MESHCare

MESHCare Private Pay Period
Sometimes referred to as the "Spend Down" period, this is the period of time beginning at move-in to Jennings McCall until personal resources are no longer sufficient to pay expenses without assistance. The time period varies depending on individual situations . During this time, all rental and care expenses are paid by the individual and there are no limits with regards to how personal money is spent. However, residents are expected to avoid spendthrift activity and strive to preserve personal assets as long as possible.

While paying privately credit accounts may be maintained and debt incurred. Upon conversion to financial assistance debts must be satisfied and no additional debt may be incurred. All bank accounts are kept open as usual and all bills paid as they were previously.

Keeping life insurance policies is encouraged. If a policy has a cash value, it is considered an asset and must be converted to cash prior to converting to financial assistance. If a policy has no cash value (Death Benefit only) the policy may be used as a means to purchase prepaid funeral arrangements.

While paying privately all health insurance is maintained and medical costs are paid by the resident as usual. Once personal assets are exhausted and financial assistance is being received medical insurance will be maintained through MESHCare for residents in Assisted Living. Residents in Independent Living will have insurance costs calculated as a part of their allowance for personal expenses.

A personal vehicle is considered an asset that must be sold and the net proceeds paid towards the cost of care prior to receiving financial assistance.

Receiving MESHCare Financial Assistance
This begins when personal assets have been exhausted and a resident is no longer able to provide for the costs of residency from those resources.

Residents must comply at all times with the terms of the Jennings McCall Occupancy Agreement and the MESHCare Financial Assistance Agreement to remain in the program. Although the Financial Assistance Agreement and the Jennings McCall Occupancy Agreement provide no guarantee of lifetime care, MESHCare will endeavor to provide continuing care subject to the availability of its resources.

Upon conversion to Financial Assistance, debts must be satisfied and no additional debt may be incurred . This includes monies owed to any individual or company for any period of time. Examples include: cell phone contracts, department store accounts, personal loans from others, etc.

For residents who are living in Jennings McCall Independent Living MESHCare will provide financial assistance only in the form of a subsidy against your monthly rent. Allowances are calculated with regard to other expenses to ensure that personal income is sufficient to meet other obligations including cost of food, spending money, medical insurance, medical costs and transportation.

For residents living at Jennings McCall Assisted Living Center , the following expenses will be covered under the Financial Assistance program to the extent that the expenses are determined to be appropriate, necessary and sufficient, and are not covered by available insurance or other resources. At the beginning of the Financial Assistance period residents bring their insurance information to the business office for review and in most cases health insurance premiums will be paid once assets are exhausted if it is determine that the policy is advantageous to maintain.

• Room & Board: In accordance with MESHCare guidelines.
• Medical charges: hospital, ER, doctor & ancillary charges.
• Pharmacy bills: (limited to Prescription drug charges and medically necessary over the counter medications)
• Medical supplies (limited to medically necessary items as defined by MESHCare )

Additionally, MESHCare will pay for fair and reasonable charges for doctor visits and any referrals to consulting physicians and other service providers, to the extent these charges are not covered by insurance or other available resources. Eyeglasses and hearing aids are covered for payment under the program, to the extent these charges are not covered by insurance or other available resources.

Medical expenses and doctor visits shall be pre-authorized by the Administrator of Jennings McCall or a representative . Guidelines regarding items paid are subject to change with proper notice.

In Assisted Living, a monthly Spending Allowance of $90.00 (subject to change) per month is available for incidental personal care expenditures. The Spending Allowance will accrue if not used to a maximum limit of $1500. These funds remain the property of MESHCare . Examples of incidental personal care expenditures include but are not limited to:

• Beauty & Barber Shop services
• Medical items not deemed to be "medically necessary"
• Phone service
• Personal transportation
• Newspaper & magazine subscriptions

Residents in both Assisted and Retirement living continue to receive monthly income such as Social Security and pension however these resources are remitted towards the cost of care and other expenses incurred on behalf of the resident by MESHCare .

TO REQUEST A MESHCare APPLICATION
Or for more information, please call:
Bev Buckner, Jennings McCall Center 503-357-4133
or
Masonic Grand Lodge of Oregon, 503-357-3158 or TOLL FREE 800-970

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