in this matter, for nonbiased opinions.

**Be aware that if you see/attend informational events advertised socially, most likely they are being presented by a representative of an Medicare Advantage corporation for the sole purpose of sales.

Be informed!
**NO CHARGES FOR MY OPINION

Assurance of Care Geriatric Care Management updated their address.

Assurance of Care Geriatric Care Management updated their address.

COVID-19 Funeral Assistance

If you had a loved one that passed away from Covid, FEMA will assist you with the burial expenses!

COVID-19 Funeral Assistance How to Apply Funeral Assistance Policy Who is Eligible? Additional Resources Find Funeral Assistance information in your language:

Dickson Street in Fayetteville now.

Please reach out to your elder neighbors for the next few days and make sure they have proper cooling equipment for their environment, and that they have proper hydration and nutrition to sustain them! ,

Man's energy drink habit lands him in the hospital with heart failure

Be aware of those energy drinks!

Man's energy drink habit lands him in the hospital with heart failure The man reported consuming four energy drinks per day for two years.

Dallas OpenData | Dallas OpenData

A Great Resource for Dallas County Elders
Dallas County Open Data Site:
https://www.dallasopendata.com/

You can access this site to follow crime in your exact vicinity:

 Live police activity (Current calls and responses)
 Police Arrest up to date
 Restaurant and Code Reports
 Code Violations
 Voting Records for Dallas County Officials
 Animal Shelter data
 Dallas Revenue and Budgets
 Calls for services access (Code enforcement, etc.)
You can sign up for free and customize the reports to come to you notifying you of any police activity/arrests within your pre-set determination of miles from your exact street address.

Provided by:
Greer A. Smith MSN, RN, CMSRN, CCM
Assurance of Care
8181 Midtown Blvd. Ste 7109
Dallas, TX 75231
469-718-9112

Dallas OpenData | Dallas OpenData Dallas OpenData is an invaluable resource for anyone to easily access data published by the City. We invite you to explore the continually growing datasets to help make Dallas a more accessible, transparent and collaborative community.

Find Assisted Living, Memory Care and Senior Living | A Place for Mom

Find Assisted Living, Memory Care and Senior Living | A Place for Mom A Place for Mom Senior Living Advisors. A free resource helping seniors, families, moms and dads find assisted living facilities, dementia care, Alzheimer's memory care, and nursing homes.

Elder Care: In-Home Care, Senior Living and Caregiver Support - AgingCare.com

Elder Care: In-Home Care, Senior Living and Caregiver Support - AgingCare.com Helping family caregivers find senior housing, in-home care, elder care resources, and caregiver support.

Addressing Tough Conversations with Aging Parents

CONVERSATIONS WITH YOUR AGING PARENTS

Addressing Tough Conversations with Aging Parents As your parents start aging, it can be hard to have those tough conversations regarding their driving, assisted living or care. We help break it down.

Assurance of Care Geriatric Care Management updated their phone number.

Assurance of Care Geriatric Care Management updated their phone number.

See my latest post on looking after your elderly neighbors during the holidays!

The Holiday Season, CoVid 19 and your lonely elder neighbors:

