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Category Archives: Medicare

My 96 year old mother is currently in a care facility. She is blind/deaf with dementia. Her money will run out soon

Q) My 96 year old mother is currently in a memory care facility. She is nearly blind and deaf with severe dementia. Her money will run out soon and I will need to move her to a nursing facility long term. Her current facility does not take medicaid. How do I get her financial assistance for a nursing home?

A) Medicare does office assistance in elderly nursing home care – The benefits that Medicare offers toward the cost of nursing home care are limited. Medicare is not intended to provide a long term care solution rather it is designed for those who need skilled nursing care for a limited time. Note that some people refer to short-term nursing home care as convalescent care. Medicare will pay for twenty days of care at 100% of the cost. For the eighty days following, Medicare will pay 80% of the cost. For those who subscribe to a Medicare Supplemental Insurance plan, the secondary insurance will pay the remaining 20% of the cost for the last eighty days of coverage. Neither Medicare nor Medicare Supplemental Insurance will pay for nursing home care after the 100-day maximum is reached. A minor exception to this rule exists, when the nursing home doubles as a psychiatric hospital and the individual is in residence for a psychiatric condition. In this situation, Medicare increases assistance for up to 190 days.
Source – https://www.payingforseniorcare.com/longtermcare/paying-for-nursing-homes.html

Medicare Part A (Hospital Insurance) may cover care in a certified skilled nursing facility (SNF) if it’s medically necessary for you to have skilled nursing care (like changing sterile dressings). However, most nursing home care is custodial care, like help with bathing or dressing. Medicare doesn’t cover custodial care if that’s the only care you need.
Source – https://www.medicare.gov/coverage/nursing-home-care.html

I want to change the doctor’s. Name on my Medicare card. Because I can’t. Ever. Get an app with my Dr.

Q) I want to change the doctor’s. Name on my Medicare card. Because I can’t. Ever. Get an app with my Dr. A) According to the Medicare Website – Depending on what type of coverage you have, changing doctors under Medicare will require different steps: If you have Original Medicare, Part A and Part B: With… Continue Reading

I draw Social Security disability going to get medicare but need Medicaid now to help me with doctor visits

Q) I draw Social Security disability going to get medicare but need Medicaid now to help me with doctor visits A) Some people are eligible for both Medicare and Medicaid are called “dual eligibles.” If you have Medicare and full Medicaid coverage, most of your health care costs are likely covered. You can get your Medicare… Continue Reading

How do I contact Medicaid about cancelling other private insurance?

Q) How do I contact Medicaid about cancelling other private insurance previously before receiving Medicaid benefits? A) Individual states administrate their own Medicaid program. You will need to call your local medicaid office to speak with a counselor. In order to cancel a private insurance policy you need to contact your private health insurance company. It… Continue Reading

I just got increase in food stamps, will Medicaid stop paying for Medicare

Q) I just got an increase in the amount of food stamps I receive. Now will Medicaid stop paying for my medicare premium? I am in North Carolina A) This increase in the amount of food stamp benefits should not affect your current Medicaid benefits – According to medicaid website; The Affordable Care Act of 2010, signed… Continue Reading

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