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The Subtle Elder Abuse You Might Not Notice

fraudYour loved one wants to stay in their home and you are concerned. Over and over, I’m finding that even my clients who have involved adult children are victims of some subtle forms of elder abuse that is stealing away hundreds to thousands of dollars of their parent’s money.

In the past month, I’ve had a client that got taken by a face cream offer. She does not have any cognitive issues and is now caring for a loved one with Parkinson’s. She never managed the money, so she asked me to step in to help her understand and manage the cash flow and help with budgeting since the expenses are starting to escalate with her husband’s care. When we started to review the credit card, I asked her what Lye Ludermacell was. She said it was a “free” face cream trial where she paid for shipping. Well, there was more than $200 of other charges for products on her credit card. She was very angry, as have been several thousands of clients taken in by the same scam. Michelle Singletary (The Washington Post) wrote about it earlier this month. We called to cancel and recouped 75% of the charges on the products she had received. We discussed how ANY offer, no matter how credible looking that says FREE and then asks for a credit card is trouble.  Had we not looked through her credit card billing item by item, she may not have noticed for months–if even at all.  So many older adults just set the bill on auto-pay and don’t scan the monthly bills. That is a very dangerous habit when so many individuals and even organizations are working to get to your money.

A few months ago, I spent more than 45 minutes with Juno trying to cancel the service for dial-up Internet my client was still paying for. She just never thought to question the monthly $9.95 billing for Juno even though she had wifi in her house. We also found a “free shipping” subscription billing her $25 monthly she had no idea how to use or what it was. So Juno took over $1,000 of her money and the shipping subscription had been billing her for two years for more than $600 of her money. I have ten zillions ways I could spend $1,600!

The one issue that is troubling me the most is for a client with mild cognitive impairment who generally is doing fine living at home. Not only is his daughter involved, but I visit him twice a week and we have an Aging Life Care Manager Another who is helping manage his medical visits and medications. When I noticed he had a physical therapy (PT) appointment on his schedule and neither his daughter or the Aging Life Care Manager knew about it, I made a point to stop by during his next PT session at home. It turns out that six months ago, his doctor recommend PT and they had an agency come in for a few weeks. It was determined after a few visits that he didn’t need it any longer.

So here’s the dirty underbelly of health care — somehow the first company passed the order to an affiliate who called my client to say the doctor ordered PT and started scheduling both PT and Occupational Therapy appointments (medication management). When I shared what I found, his daughter quickly called to shut down the service and cancel all future appointments, but the first few visits were billed to his Medicare account. Technically, the health care agency was implementing the doctors order, but it was already determined he didn’t need the services by the first therapist.

It’s the small issues that can add up making someone with cognitive issues living alone incredibly tricky. You want them to maintain the independence and lead the life they want, but you are faced with a number of risks from safety and fraud that mean another choice might be better. Conflicted. 

 

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