It’s important to remember that social distancing has caused many seniors to live in an isolated world of fear. Those of us with senior parents can’t visit. We aren’t going to religious services together or gathering for meals. Many senior activity centers and gyms are closed. We know that many seniors are afraid to go to healthcare providers’ offices for routine care or checkups — afraid they will be exposed to people with the virus. Some are even choosing not to seek emergency care for chest pain, diabetes or stroke for fear of being exposed to COVID-19 or being hospitalized alone with no visitors. Given this, how can family members and friends respond?
1. Find ways to “keep an eye” on your senior. Drive by the house and talk to your parents/grandparents/senior friends as they stand in the driveway or on the porch. Drop off a meal and leave it on a table outside in the yard. Use FaceTime. How are they acting? Do they seem depressed? Confusion or change of mental status is often the first sign of any infection in seniors — including COVID-19 — and always requires evaluation. If something seems off, dig deeper.
2. Even a simple phone conversation can provide clues on how a senior adult is doing in terms of cognitive function and memory. Ask questions beyond, “How are you doing?” Ask if they’re stressed or anxious about anything. Ask what specific actions you can take to help. Seniors may be focused on 24-hour channels with non-stop stories about COVID-19. Urge them to stay informed but not spend hours in front of the TV. Empower them with information on the virus and help them understand the steps they can take to protect themselves.
3. Make sure they are getting appropriate medical care and that they continue to go to healthcare providers for chronic conditions and health screenings. Remind them that clinics are taking precautions to protect them from exposure to COVID-19. Be sure they are getting their prescriptions and other medical equipment delivered and that they are taking those therapies. There is a great new medical service that will come to your home and provide a wide variety of health care services; labs, x-rays, and treat a very wide range of illnesses right from the comfort of your home. If in the Ft Worth area, call Dispatch Health at 817-476-1420 or if in the Dallas area, call 888-908-0553. They can also perform CoVid 19 testing in the home.
4. Watch for signs they may have COVID-19. Older adults don’t always have a fever response to infection so don’t assume that’s the first symptom to consider. Many seniors have reported a sore throat and loss of smell as their first sign of COVID-19. If they have possible symptoms, schedule a telehealth visit with their physician — these are now covered by Medicare. Don’t just show up to the clinic or the emergency room.
5. Urge seniors to stay active and engaged. Suggest an early-morning walk, before it gets too hot, for older adults who are not at risk for falls. YouTube has chair aerobics classes. Help your senior set up a social media exercise or book club. Technology can provide connection during social isolation.
6. Check on your elder neighbors and see if they might need financial assistance, you can also utilize local favorite restaurants such as Norma’s Café and purchase them a Thanksgiving dinner, I believe a full dinner for 8 to 10 people is around $100, you could purchase one dinner and feed approximately 4 elderly couples.

Remember, our elderly are the ones that worked hard to ensure the world we live in today benefits us to be able to have the freedom and opportunities most of them only dreamed of!

Greer A. Smith MSN, RN, CMSRN, CCM
Assurance of Care Geriatric Care Consulting
8181 Midtown Blvd. Ste 81709
Dallas, TX 75231
469-718-9112
[email protected]

“I’m in a caregiver's relationship with my body, a perpetual internal gauging of wellness. My spine is Hogarth’s thermometer. I ascend and descend its rungs a hundred times a day, reading the mercury level. The same dis-ease speaks many languages. If you block one mouth, another will speak. The symptoms represent differently, and as I get older, my translation changes. The prescription changes. Must be vigilant. Must be my best nurse.”
― Jalina Mhyana

Please reach out to your elder neighbors for the next few days and make sure they have proper cooling equipment for their environment, and that they have proper hydration and nutrition to sustain them! ,

It's National Elder Abuse Awareness Day: look out for everyone elderly, there are a lot of people out there abusing them in many ways!

People! Have you considered the elderlies needs before you go hoarding all the food and support items from every grocery store in the nation? I got upset to read about the 92 year old man just looking for the basic needs at a store and somebody took last roll, or that someone took a 6-pack of Boost nutritional drink from another elderly mans grasp? This is a sad world we live in that we have to act like inconsiderate jerks and not have compassion for those truly in need now, not 6 months from now, because if people continue this "its all about me" thought process, then it will surely come back to karma. I've heard of some Group Homes for the elderly cant get the necessary food or supplies to care for the elderly
TAKE WHAT YOU NEED NOW, LET THE ELDERS HAVE IT BEFORE YOU, THINK ABOUT YOUR ELDER NEIGHBORS, CAN YOU CHECK ON THEM TO MAKE SURE THEY HAVE WHAT THEY NEED?

Coming soon, a "how to survive the Coronavirus by being prepared."

How to Destroy your medications:

