Whether you are acting on behalf of a loved one currently in care, or pursuing a claim on behalf of someone who has sadly passed away, we are here to help you recover fees that should not have been paid.
What Are Care Home Fees Claims?
Care home fees claims address cases where an individual, due to ongoing health needs, was eligible for NHS Continuing Healthcare funding but was either not assessed or improperly assessed. CHC funding covers care home costs for those with significant health care needs, meaning that in some cases, families may have paid substantial fees that should have been covered by the NHS. These claims may involve:
Retrospective Claims: Where care home fees have been paid but should have been covered by the NHS, we can help recover costs that may go back several years.
Ongoing Funding Support: For current residents, we can help ensure they receive proper assessment and secure CHC funding if they qualify, protecting them and their families from undue financial burdens.
Our Process for Handling Care Home Fees Claims
Our team provides dedicated support throughout this process, helping you pursue a claim with sensitivity, professionalism, and expertise. Here’s an outline of what to expect:
Initial Free Consultation
We offer a no-obligation consultation to discuss your situation and answer your questions. During this conversation, we’ll review the details of yours or your loved one’s care, health needs, and funding history to determine whether you may have grounds for a claim.
Review of Medical and Care Records
If you decide to proceed, we will conduct a thorough review of medical and care records to assess eligibility for CHC funding.
Preparation and Submission of Claim
Based on our findings, we will prepare a claim, gather all necessary documentation, and submit a formal request to the NHS for a retrospective or current assessment. We handle all communication and negotiations with the relevant healthcare authorities, easing the administrative burden on you. Where appropriate we will request a Decision Support Tool meeting to take place for an up to date assessment to be completed.
Appeals and Disputes
If the assessment is denied or disputed, our team will continue to advocate on your behalf through the appeals process, ensuring that your case is thoroughly represented. We are committed to achieving the best outcome for you and will provide clear updates throughout.
Compensation Recovery
Upon successful completion of a claim, we will work to recover the care fees that should have been covered, ensuring that funds are returned to you or your family. For retrospective claims, this can include fees paid by individuals who are no longer living, helping families seek justice and reimbursement for their loved ones.
Why Choose Us?
Specialised Expertise in Care Home Funding
With a deep understanding of the complexities surrounding CHC funding, we know how to build compelling cases that stand up to rigorous review. Our experience in this field ensures that you receive knowledgeable and skilled representation.
Compassionate and Professional Service
We recognise the sensitive nature of these claims and handle each case with the utmost respect, empathy, and confidentiality. Our team is here to support you and minimise any additional stress during this challenging time.
Commitment to Advocacy and Fairness
We are dedicated to helping families recover fees that should not have been paid, and to holding healthcare providers accountable for fair assessments. By pursuing your claim, you not only secure compensation but also contribute to ensuring fairness for others in similar situations.
If you believe that you or a loved one may have been eligible for NHS Continuing Healthcare funding, contact us today to discuss how we can assist with your claim. At Emerald Law we are committed to securing justice and financial peace of mind for you and your family.
