HMO Guide for Seniors - Office of the Patient Advocate - State of ...
HMO Guide for Seniors - Office of the Patient Advocate - State of ...
HMO Guide for Seniors - Office of the Patient Advocate - State of ...
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55<br />
Questions & Answers<br />
If I need nursing care, do I<br />
have to go to a nursing home?<br />
No. You may be able to get<br />
<strong>the</strong> care you need at home.<br />
See page 52.<br />
My mo<strong>the</strong>r is in a nursing<br />
home. How can I make<br />
sure she gets good care?<br />
Try to have family or friends<br />
visit every day. If <strong>the</strong>re’s a<br />
problem, call your mo<strong>the</strong>r’s<br />
doctor and health plan. And<br />
call Cali<strong>for</strong>nia <strong>Advocate</strong>s<br />
<strong>for</strong> Nursing Home Re<strong>for</strong>m.<br />
They will refer you to local<br />
agencies that investigate<br />
long-term care facilities<br />
<strong>for</strong> seniors.<br />
My nursing home gave me<br />
a Notice <strong>of</strong> Non-coverage.<br />
I’m too sick to go home.<br />
What can I do?<br />
You can appeal this decision.<br />
Call HSAG right away.<br />
things you can do<br />
Choosing a Nursing Home<br />
Ask your <strong>HMO</strong> what nursing homes are in its<br />
network. Visit several nursing homes. Consider <strong>the</strong><br />
location, cleanliness, noise level, food, and safety<br />
<strong>of</strong> each place. For help choosing, call Cali<strong>for</strong>nia<br />
<strong>Advocate</strong>s <strong>for</strong> Nursing Home Re<strong>for</strong>m or visit<br />
www.calnhs.org.<br />
Long-Term Care<br />
If you need long-term care and your money is<br />
running out, find out if you qualify <strong>for</strong> Medi-Cal.<br />
Call Cali<strong>for</strong>nia <strong>Advocate</strong>s <strong>for</strong> Nursing Home<br />
Re<strong>for</strong>m.<br />
For help making decisions about long-term care<br />
and long-term-care insurance, call HICAP.<br />
For help choosing long-term care, visit<br />
www.calnhs.org.<br />
where to find help<br />
Cali<strong>for</strong>nia <strong>Advocate</strong>s <strong>for</strong> Nursing Home Re<strong>for</strong>m<br />
In<strong>for</strong>mation and advocacy <strong>for</strong> consumers<br />
1-800-474-1116 www.canhr.org<br />
Cali<strong>for</strong>nia Nursing Home Search<br />
A guide to nursing homes<br />
www.calnhs.org<br />
HICAP (Health Insurance Counseling & Advocacy)<br />
Free in<strong>for</strong>mation and counseling on Medicare<br />
1-800-434-0222 www.aging.ca.gov/hicap<br />
HSAG (Health Services Advisory Group)<br />
Help with nursing home discharge appeals<br />
1-800-841-1602 www.hsag.com
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