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My mom had a heart attack and was then in rehab. She was…

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My mom had a heart...
My mom had a heart attack and was then in rehab. She was released from rehab after 14 days with no transitional resources or information except brochures and promises that Kaiser would call in 48 hrs.
My mom came home and could not stand on her own and had no calls from Kaiser or visits from physical therapy for almost 60hrs. Since my mom was unable to stand and has no use of her left arm from a previous stroke, we had to hire outside help for transfer and restroom and bathing because my dad could not do it alone and even dropped her.
Finally, after depleting our savings to hire outside care and realizing Kaiser would only provide roughly 2 hrs per week of help, we knew that she needed to be back in rehab full time to get stronger, especially since her Kaiser coverage is 1-20 days free in rehab and 21-100 days at a $50 co pay!
Now Kaiser is resisting her transfer back to rehab. Even if they let her in, the whole process has caused her to regress in her strength and ability to walk again. I would like to get some insight and hire an attorney. We have already filed a grievance with Kaiser to be reimbursed for outside care, but now we may need to sue to get her into rehab and also for additional compensation.
Submitted: 2 years ago.Category: Legal
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Answered in 11 minutes by:
3/1/2016
Lawyer: Law Educator, Esq., Attorney replied 2 years ago
Law Educator, Esq.
Category: Legal
Satisfied Customers: 126,863
Experience: JA Mentor -Attorney Labor/employment, corporate, sports law, admiralty/maritime and civil rights law
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Thank you for your question. I look forward to working with you to provide you the information you are seeking for educational purposes only.
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Customer reply replied 2 years ago
I just typed up a whole page. Didn't you see that?
Customer reply replied 2 years ago
What the hell am I paying for here?
Lawyer: Law Educator, Esq., Attorney replied 2 years ago
Thank you for your replies.
I saw what you typed, but it does not have a question for us. I read about Kaiser and them denying your mom coverage for home care and you seeking reimbursement, but there is no question that you would like us to answer.
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Customer reply replied 2 years ago
Do I have grounds for a lawsuit? This site is horrible. I am not paying $50 more to call you, so ridiculous.
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DISCLAIMER: Answers from Experts on JustAnswer are not substitutes for the advice of an attorney. JustAnswer is a public forum and questions and responses are not private or confidential or protected by the attorney-client privilege. The Expert above is not your attorney, and the response above is not legal advice. You should not read this response to propose specific action or address specific circumstances, but only to give you a sense of general principles of law that might affect the situation you describe. Application of these general principles to particular circumstances must be done by a lawyer who has spoken with you in confidence, learned all relevant information, and explored various options. Before acting on these general principles, you should hire a lawyer licensed to practice law in the jurisdiction to which your question pertains.

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