I'm caring for my dad who has Alzheimer's with lots of medications and I keep getting bills I don't understand. Any tips for not drowning in paperwork?
Answered by 25 licensed agents
I will assume that you have power of attorney.
First, you will need to understand the details of your father's prescription drug insurance (Part D) and the types(tier) and numbers of medications he is taking.
Next, you will need to confirm where the bill came from and contact the insurance company to find out if the claim is valid.
(I also recommend making a bullet point list.)
Finally, many insurance companies allow you to check the medication status online.
We recommend that you speak to your agent for more information.
Match up your bills with the explanation of benefits (EOB) so that you don’t pay what is not due. You can also call the customer services number on the medical card your dad has to go over any bills you’re getting.
It is difficult to answer this questions as there is NO information on what type of paperwork you are having difficulty with. A good agent , like myself can help a member navigate the challenges of bills/ co pay/ co insurances with Medicare
Your local broker should be able to help you understand how the drugs are being billed. Some medications are billed under Part D and some under Part B. That of course assumes the medications are covered by Medicare and by your drug plan. Drug plans are not required to cover every drug. Check you plan's formulary. You can call the carrier and ask about coverage.
Contact Medicare and his insurance providers to get a HIPAA authorization or become an authorized representative. This allows you to call, ask questions, and manage his care legally.
If not already in place, consider a medical power of attorney or durable power of attorney for broader authority.
2. Create a Simple Filing System
Use a binder or accordion folder with labeled sections:
Medicare Summary Notices (MSNs)
Prescription drug coverage (Part D)
Medigap or Medicare Advantage plan
Medical bills
EOBs (Explanation of Benefits)
Consider going digital: scan and store documents in Google Drive or Dropbox.
3. Review Medication Coverage
If he's on many medications, make sure he's enrolled in a Part D plan (or Medicare Advantage with drug coverage) that covers his current list at the best cost.
A Medicare agent can help you run a drug comparison to minimize out-of-pocket costs.
4. Understand the Bills
Medicare Summary Notices (MSNs) arrive quarterly and are not bills — they show what Medicare paid and what you may owe.
Actual bills come from providers. Cross-check them with the MSNs or Explanation of Benefits (EOBs) from the insurance company.
If something looks off, call the provider or insurance — billing errors are common.
5. Get Help — You Don’t Have to Do This Alone
Talk to a local Medicare advisor (I can help) to review his coverage and make sure he’s in the right plan.
Consider contacting a State Health Insurance Assistance Program (SHIP) — they offer free help.
Keep a log of calls and notes from each billing issue.
Thank you for taking care of your dad. Know that every medication filled, every doctor visit, etc... will trigger a claim that will make it's way to you in the form of an EOB or Explanation of Benefits. Usually they are sent in batches of a week to a month as the claims are processed. The important thing to look for is the patient responsibility, usually the far right side. As you get bills from the providers you can match them up and know what you need to pay. I usually suggest setting up the companies online portal. They can help you organize and seach EOB's, find in-network providers and understand benefits better. You can choose to not have paper EOB's with most carriers. Save those trees. Sorry, I can't help with stacks of other junk mail you'll be sifting through.
The best person that could help you would be your dads Medicare Agent. They have the understanding and knowledge on how the billing process works. Its always best to use a local agent so they can sit down with you to help you understand.
I tell my customers to stay on top of the paperwork but sometimes it’s can take 60 days for the hospital/provider/drug store/medicare/insurance carrier to resolve claims. I would recommend you call the agent that sold you his plan and ask him or her to help you navigate. Also call the company or insurance carrier and have them explain the things you don’t understand. They are usually willing and happy to help explain the claim. Also placing cost on a spreadsheet can help you determine what has been paid and not. Look to the explanation of benefits statements to determine his responsibility.