HOW TO ASSIST YOUR ELDER NEIGHBORS AND FRIENDS IN THE COLD WINTER MONTHS
Greer A. Smith MSN, RN, CMSRN, CCM
2.13.2020
Winter can bring many healthcare challenges for older people, especially those with mobility issues or those who are homebound. There are emotional risks, such as isolation from friends and community, and physical risks, such as falls. Risks can be minimized if some basic guidelines are followed, making winter an enjoyable time of year for us all.
Here are 10 tips for assisting our elderlies to stay safe, warm and healthy during the winter months.
1. Stock emergency resources in their homes. Emergency kits must be easily accessible and should include water, flashlight, batteries, radio, and blankets. Seniors should have at least a seven-day supply of prescription medications and a three-day supply of non-perishable food and water on hand.
2. Watch the temperature. For elders, there are significant risks of being too cold, which include dehydration. People with cardiac issues tend to get colder faster. Cold weather also puts an extra strain on the heart. People with heart disease or high blood pressure should seek a doctor's advice when working in the cold. Make sure the home is properly insulated and windows are caulked to prevent drafts. Thermostats should be set to 68 degrees to prevent hypothermia and prevent pipes from freezing.
3. Identify and eliminate fall risks (see more on this below). This is a huge issue for seniors, and most do not know they are at risk for falls, especially during the winter. Often, they will take off their wet boots when they get home and walk around the house in stockings, which often leads to slipping. Create slip-proof paths and make sure they wear shoes or slippers that grip. Keep driveways and walkways clear of snow. Many schools offer programs where student volunteers can help shovel and salt.
4. Eliminate potential fire risks. Fires often start from things like overheating electric blankets or space heaters. Candles are always a risk, as well as drying Christmas trees. Make sure smoke and carbon monoxide alarms are stocked with fresh batteries and are in good working order, and fire extinguishers are readily available near stoves and fireplaces.
5. Encourage them to stay active and try safe exercises at home. Many elderly feel lonely or inactive during this time of year but there are programs available to help. Many libraries deliver books and movies. Churches offer a visitation program of volunteers who provide companionship to housebound parishioners. Contact your local senior center for information on upcoming community activities.
6. Practice safety precautions in the car. If your elderly loved one is still driving, be sure they have emergency snow supplies in their car, including heating packs, kitty litter or sand, emergency flares and snow scrapers/brushes, water, and blankets, as well as a car phone charger. Make sure to keep the gas tank full. Ask your elder to let you know their destination, route and expected a time of arrival before they leave the house.
7. Keep a keen eye on their nutrition. A balanced diet becomes even more crucial during the winter when we are less active, at risk of catching colds and lacking vitamin D. Be sure your loved one is getting balanced meals that incorporate vitamin-rich fruits and vegetables. Keep extra food on hand in the freezer as well as bottled or canned fruit juices and non-fat milk powder. Meals on Wheels delivers affordable hot, nutritious foods daily.
8. Establish a plan for winter emergencies. If power is lost, do you and your elder know where they will go and what they will need? Have an emergency bag packed with a change of clothing and all medical and care necessities. Have a carrier ready in case pets need to be transported with them.
9. Provide your elder with a cell phone that is easy to use. Make sure the cell phone is always charged and has emergency contact numbers pre-programmed. Ensure your elder has practiced using the dialing feature. Just Google ‘senior-friendly cell phone’ to see the range of options available with big buttons, easy viewing, and long-lasting batteries.
10. Dress smartly for cold weather. It’s a good idea for seniors to get out for some fresh air when possible. “Layered loose-fitting clothing and water-proof gloves or mittens are best. Wearing a hat protects against heat loss, as close to half of the body heat is lost through the head.
How to Help Your Aging Loved Ones Avoid Falls and Accidents Around the House
Living Room and Bedrooms:
• Remove clutter and electric cords from pathways and hallways
• Keep a portable phone by their chair, couch or bedside
• Make sure they have access to lighting when coming into and leaving hallways and rooms
• Place nightlights to light hallways and thresholds between rooms
• Place a piece of reflective tape on thresholds
• Ask them to sit at the bedside or edge of a chair for one minute before rising
• Make sure they keep assistive devices within arm’s reach. If assistance is needed for walking, a bell or wireless doorbell can be helpful to call for assistance
• Look into a personal alert system they can activate if they are not in reach of a phone
Stairs and Floors:
• Ensure they always wear shoes both inside and outside of the home and avoid walking with bare feet or socks
• Consider installing handrails on both walls of the stairwell for more convenient support
• Keep all stairwells well-lit
• Install non-slip treads if stairs are not carpeted
• Move furniture if necessary, so that all paths are clear
• Coil electric cords or tape them along the wall to keep pathways clear
• Tape down edges of carpets or remove scatter rugs
Bathrooms:
• Ensure easily accessed lighting and nightlights
• Consider installing grab bars and non-skid mats in and out of the tub
• Consider installing a raised toilet seat for ease of sitting and standing to provide additional support
• Consider a transfer or shower bench to ease fatigue during bathing or showering
• Make sure they avoid the use of bath oils or salts
Kitchen:
• Ask them to keep all cupboards and drawers closed to prevent bumping injuries
• Keep their soap and paper towels by the sink to prevent the spread of infection
• Place their electrical and flammable items away from the stove and sink
• To prevent dizziness, show them how to use care when bending from the waist to pick up items that have fallen
• Place their commonly used items on the counter where they can be easily assessed
Greer A. Smith MSN, RN, CMSRN, CCM
Assurance of Care
8181 Midtown Blvd. # 7109
Dallas, TX 75231
469-718-9112
[email protected]

