Client with Mental Illness Faces Poor Quality Care and Bankruptcy
The Challenge
National Care Advisors works with trustees to find solutions for their joint clients.
A bank trustee in New York had recently run an analysis of a client’s trust funds and came to a disturbing realization:
The 45-year-old man diagnosed with schizophrenia was facing rising care facility costs. In addition, he had long stopped receiving Medicaid benefits and was sure to run out of funds before the end of his life. What was even more distressing was the quality of care he was receiving was seriously in question.
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Our Job
National Care Advisors is managed and run by nurses. Our patients come first–always–and we will passionately advocate for those who can’t represent themselves.
What are the third party benefits really worth to the client over his/her lifetime?
Is a Medicare Set Aside consideration important to the client to preserve future access to Medicare benefits?
Is a Special Needs Trust necessary to preserve future access to means tested benefits such as Medicaid, Medicaid Waiver Services or Supplement Security Income?
Does the client need assistance to administer and manage this large sum of money?
From a practical perspective, considering the value of unpaid family time and support, third party benefits value and the scope of the net settlement award – what sum of money is necessary on a monthly or annual basis to meet the client’s essential care and quality of life needs?
This was our first concern, and after careful assessment, we recommended that the client should be moved to a higher quality facility immediately.
The Success
Leveraging deep knowledge of the available benefits and by working closely with the Social Security and Medicaid offices, the NCA case manager was able to get the client’s Medicaid benefits reinstated and to submit outstanding health care bills for payment from Medicaid. Today, we continue to manage the client’s trust expenditure plan to ensure that all third party benefits are maximized and that his private trust funds are utilized in a manner that will continue to provide for his care in his lifetime.
The client was relocated to a quality facility that best meets his needs, accepts Medicaid benefits, and provides a much higher quality of life for him. His trust funds are now available to be used for personal outings with one-to-one companion care, transportation, electronic devices, and other quality of life expenses beyond his essential facility support care.
At National Care Advisors, we are making a difference, one individual at a time.
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Pharetra vel turpis nunc eget lorem dolor sed. Id porta nibh venenatis cras sed felis eget velit aliquet. Venenatis lectus
Pharetra vel turpis nunc eget lorem dolor sed. Id porta nibh venenatis cras sed felis eget velit aliquet. Venenatis lectus
Pharetra vel turpis nunc eget lorem dolor sed. Id porta nibh venenatis cras sed felis eget velit aliquet. Venenatis lectus