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By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
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If they are out of control because it has been a long time, I suggest a podiatrist for the first time. After that you can go regularly to a nail salon. And yes, men can get pedicures too.
I would not have my toenails cut by anyone other than a podiatrist if you take blood thinner medication or are diabetic. One wrong move and you can be in big trouble.
Please consult a podiatrist for your toenail maintenance.
Good point. Medicare will cover this if there is a medical need like diabetes or neuropathy. A podiatrist has to certify the medical need, and then can provide the care under Medicare every two months.
If you can get out, most nail salons will do this minus the full pedicure for a reasonable price. If you cannot get out, there are sometimes podiatrists or nail techs who will make home visits. This will likely cost more. Make calls to places in your area after searching nail care in your city on the internet
It depends on your insurance I suppose but a woman came to my DH aunts home and cut her nails. She was referred to aunt by her home health company. Call around to home health companies or Google for your area for any such companies. Podiatrist also will do this. I had one come to my mom’s home to cut hers.
You might call your insurance company and ask for their assistance in finding someone in your area.
If you don’t have any risk factors, Google “senior foot care” and see what pops up in your area. Your doctor’s office might also have a list of recommended providers. I found a company easily that provides home visits to cut my mother’s toe nails. It’s $95 but she hadn’t really cut them in years so every other month is more than enough.
Another place you might check for a service for seniors is through your local area agency on aging.
Medicare always paid for my mom’s but her supplement paid any copays needed. I always thought it was a standard benefit because Medicare always payed.
She did not have diabetes or neuropathy. She did have bunions and CHF. My DH aunt who had neither diabetes, neuropathy or bunions but had a fungus on one nail. My DH sees a podiatrist regularly but cuts his own nails.
At her podiatrist office Aunt was checked for peripheral artery disease which they said she had.
Here is what I found on line.
A podiatrist can bill insurance for routine nail care under several specific scenarios:
1. Other Vascular or Systemic Diseases Diabetes is not the only condition that causes dangerous circulatory or neurological issues. Insurance often covers nail trimming if a patient has:
Peripheral Artery Disease (PAD) or other severe peripheral vascular diseases that limit blood flow to the feet.
Chronic venous insufficiency causing severe leg swelling and skin changes.
Other neurological conditions such as Parkinson’s disease, multiple sclerosis, or stroke complications that affect foot health and coordination.
2. Severe Secondary Nail Pathologies
If the nails themselves are severely diseased, trimming them is no longer considered "routine grooming" but rather a medical procedure.
Severely hypertrophic (thickened), deformed, or curved "ram's horn" nails that cannot be cut with standard retail clippers.
Severe Onychomycosis (Fungal Infection): When fungal nails become so thick, painful, and distorted that they present a risk of cutting adjacent toes or causing secondary bacterial infections.
Recurrent Ingrown Toenails: Active, painful ingrown nails that require medical-grade debridement or partial removal to prevent infection.
3. Physical Inability Combined with Qualifying Illness
While poor vision or an inability to reach the feet alone is not enough for insurance coverage, it can qualify for coverage if it stems from a severe systemic condition.
For example, a patient with severe rheumatoid arthritis may have hand deformities that prevent them from squeezing clippers, or advanced spinal stenosismay prevent a patient from bending forward. If their nails are also significantly thickened or deformed, a podiatrist can medically justify the care.
I have arthritis in my hands. I can file my nails but not clip them. My uncle used a dremel tool to tend his and my aunts nails when they were in their 90s. I looked on Amazon just now and I see that is a big business with a variety of products.
When aunt was in the NH, a podiatrist came on a regular basis. Her insurance paid for various procedures.
You obviously have access to the internet which is good. Google travelling podiatrists and call a few. They're around and they will come to your house. Some accept insurance, some do not. I have several homecare clients who use the same guy and he does not accept insurance. I believe the cost is around $150 for him to come out and cut the toenails. There are such doctors in your area too. Do some research online and you will find one.
There is also the option of making an actual appointment with a podiatrist and going to them to have your toenails cut.
Another option is talking to your local senior center. Often times these places off a foot clinic every so often for seniors who need to have their toenails cut. The often provide transportation too. Call your local senior center.
Call the local Nursing homes. Ask what podiatrist they use for their residents. When my Mom could not go to the office, her dr came to the Assisted living she was in. Medicare pays for every 10 ten weeks.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Please consult a podiatrist for your toenail maintenance.
You might call your insurance company and ask for their assistance in finding someone in your area.
Medicare always paid for my mom’s but her supplement paid any copays needed. I always thought it was a standard benefit because Medicare always payed.
She did not have diabetes or neuropathy. She did have bunions and CHF. My DH aunt who had neither diabetes, neuropathy or bunions but had a fungus on one nail. My DH sees a podiatrist regularly but cuts his own nails.
At her podiatrist office Aunt was checked for peripheral artery disease which they said she had.
Here is what I found on line.
A podiatrist can bill insurance for routine nail care under several specific scenarios:
1. Other Vascular or Systemic Diseases
Diabetes is not the only condition that causes dangerous circulatory or neurological issues. Insurance often covers nail trimming if a patient has:
Peripheral Artery Disease (PAD) or other severe peripheral vascular diseases that limit blood flow to the feet.
Chronic venous insufficiency causing severe leg swelling and skin changes.
Congestive heart failure (CHF) or advanced kidney disease affecting lower extremity circulation.
Other neurological conditions such as Parkinson’s disease, multiple sclerosis, or stroke complications that affect foot health and coordination.
2. Severe Secondary Nail Pathologies
If the nails themselves are severely diseased, trimming them is no longer considered "routine grooming" but rather a medical procedure.
Severely hypertrophic (thickened), deformed, or curved "ram's horn" nails that cannot be cut with standard retail clippers.
Severe Onychomycosis (Fungal Infection): When fungal nails become so thick, painful, and distorted that they present a risk of cutting adjacent toes or causing secondary bacterial infections.
Recurrent Ingrown Toenails: Active, painful ingrown nails that require medical-grade debridement or partial removal to prevent infection.
3. Physical Inability Combined with Qualifying Illness
While poor vision or an inability to reach the feet alone is not enough for insurance coverage, it can qualify for coverage if it stems from a severe systemic condition.
For example, a patient with severe rheumatoid arthritis may have hand deformities that prevent them from squeezing clippers, or advanced spinal stenosismay prevent a patient from bending forward. If their nails are also significantly thickened or deformed, a podiatrist can medically justify the care.
I have arthritis in my hands. I can file my nails but not clip them. My uncle used a dremel tool to tend his and my aunts nails when they were in their 90s. I looked on Amazon just now and I see that is a big business with a variety of products.
When aunt was in the NH, a podiatrist came on a regular basis. Her insurance paid for various procedures.
There is also the option of making an actual appointment with a podiatrist and going to them to have your toenails cut.
Another option is talking to your local senior center. Often times these places off a foot clinic every so often for seniors who need to have their toenails cut. The often provide transportation too. Call your local senior center.
Medicare pays for every 10 ten weeks.