Re: Long term Care Policy Coverage Issue

From
Jeannie Ortiz <jeannie.ortiz@thekey.com>
To
Timothy Thomas <tt@thekey.com>, Alejandro Aponte <aaponte@thekey.com>
CC
Joey Taylor <joey.taylor@thekey.com>, LTCi Support <ltci@thekey.com>
Date
Wed, 19 Nov 2025 09:57:16 -0500
Folder
INBOX
--000000000000aa67fb0643f3cccd Content-Type: multipart/alternative; boundary="000000000000aa67fb0643f3cccc" --000000000000aa67fb0643f3cccc Content-Type: text/plain; charset="UTF-8" Content-Transfer-Encoding: quoted-printable Yes, Alejandro is contacting the client today. On Wed, Nov 19, 2025 at 9:37=E2=80=AFAM Timothy Thomas wrot= e: > Could a member of your team connect with the client to review their > questions. It sounds like despite being in Canada they're insurance might > cover care provided we adhere to the two criteria identified. > > On Wed, Nov 19, 2025 at 9:20=E2=80=AFAM Jeannie Ortiz > wrote: > >> Hi Timothy & Joey, >> >> If the client is moving to Florida, we will become an approved provider >> since we are licensed in Florida. We were under the impression that they >> would be staying in Canada, but that may not be the case. If they are >> indeed moving, we will submit the license and information for the Florid= a >> location. >> >> On Wed, Nov 19, 2025 at 9:12=E2=80=AFAM Timothy Thomas w= rote: >> >>> @Jeannie Ortiz please advise as this Tier 1 >>> client is set to move to florida and engage services with TheKey in >>> broward. We'll need to sort out his LTCI. Thanks >>> >>> On Wed, Nov 19, 2025 at 9:06=E2=80=AFAM Joey Taylor >>> wrote: >>> >>>> Any update here? >>>> Andrew called this morning for an update as he said no one has reached >>>> out to him >>>> >>>> Joey Taylor >>>> >>>> *Directeur G=C3=A9n=C3=A9ral/**General Manager* >>>> >>>> 514-907-5065 >>>> >>>> TheKey.ca >>>> >>>> [image: TheKey] >>>> >>>> >>>> On Thu, Nov 13, 2025 at 2:14=E2=80=AFPM Timothy Thomas = wrote: >>>> >>>>> @Jeannie Ortiz Could you assist us with >>>>> this request? >>>>> >>>>> On Tue, Nov 11, 2025 at 6:56=E2=80=AFPM Timothy Thomas wrote: >>>>> >>>>>> could someone from the LTC team review the email below? it appears w= e >>>>>> have a client with a US policy attempting to claim canadian services= . >>>>>> >>>>>> thank you. >>>>>> >>>>>> On Tue, Nov 11, 2025 at 3:24=E2=80=AFPM Joey Taylor >>>>>> wrote: >>>>>> >>>>>>> Is there a manager from billing I can put him in touch with? This i= s >>>>>>> Blank's son >>>>>>> >>>>>>> ---------- Forwarded message --------- >>>>>>> From: Andrew Samet >>>>>>> Date: Tue, Nov 11, 2025 at 11:57=E2=80=AFAM >>>>>>> Subject: Long term Care Policy Coverage Issue >>>>>>> To: joey.taylor@thekey.com , >>>>>>> mlicoudis@thekey.com >>>>>>> >>>>>>> >>>>>>> >>>>>>> Hi Joey and Maria: >>>>>>> >>>>>>> Attached is a denial letter from UNUM for my mother's long-term car= e >>>>>>> policy for the Key in Montreal. >>>>>>> >>>>>>> On page 2 it gives the criteria. >>>>>>> >>>>>>> The letter states since the Key in Montreal by definition is not a >>>>>>> state registered home care provider (being in Canada) =E2=80=94 cov= erage defaults >>>>>>> to meeting five criteria. >>>>>>> >>>>>>> It says the Key failed to provide sufficient information to be >>>>>>> approved on two of the criteria: >>>>>>> >>>>>>> -"has standards, policies and rules

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