Family Health Legal Library

Medicare: Do You Know All You Should?

Nursing Care Benefits

When they turn 65, many people are more concerned about needing and paying for nursing care than a hospital stay. Medicare does provide some relief in this area. Medicare will pay for up to 100 days per benefit period for "skilled" nursing care services or rehabilitation services in a nursing home. You should be certain that all of the care, nurses and facilities are on Medicare's approved list, in advance of your admission, or use, since this will help to prevent disputes with Medicare over coverage issues later. For example, hiring a trainer three times a week at your health club to rehabilitate your severely sprained ankle may help your rehabilitation, but it will likely not pass muster with the folks at Medicare.

There are certain limits on the amount of care that is covered, and the amount of services which will be paid by Medicare in this area. Generally, the first 20 days of care are covered by Medicare with no payment by you. Thereafter, a daily deductible is paid by the person receiving the services and care for days 21 - 100.

The services and care covered are defined by the federal rules and regulations governing Medicare. In addition, certain coverages may vary by state, and of course, are subject to change. Covered services in this area generally include registered nurses, physical, speech and vocational therapy, medications, medical devices, medical treatment and medical supplies and equipment. If you have a question regarding whether a particular person's services are covered, it would be wise to seek counsel from a lawyer or assistance from Medicare, before incurring the costs of 100 days of treatment.

The nursing home aspect of Medicare coverage also has certain other requirements in order to be covered. First, the nursing home coverage must fit the definition of "skilled nursing care" as set forth in the appropriate regulations and laws. Second, prior to any nursing care being covered, the patient must have been confined to a hospital for 3 days at the minimum. Third, the nursing home must be entered within 30 days of leaving the hospital. Finally, there is a requirement that you be treated in the nursing home for the same condition for which you were treated in the hospital.

Medicare: Do You Know All You Should?
1  2  3  4  5  6  7  8  9  10  11  12  13  14  15  16  17  18  

19  20  21  22  
Sections Available in Family Health Legal Library
How to Use the Family Health Legal Library
Healthcare Directives: Preventing Serious Legal Proceedings
Durable Power of Attorney For Healthcare
Durable Power of Attorney
Considering a Life Care Plan
Protecting Your Estate
Wills
Revocable and Irrevocable Living Trusts
Medicare: Do You Know All You Should?
Medicaid - What If This System Is Necessary
Credit and Debt Problems with Medical Issues
Medical Surgeries, Diagnosis and Related Issues
Children at College Issues
Marital Issues When Medical Problems Arise
Introduction to Contract Issues
Specific Types of Contracts and Contract Issues
More Examples of Special Contracts
Real Estate Issues
Typical Consumer Problems

The Law
  in Your Life
Elder Care
Family Health
  Legal Library
Access Financial
Credit, Debt and Budgeting
Small Claims &
  Consumer Help
Domestic Violence
Anatomy of a Case
Legal Document
  Library
  Divorce