Questions

Here are the most common questions people have about our services. Please feel free to send an email or give us a call at 845-651-2227 if you need additional information.

1. Why do I need the services offered by HV Aging at Home?
Hopefully you won’t. However, with frequently changing medical systems and ongoing shifts in insurance coverage, those who use our services find it comforting to know that when they get stuck and need help, we’re just a phone call away.

Here are several essential areas where we can help you begin your decision making process about aging at home:
• Evaluate your home for safety, accessibility and sustainability
• Coordinate managed care, insurance plans and benefit packages
• Communicate with family members about the challenges and benefits in remaining at home
• Assist distant family members who wish to be active participants in care, decision making and monitoring
• Assist you, your Health Care Proxies and family in oversight of Care Plan with your medical providers
• Arrange for transportation to medical appointments
• Evaluate payment options for necessary services
• Private pay services
• Managed Long Term Care (MLTC) and Community Medicaid (CM)
• Long Term Care insurance coordination
• Interacting with managed care and insurance representatives and advocating for appropriate care
• Coordinating community supports and services
• Assist in identifying and advocating for services and therapies, particularly where there is a change in physical or mental status
• Appeal Explanation of Benefit denials and advocate for appropriate care and therapies

2. What does HV Aging at Home do primarily?
A medical diagnosis is a label that facilitates a plan for a course of treatment. When evaluating functional abilities related to your diagnosis and prognosis, there are typically recommendations for home modifications (usually for the bathroom, kitchen and bedroom, but in other living areas too) and coordination of required medical and therapeutic services.

Elder and disability planning typically involves Powers of Attorney (POA), Trust and Estate planning documents, Health Care Proxy (HCP), Living Wills and other Advance Directives to empower persons, family members or corporate entities to act on behalf of elders in the financial and medical realms. We help you evaluate care plans relative to costs and available resources, including Medicare, Medicaid, health insurance benefits and spend downs. We work with you, your family, your trusted legal advisors and your caregivers to plan, secure, implement and then manage contracts and legal/medical directives in accordance with your wishes.

3. How do you vet the people who are interacting with my loved one and family members?
Our employees are experienced long-term caregivers. Each of them has successfully completed a rigorous application and interview process, as well as a criminal background check that is fully in compliance with state and federal laws.

4. What qualifies my loved one for your services?
There is no qualification process. Some people may have a diagnosis and want to plan. Some families need advice about potential issues expected to arise. Other people are in crisis. Each situation is unique, as is each person and their disabilities and needs. People qualify for our services if they need non-legal advice for themselves or loved ones concerning the logistical challenges of living at home with a disability.

5. Will you be available when family members are not?
Yes. HV Aging at Home is on call to assist you and your family members when there is a crisis or an issue of concern.

6. Will HV Aging at Home come into a nursing home or assisted living facility?
Yes. There are several important meetings that patients and their families should participate in – directly or indirectly – to facilitate rehabilitation, quality of life, appropriate care and family contact. These meetings determine what services and supports the residence will provide, and it is critical to have a representative at these meetings. One important role we fulfill is to attend meetings as your representative so we can advocate for supports and services, and then follow up to make sure they are delivered.

7. Will you come to a hospital?
Yes. Similar to nursing homes and assisted living facilities, advocacy is critical to ensure discharge and rehabilitation plans are appropriate for your needs and family resources. Without proper oversight, hospitals and rehabilitation facilities often overburden family members or family resources when a loved one returns to living at home. While family commitment plays a vital role, our oversight of caregiving and financial obligations helps you and your family put all responsibilities into the proper balance for your particular situation.

8. Will there be required or set hours if I want to visit my loved one?
No, unless a regular schedule is helpful to your loved one. When overseeing home health aides in the home setting (wherever the person may be living), we’ve found that making visits at varied times and days helps ensure that the observed routine and environment are genuine.

9. Does HV Aging at Home take insurances?

No, our services are not paid by insurance. We charge you directly for services that are provided on a situation-specific basis. We can also provide services at an hourly rate to ease financial burdens on you and your family.
However, the services we provide do include planning and oversight of benefits and services that are paid for by insurance. This will help you make sure that you receive the maximum amount of covered support and services that you deserve.

10. Will my personal information be shared and how is it protected?
Your personal information will not be shared unless appropriate authorization is obtained from the individual(s) we are serving or their appointed Health Care Proxy or Power of Attorney. All records are maintained solely for our use to provide the proper care planning and implementation for you and your family.

11. How will my family get feedback on information obtained?
We are available by phone, email, fax and correspondence. We will provide – to family members, whether near or far – the necessary or desired information requested. In addition, we will coordinate methods for family members to communicate directly with each other, including the potential use of electronic monitoring systems in real time.

12. Will HV Aging at Home help me find contractors who are certified and licensed in their areas of expertise?
Yes, we will assist in finding professionals, contractors, tradespeople or others necessary to facilitate your goals and desires.

13. Do you use (or recommend) any particular Internet technologies that will help me connect me with my loved one?
Yes. Electronic technologies are expanding rapidly and are helpful for communication, monitoring and sharing simple pleasures. TV, radio, music and even basic house functions – such as locks, alarms, lights, appliances and phones – can be accessed at home or remotely to provide safety and comfort.

14. Do you assist people with Alzheimer’s/Dementias?
HV Aging at Home does not provide direct care services. However, we do provide services planning, assistance and oversight related to a wide range of disabilities. Our goal is always to improve the overall quality of life for the people we work with, including people facing the unique challenges of Alzheimer’s and other dementias.

15. What if I already have an Estate Plan prepared?
We are not attorneys and do not provide legal advice. We act in a coordinating role with your attorney or financial planner to implement any plans that have been created. Since there may often be multiple professionals involved in your care, we can help ensure that everyone receives appropriate communications as authorized or directed by you and your family.

16. How do you help Guardians, Trustees, Powers of Attorney and Health Care Proxies?
We provide logistical advice and help them coordinate the important fiduciary and care oversight duties for which they are responsible. This may include use of spend downs for maximum benefit to you and to your family (who often bear the day-to-day responsibility). We assist and provide guidance to improve the quality of life and comfort levels for you as well as for any responsible parties.

17. What if there is a disagreement within the family?
Family disputes often arise from well meaning intentions and misunderstandings because people feel a sense of urgency. Everyone recognizes that the issues and decisions you’re facing are important and this increases the stress levels for everyone.

When you add in the challenges of managing the logistics of living at home, coordinating service provision and hiring or supervising helpers, this can create a tremendous responsibility, especially for those in fiduciary or health care roles.

Though family involvement often benefits you to the greatest extent possible, we focus on you and your wishes while helping to define the scope of others’ involvement.

When disagreements occur, sometimes they stem from frustration with the person who has been authorized to make decisions. We believe that with proper information, coordination and guidance, most family disagreements can be resolved to benefit you and your quality of life. We try to ensure that maintaining your highest quality of life is the primary goal of everyone involved.

18. What do you mean when you talk about Pleasures & Passions?
Here are several ideas, and we’re happy to help you make connections based on your interests and abilities:
• Sports and recreation
• Exercising
• Games and other group activities
• Crafts and hobbies
• Book clubs and reading
• Gardening
• Plays
• Movies
• Dining out
• Concerts
• Attending family outings
• Parties
• Reunions
• Vacations
• Visiting friends
• Membership in social/civic clubs and organizations
• Bucket List