老人ホームに入所している祖父の食費が倍になっていることに…

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  • 老人ホームに入所している祖父の食費が倍になっていることに気づきました。 結果を言うと介護保険の限度額認定書を(1年の)更新後(手続きは完了し届いていてバッグに保管してました) それを私が職員に見せていなかったため、正規の金額で申請していたとのこと。ちなみに適用後で2万円少々の食費が4-5万での請求となり、認定証が更新されたタイミングの今年5月からの6か月分、"過払い"(この言葉は適切ではないでしょうが以降こう書かせていただきます)となりました。 私の両親は亡くなっており孫の私が面倒を見ており、祖母は一人暮らしをしています 請求書は祖母に送られていましたが、金額が高すぎると先週言われ始めて今回の件に気がつきました。 祖父の年金が一月あたり15万円。それまで8万円前後だった入所費が今回の件で10-11万円。 祖母は買い物を行くのを避け、食べる物を削って調整していました。 "おじじの金で取られるでなんも買えん 、もう食べるものがない" と笑って言われました (無論この点は金銭の面でも私が面倒見ますから大丈夫です 基本祖父の年金で生活してもらっています) 私も仕事のストレスで胃をやられ医者に通い、自分のこと可愛がりでついつい確認を忘れており、これが問題だったのですが、 職員に(今まで適応していた)認定証の有効期限が切れた時、また、 保険適応外の金額で請求するタイミングで、"切れていますよ"と仰って頂ければ助かったのですがと お願いしたら、"個人情報を含む話なのでこちらからはそういった話はお伝えすることができません"と言われました。 今後、同様に何かの認定証が切れるときでもお伝えできないと。 私の結論ですが、1.介護保険書 2.介護保険限度額認定証 3.後期高齢者医療被保険者証 4.後期高齢者医療限度額認定証(略) の4点を毎月ごとに、入所先でコピーをとっていただこうかと。 これでこのような事件は起こらないかと。 思っております また、祖母宅に送られていた市役所からの手紙などを送付先変更し一切を私の元に送ってもらうよう手続きをとる いかがでしょうか・・・。 まいってきました お読みいただき感謝します。 よろしくお願いします。
  • 過払いの部分は返金してもらえることになったのでしょうか? 介護保険のことはあまり詳しくありませんが、きちんと手続きをしていたのであれば、それを確認した時点で過払いの部分は返金してくれると思うのですが・・・確認してみてください。 私は医療機関で働いていますが、保険証などの有効期限が切れていたり、重度障碍者の有効期限が切れていた場合は 「こちらは●●日で切れていてお使いになれませんが、新しいものをお持ちですか?」と聞きますよ。 後期高齢者被保険者証をもう5年も前に有効期限が切れているものを大事に持っているお年寄りの方も結構います。 そういうのはきちんと誰かが指摘してあげないとですよね。 個人情報うんぬんというのは、公的サービスを受けるために使っているのですから言い訳としてはおかしいですよね? ただ、入所先にコピーをとってもらうのくだりですが、それこそ個人情報になりますので 入所先では「できません」と言われることもあると思います。ただ、そういったものの確認は月はじめに必ずしていると思いますが、更新の有無の確認もせず「有効期限切れたから適応できないね~」となるのはおかしいですよ。 こちらでコピーをとって、渡すのであれば担当者さんが管理してくれそうな気もしますが・・・。 どちらにせよ、一度入所先の担当の方とお話しする必要はあると思います。 それでも改善されないのであれば、役所に相談です!! 主さまも胃の調子が良くないとのことですが、無理はなさらないでくださいね。

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