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MEDICARE
Medicare was not developed to pay for a Long-Term
stay/care. It pays for a nursing home admission that is to rehabilitate. A
person is expected to get better.
Medicare pays only 2% of Long-Term Care Cost; this is
based on a National Average. To quality for Medicare you must be 65+ and
receiving Social Security. Medicare also requires a 3-day hospital stay prior to
entering a nursing home. You can enter a nursing home within 30 days of the
hospital stay, based on the same illness or injury and skilled care is required.
Skilled care generally requires the services of a Registered Nurse, Physician a
Plan of Care and other Team Members round the clock. The services must be
provided in a facility that meets Medicare certification and you, as the patient
must be a good candidate for rehabilitation. Medicare will then pay for days
1-20/Full coverage, days 21-100 only Medicare approved costs and you must pay
the first $95.50/per day. This amount can change yearly. Days over 100, Medicare
pays nothing, you must assume the financial burden. Many nursing homes charge
between $100 and $200 a day. This is a staggering amount and can be financially
devastating.
Medicare has a skilled nursing benefit but limits are set
on the amount of days and hours utilized during a week. It will cover custodial
care services if a skilled caregiver is required to administer treatment while
you recover from a serious illness or injury. The KEY word is RECOVER. You
can be certain, Medicare will STOP! . When you no longer meet benefit standards
or the 100 days is used up.
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