Humana bleeds 550K Part D members amid 'winner take all' market

Humana, like United Health Care and the other health insurance players are all reporting record breaking profits for 2019! Also in 2019, health care systems saw their profit margins go down to 1% and many across the nation are closing down? Something has to be done about the greed and unmoral character of the large health insurance companies making billions in profit at the expense of their clients!

The insurer reported revenue for the fourth quarter of 2019 was $16.2 billion, compared with $14 billion in the fourth quarter of 2018. Fourth-quarter revenues for the insurer’s retail segment were $14.21 billion, up from $2.17 billion thanks to higher premiums due to Medicare Advantage membership growth, the insurer said.

Humana bleeds 550K Part D members amid 'winner take all' market Humana's Part D business took less of a hit than expected in 2019, but results still weren't great.

Have You Had The Conversation? - The Conversation Project

My hope for this Thanksgiving, is that families, as gathered together, will take some time to each discuss their desires about how they want to approach the end of life. We never know when a tragedy, or natural death will occur, however, it is being responsible for carrying out your family members personal desires when that time comes. If you need assistance in this process, feel free to contact me, or go to:
https://theconversationproject.org/

Have You Had The Conversation? - The Conversation Project The Conversation Project is a public engagement initiative with a goal to have every person’s wishes for end-of-life care expressed and respected.

