Serving Our Seniors Magazine: April - June 2024

Compass Point is an adult day facility to help people who are living with memory changes. It opened in November 2024 from 9:00 a.m. – 2:30 p.m., Monday through Friday. Karen and Neil are one of the first to take advantage of Compass Point. Karen said, “We call it school, because he experiences new things and he is socializing with other people. He needs that. The staff is encouraging and offers enlightening activities for him. I remember the first day he was here. I asked him ‘How was it?’ He said to me, ‘It far exceeded my expectations.’ ” The supervision is very good. He is very complimentary of the food and it has been a great experience for him. I want Neil to have the best and he looks forward to it.” For Karen, it gives her time to herself one day a week. She hopes others, in similar circumstances, try Compass Point, too. She and Neal are glad they did. Serving Our Seniors has received grant money from the Ohio Department on Aging to pay for using Compass Point, for Erie County residents who qualify, starting April 1, 2024. Call Serving Our Seniors for more information 419-624-1856. For more information about Compass Point Adult Day Center call 419-502-1020. Ask for Rhonda Story, RN. In the January – March 2024 issue of Serving Our Seniors Magazine, the article entitled, Consumer Be Aware: What Medicare Advantage Plans Don’t Explain, Serving Our Seniors printed “Maybe you want to rehab after surgery at Firelands Health’s rehabilitation floor. After surgery you find out that Firelands Health does not accept your Medicare Advantage Plan for rehabilitation services. You have to go somewhere else. Know the details of the Medicare Advantage Plan.” Firelands Health has asked that Serving Our Seniors make the following correction: Firelands Health Rehabilitation Program does accept Medicare Advantage Plans, however some, if not most, Medicare Advantage Plans do not approve inpatient rehabilitation. If, after being seen by a physiatrist (doctor specializing in rehabilitation), you meet the criteria for admission, the Inpatient Rehabilitation Program will request approval for your stay and help you fight for your right to receive this service. The Steps for Appeal A precertification will be completed including an in-depth medical status. If this is denied, we will conduct a peer- to-peer review in which our physician will speak directly to the insurance company’s physician. If your case is still denied, we ask for the case to go to expedited appeal at the insurance level. If the case continues to be denied, the case is sent to Maximus, an independent entity that contracts with Medicare to review appeal cases. Each of these appeals is your right. Firelands’ rehabilitation program will be with you every step of the way. As the director of Serving Our Seniors, and the author of the January article, I regret any difficulty the example I composed caused for Firelands Health and its staff. Correction from Firelands Health By Sue Daugherty Compass Point: It’s Like School 4