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Q&A: Medicare

 

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Q:

Does Going into a Hospital from Rehab Restart Medicare's 100-Day Payment Period?

My father is 85 years old and was hospitalized at the end of April. Upon being discharged, he went straight to rehab. His 100th day was August 17th. However, he has been back in the hospital twice during the time he's been at the rehab facility. A friend told me that she had a similar situation with her mother and that when she returned to rehab after being in the hospital, her 100 days started over. She said she had to fight for it, but it would certainly be worth the fight if we could restart the 100 days.

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tags: Medicare
Q:

Can the Nursing Home Stop Billing Medicare for My Mother's Treatment?

My mother spent four days in the hospital and Medicare approved 100 days of skilled nursing facility care after her stay. After 48 days, the nursing home cut off her therapy and ended her Medicare benefits, without notifying us either in writing or by phone. She was not discharged from the nursing home, however, and we have received a bill for the final 51 days of care. This was our first notification that the nursing home was no longer billing Medicare. The physical therapist said that my mother has reached the level she was at prior to her hospital stay, but she is still receiving treatment at the nursing home for the same condition she was hospitalized for. The nursing home said it's too late to appeal their decision because we are outside the 30 days. Is this legal? The therapists said Medicare would deny any further treatments because she regained the ability to feed herself and to push her wheelchair with her feet. Is that true?

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tags: Medicare
Q:

Will Medicare or the VA Pay for My Mother-in-Law's Home Health Care?

My mother-in-law is 85 and suffered a stroke for which she now receives medication. The stroke left her occasionally incontinent, with some confusion and weakness. We are looking for an in-home care person and wondered whether Medicare would compensate some or all of the cost. Also, her husband was a veteran who served at the end of World War II. Are there military benefits available to her? The in-home care has been medically recommended.

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tags: Medicare
Q:

Does a Purchase for Myself Count in Spending Down So My Husband Qualifies for Medicaid?

My husband is in the hospital for assessment with eventual placement in a nursing home. We have $5,180 in checking and no other assets. I see he can have only $2,000 in assets to qualify for Medicaid. To get the amount closer to $2,000, can I buy a portable oxygen concentrator for my own health needs?  The concentrator costs $2,695. 

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tags: Medicaid Rules , Medicare
Q:

Will Medicare Cover a Second Nursing Home Stay?

My aunt was in a nursing home and exceeded the 100 days covered by Medicare.  She was later admitted to the hospital, and then returned to the nursing home. Should Medicare coverage have started over, paying for her nursing home costs again? 

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tags: Medicare

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