GREAT INFORMATION ON HOW TO PREPARE AND SURVIVE ADVERSE WEATHER EVENTS
Greer Smith MSN, RN, CMSRN, CCM
September 2, 2019, · Dallas, Texas ·
DISASTER PREPAREDNESS LIST
This is a list I compiled from those recently in the Garland, Texas F4 tornado, it is very informative, and I urge each of you to put together these items and use the suggestions to help you survive and rescued if disaster hits your area.
• PREPARE AN EMERGENCY KIT, PLACE IN LARGE SECURE PLASTIC BOX, AND STORE THIS BOX IN YOUR SAFETY ROOM
• 3 DAY SUPPLY OF WATER (ONE GALLON PER PERSON PER DAY-Water bottles for at least 3 days for each family member + pets)
• ALL CURRENT PRESCRIPTION MEDICATIONS (OXYGEN TANK FOR THOSE WHO NEED IT )
• FIRST AID KIT (MAKE SURE TO HAVE ANTISEPTIC CLEANSERS)
• FOOD THAT WON’T SPOIL AND A CAN OPENER
• BATTERY-POWERED WEATHER RADIO, EXTRA BATTERIES
• ONE CHANGE OF CLOTHING AND STURDY FOOTWEAR PER PERSON
• ONE BLANKET OR SLEEPING BAG PER PERSON
• EXTRA SET OF CAR KEYS
• CASH OR CREDIT CARD,
• SPECIAL ITEMS FOR INFANT, ELDERLY OR DISABLED FAMILY MEMBERS
• WRITTEN INSTRUCTIONS ON HOW TO TURN OFF ELECTRICITY, GAS, AND WATER, IF AUTHORITIES ADVISE
• CELL PHONE WITH BACK UP BATTERY, CHARGING CABLES OR PORTABLE CELL PHONE BATTERY SUCH AS Mophie Type
• TAKE YOUR CELL PHONE INTO YOUR SHELTER AND CALL 911 IF YOU ARE INJURED
• FLASHLIGHTS WITH BATTERIES (YOU NEVER HAVE ENOUGH BATTERIES) HAVE A FLASHLIGHT FOR EACH FAMILY MEMBER AND 1 EXTRA
• AN EMERGENCY, NOAA TYPE RADIO (you can get a NOAA type radio on Amazon that comes with the ER radio, USB ports, flashlight, and a hand crank and solar charger)
• PAPER PLATES ARE A GODSEND
• GET A HAM RADIO LICENSE, CAN BE USED IN PROLONGED ELECTRICAL OR COMMUNICATION OUTAGE TO COMMUNICATE WITH FAMILY
• PLACE A WHISTLE IN YOUR SAFETY BOX, THIS CAN BE USED TO SIGNAL FIRST ALERT PEOPLE TO YOUR LOCATION
• HAVE SOME FORM OF WAGON TO TRANSPORT THINGS FROM YOUR HOME, IN CASE YOUR NEIGHBORHOOD IS CLOSED TO TRAFFIC
• MAKE SURE YOU HAVE A BATTERY-OPERATED CARBON MONOXIDE AND SMOKE DETECTOR WITH ALARM, EVEN IN ALL-ELECTRIC HOME, IT WILL HELP KEEP YOU SAFE FROM FUMES IF YOU HAVE TO USE A SMALL PROPANE TYPE HEATER
• IF POSSIBLE, OBTAIN A WIRELESS JETPACK TYPE APPARATUS FROM YOUR PROVIDER TO HELP YOU CONNECT TO THE WEB
• OPEN AN ACCOUNT ON FACEBOOK, FB WILL SET UP A DISASTER SITE FOR YOUR LOCATION THAT YOU CAN GO POST THAT YOU ARE SAFE FOR FAMILY AND FRIENDS TO KNOW AND PROVIDE ASSISTANCE IF REQUIRED
• SCAN ALL VITAL DOCUMENTS (Insurance papers, Birth Certificates, Driver’s License, Social Security, Passports, Financial Banking Data, Family Pictures, Pets Information and place on a small drive, or upload to the cloud, and place in your safety box, or place in bank safety box)
• WHEN YOU KNOW OF THE HIGH RISK OF BAD WEATHER, WEAR YOUR CLOTHES TO BED, AND HAVE A PAIR OF HARD SOLE DURABLE SHOES, YOU DONT WANT TO BE EXPOSED IN THE ELEMENTS (You may be walking around on dangerous objects)
• IT IS ALSO NICE TO HAVE A SMALL GENERATOR AND AMPLE SUPPLY OF FUEL TO OPERATE IF OFF AND ON FOR APPROXIMATELY 3 DAYS
DO NOT:
Light a candle, you never know when there is a gas leak in your home or a neighbor.
If you have any geriatric care management needs, or questions, please contact me.
Greer A. Smith MSN, RN, CMSRN, CCM
Assurance of Care
8181 Midtown Blvd
Ste. 7109
Dallas, TX 75231
469-718-9112

American Regent boosted price of essential hospital product by 1,300%: American Regent recently hiked the price of an essential mineral used by hospitals to provide nutrients intravenously by 1,300 percent, according to STAT.

This is why hospital overhead expenses are outpacing revenue and causing many hospitals across the USA to shut down; GREED KILLS!

American Regent boosted price of essential hospital product by 1,300%: American Regent recently hiked the price of an essential mineral used by hospitals to provide nutrients intravenously by 1,300 percent, according to STAT. American Regent recently hiked the price of an essential mineral used by hospitals to provide nutrients intravenously by 1,300 percent, according to STAT.

Anytime of the year (Thanksgiving or Christmas are excellent times) is the right time to 'HAVE THE CONVERSATION" with your family about end of life decisions.

Our Elders and Heat Exposures

It should be your personal or family practice to help look after your elder neighbors during extreme heat episodes
Why are older adults more prone to heat stress?
• Older adults do not adjust as well as young people to sudden changes in temperature.
• They are more likely to have a chronic medical condition that changes normal body responses to heat.
• They are more likely to take prescription medicines that affect the body’s ability to control its temperature or sweat.
Stay cool, stay hydrated
• Stay in air-conditioned buildings as much as possible. If your home doesn’t have air conditioning, contact your local health department or locate an air-conditioned shelter in your area.
• Do not rely on a fan as your main cooling source when it’s really hot outside because fans are actually not a very good source for cooling, but exacerbate loss of body fluids by increased evaporation.
• Drink more water than usual and don’t wait until you’re thirsty to drink.
o If your doctor limits the amount of fluids you drink or has you on water pills, ask them how much you should drink during hot weather.
• Don’t use the stove or oven to cook—it will make you and your house hotter.
• Wear loose, lightweight, light-colored clothing.
• Take cool showers or baths to cool down.
• Do not engage in very strenuous activities and get plenty of rest.
• Check on a friend or neighbor and have someone do the same for you.
• Follow additional tips on how to prevent heat-related illness.
Stay informed
• Check the local news for health and safety updates.
• Seek medical care immediately if you have, or someone you know has, symptoms of heat-related illness like muscle cramps, headaches, nausea or vomiting.

