Category Archives: Medicare – Medicaid

Hospice and Medicare Services

Seniors who suffer from an illness, a life-threatening disease or those who are nearing the end of their life may need Hospice services. Hospice can help seniors and their loved ones transition into their final stages of their life. Sometimes hospice patients have a few weeks before their life ends, and in those final weeks of life Hospice provides comfort for both the patient and their loved ones.

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Nursing Homes Accepting Medicaid Patients

People who choose to arrange for a loved one’s care enter into a world of new definitions, new rules, and new qualifications. Often times, one doesn’t know what to believe, what to question, and what to research, as there is an inherent trust in any person of authority giving you an honest answer. Time to doubt what some say.

Many of us have heard firsthand that nursing homes avoid Medicaid patients because of the complex rules and requirements that they must meet as operators. Federal licensing standards are strict, requiring a higher ratio of skilled to non-skilled personnel. The licensing procedure itself can take up to three years to complete. The billing process also is more complex, requiring documentation to back up costs for services.

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Differences Between Medicare | Medicaid

Simply put, Medicare is a federal health insurance program for people age 65 and older, certain people under 65 with disabilities and certain people with kidney disease. Medicaid, which is administered by the states, is a program of health coverage for certain people with low incomes or very high medical bills. Eligibility for Medicare depends on age or disability only; eligibility for Medicaid depends on age, disability or family status and on an individual’s (or family’s) income and resources.

Coverage Differences Between Medicare & Medicaid:

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Advanced Planning For Medicaid

Saving enough money to pay for nursing home care is a practical impossibility for many older people and may make them rely on Medicaid for financial assistance. Planning for Medicaid qualification involves difficult decisions that have complex property and tax law implications. Also, the rules often change. However, planning opportunities do exist and early planning is essential to maximize the options available to you.

A Durable Power of Attorney is a document in which you give an agent authority to handle your affairs in the event you become incapacitated. It can be an extremely effective Medicaid planning tool if it contains a provision that allows the agent to make divestment transfers (including gifts to a spouse) that will enable you to qualify for Medicaid.

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How Long Does Medicare Pay

Retirees and the elderly often wonder how long does Medicare pay for nursing home care as they plan for the future. Medicare benefits for nursing home care are only available under very limited conditions. Elderly Medicare patients looking to receive payment for skilled nursing or rehabilitation services will find that coverage time is very limited and requires fulfillment of many Medicare-specified conditions. Unfortunately, limited Medicare coverage for skilled nursing home care means that many seniors are forced to pay for their nursing home costs out of their own funding. The stress of figuring out the ins-and-outs of Medicare coverage for nursing home care can be difficult and confusing for families but there are many resources that can help seniors and their families discover the best monetary and nursing care options for their lives and health concerns.

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