Memory clinic doc’s started mom on 5mg Aricept in July and I’m concerned she will score better on MMSE and lose dementia diagnosis for ALF claim. (LTC policy states substantial help with 2 ADLs or severe cognitive impairment like ALZ.) Yes, she needs help with ADLs -shower, dressing, wears Depends, but she might tell their RN, “I’m fine!” because she’s still ambulatory. Ovarian cancer surgery, stage 3C and chemo in 2018, but no recurrence yet; macular degeneration; COPD; 86 years old. LTC has paid ALF claims since this past February, but I’m suspicious right now with their evaluation coming next week. Maybe I shouldn’t be worried, but as only child, this is stressful! Thanking everyone in advance!
Insurance companies do their best to deny coverage, it is just dreadful to have to fight them and this awful disease.
Aricept does not improve; it slows down the decline, in some cases.
And if LTCi days no, you appeal with substantial evidence from the AL professional staff. You've got this!