Encompass Health agrees to pay $48M in false claims case

Encompass Health Corp. agreed to pay $48 million to resolve allegations that some of its facilities provided inaccurate information to Medicare to maintain their status as an inpatient rehabilitation facility (IRF) and to earn a higher rate of reimbursement.
The Birmingham, Alabama-based inpatient rehab giant also settled allegations that some admissions to its IRFs were not medically necessary.
“This important civil settlement concludes a lengthy, comprehensive investigation that brought to light a nationwide scheme that the government contends was intended to defraud our fragile public health programs,” said U.S. Attorney Maria Chapa Lopez in a statement. “In doing so, we confirm our commitment to civil health care fraud enforcement as a key component of the mission of our office.”
Medicare and Medicaid use information about patients’ diagnoses to determine whether a facility is properly classified as an IRF as well as the level of reimbursement the facility is awarded for specific patients.
The DOJ alleges that beginning in 2007, some Encompass IRFs falsely diagnosed patients with what they referred to as “disuse myopathy” when there was no clinical evidence for this diagnosis. They also allege that Encompass IRFs admitted patients who were not eligible for admission because they were too sick or disabled to participate in or benefit from intensive inpatient therapy.
USDOJ continues to clean up healthcare fraud in the US!!

Encompass Health agrees to pay $48M in false claims case Encompass Health Corp. agreed to pay $48 million to resolve allegations that some of its facilities provided inaccurate information to Medicare to maintain their status as an inpatient rehabilitation facility and to earn a higher rate of reimbursement.

A 25-Year-Old Drug For Nerve Pain Called Gabapentin Is Now Part Of The Opioid Crisis

Another off use Rx issue~~

A 25-Year-Old Drug For Nerve Pain Called Gabapentin Is Now Part Of The Opioid Crisis How did this happen?

Government’s heightened fraud focus necessitates provider action - Guest Columns - McKnight's Senior Living

Cleaning the Elder Care Abuse swamp~~~

Government’s heightened fraud focus necessitates provider action - Guest Columns - McKnight's Senior Living The government is broadening its enforcement umbrella, and it means heightened scrutiny and reporting responsibility for those providing care and services to older adults.

Slideshow: Everything You Ever Wanted to Know About Honey

HONEY; THE TRUTH

Slideshow: Everything You Ever Wanted to Know About Honey Honey’s been used to heal wounds, ease allergies and sweeten things up for centuries. What is it? Where does it get these special powers, and can it really do everything it gets credit for?

SNFs Report 'Widespread' Frustration with Medicare Advantage Plans, Study Finds - Skilled Nursing News

Medicare Advantage Plans, selective-restrictive, and not out for the customers best interest?

SNFs Report 'Widespread' Frustration with Medicare Advantage Plans, Study Finds - Skilled Nursing News Medicare Advantage (MA) plans are trying to reduce post-acute care spending by limiting the skilled nursing facilities in their networks, and by capping the lengths of stay — and SNFs and hospitals aren’t taking it well. That’s according to a study published Monday in the American Journal of M...

Juicy steak with Razorback friend

Urgent Care - DispatchHealth

Another great public service by Texas Health Resources!

Urgent Care - DispatchHealth Bringing Back the House Call. Texas Health is proud to collaborate with DispatchHealth to make it simple and convenient to address your urgent health care needs.

FYI, Just because all these TV ads stating that now Medicare Advantage customers can now get private duty caregivers, transportation to your MD visits, and other personal home care aid, does NOT mean you will. There are very few companies out there willing to provide these types of services for the very small reimbursement Medicare Advantage will pay them; so, what's promised is most likely not deliverable!