Staying organized is key when you get bills from various providers/pharmacies. It might be good to have a separate folder for each provider, or maybe each type of provider. Don't let it sit. If you don't understand a bill, there are many places you can call for help: your broker, the insurance carrier, Medicare, or the provider billing department. Sometimes you can get bills that have not been processed correctly, so important to make sure you are being billed properly. It can be overwhelming, but you can also get through it.
If your Dad was ever placed into a facility that serves Alzheimer’s patients, speak with their social worker. This individual should have knowledge of the variety of forms that families have to submit and therefore should be able to provide help! There is also is a foundation/agency dedicated specifically to assist children of ailing parents along these lines.
I would suggest calling the entities that are billing you and ask for a simplified explanation of what it is. Perhaps a customer service or the billing department would be your best options.
you’re juggling two exhausting battles at once: caring for your dad and navigating the Medicare billing maze. You can’t stop the paperwork from coming, but you can turn the flood into a manageable stream. Get organized create a health file, Understand your EOB's, use a tracking sheet with doc visits dates, times, locations, etc. SHIP and Medicare.gov both have resources for you
Get an agent who can explain what these are and why you may be getting them. It’s important to be able to understand what you are actually responsible for and what could be a mistake or billing error.
Work with an insurance agent or broker to help you understand what type of plan your Dad has. The medications should fall under Part D of Medicare, prescription coverage in either an advantage plan or a stand alone-prescription plan. Maybe the prescriptions aren't covered and you could ask his doctor if there is a generic version of an expensive prescription.
I educate my clients to call me when they have bills they don't understand. I also help them call the provider on a three way call to get a perspective from the provider.
To manage bills & paperwork for your father's Alzheimer's care, consider establishing a legal representative to manage finances, setting up automated bill payments, & seeking help from a third party like an aging life care manager. This will help prevent late fees, ensure financial stability, & potentially offer clarity on complex billings. Here's a more detailed approach:
1. Legal and Financial Preparations: Power of Attorney (POA): Your father can grant you a Power of Attorney, which allows you to make financial decisions on his behalf. Healthcare Proxy: This document designates who can make medical decisions when your father is unable to do so. Advance Directives: Ensure your father has also completed an advanced directive, which outlines his wishes for end-of-life care. Legal Representative: Consider naming a legal representative or "proxy" to manage financial affairs.
2. Managing Finances: Automated Payments: Set up automatic payments for bills to prevent late fees & confusion. Online Bill Payment: Consider online bill payment options if your father is comfortable with technology. Third Party Help: An aging life care manager can assess cognitive abilities & provide specific strategies for managing finances. Account Monitoring: Monitor accounts for unusual transactions & consider using account monitoring services.
3. Handling Bills & Paperwork: Designated System: Create a system for organizing bills, such as a file folder or digital storage. Clear Communication: If possible, involve your father in the process & explain what you're doing. Keep Records: Keep records of all payments & important documents. Seek Professional Help: Consider consulting with an elder law attorney or financial advisor if you have questions.
4. Supporting Your Father: Communicate Calmly: Be patient & reassuring when communicating with your father. Focus on Abilities: Focus on what your father can still do rather than his limitations.
Every plan has a huge phone staff answering phones explaining billing issues and can help look at any bill you have questions about. Their number is on the back of your card.
I would contact your state department for Medicaid and sign him up for that. You should consult an attorney to find out about power of attorney if you haven't already. Medicaid will help you a lot if he can qualify. Good luck and God bless.
I would recommend the client to take all the mail that is specific to their carrier. You will then open them up, looking for the notice "This is not a bill". This particular piece is explaining your charges and benefits available to you. Once you review them, you may discard. Any other documents, you should review. There may be invoices that need to be paid as well as any additional pertinent information the carrier may deem of important that you the client need to have.
The National Institute on Aging (NIA) and the Alzheimer's Association offer resources and support for caregivers and families. Designate a specific location to store all bills, invoices, and important documents related to your dad's care. This could be a file folder, a dedicated computer folder, or even a digital filing system.