Personal Senior Advocates

FAQ’S

The field of Private Patient Advocacy is new to many people.  It’s growth has been fueled by the for-profit Healthcare climate which has taken the focus off of what is best for the patient, to what is best for the shareholders.

Here are answers to the most often asked questions we receive about Advocacy:

Does insurance cover the cost of an advocate?

Insurance does not pay for an advocate.  While this might not be the answer you were looking for,  if your advocate was paid by your insurance company, he or she would be making decisions based on what is best for the insurance company, which is not necessarily what is best for you. Your advocate is hired to work strictly on your behalf to ensure you receive proper patient focused care.  

Who hires a Patient Advocate?

Advocates are hired by the patient, a family member or a friend. Anyone can hire an advocate for any number of issues.  Advocates provide a variety of services.  Quality of care issues, insurance billing reviews, insurance denials, diagnosis specific assistance, legal issues,  just to name a few.

How much does it cost to have a patient Advocate?

The cost for an advocate varies and is determined by the services they provide.  The hourly fees can range from $150 to $450 per hour.  Each advocate has a fee structure and retainer structure that is specific to their practice.  Hiring an advocate to oversee your care can seem pricey, however, peice of mind you receive is priceless.

Why do I need a Patient Advocate?

Our healthcare system is not user friendly.  No one should be in a medical facility without an advocate.  When you or a family member is experiencing a health crisis, having an advocate can make the difference between a good outcome and a devastating result.

What is a Patient Advocate?

A Patient Advocate will work with the healthcare team to ensure you receive timely, appropriate treatment, necessary pain management, basic comfort measures and respect. Your advocate speaks the language, knows what questions to ask and what the answers mean. In a medical crisis, communication is key.  Advocates understand the policies and procedures in a medical setting and will prepare you with the knowledge needed for you and your family to make informed decisions regarding your care.

Other Services You May Need

You wouldn’t imaging some of the unique requests we receive from our customers.  Even better, you wouldn’t believe how many of those request we can actually fulfill.  So ask away!

CALL TODAY: 714-845-3442

Did you know

The ratio of patient to staff in a medical facility is not regulated.

Premature discharges lead to 40% of post-op complications occurring at home.

Bet you didn’t know that having great insurance can actually be dangerous.

Legally a facility doctor in a Nursing Home only has to see a patient once every 30 days unless the nurse notes in your chart that an issue requires the doctor’s attention.

When you are in the hospital, you may request that routine lab work be done during your waking hours, not the middle of the night.

Discharge planning begins when you arrive at the hospital, and you should be included in the planning process.

When Seniors are discharged from a hospital, they are told they are going to “Rehab”. No one tells them that this really means they are going to a Nursing Home.

Why would anyone need to leave a nursing home to go to a doctor’s appointment?

Seniors can be stuck with large medical bills when the hospital doesn’t Admit them. Admission vs. Observation?

28% of hospitalizations of Seniors are caused by medication errors.

Without an Health Care Directive, if you are unable to speak for yourself, the medical facility will make ALL treatment decisions for you.

You have guaranteed rights as a patient? Do you know what they are?

A new patient has their belongings logged by the staff. The same staff reconciles the list. See The Potential Problem?

Privately paid caregivers that provide care in your home are not legally allowed to assist you with your medications.

Unscrupulous medical billing practices will often reflect a “balance due” on a bill when the insurance company has already been billed.

Why do they take photos of your body when you’re admitted to a nursing home/rehab facility?

When an elderly person has urinary tract infection, it is common for them to have “dementia like” symptoms.

Drug resistant infections acquired during a hospital stay have increased 230% since 2001.

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