|
Medicare Card
WASHINGTON — The Founding Fathers left one legacy not celebrated on Independence Day but which affects us all. It's the national debt. The country first got into debt to help pay for the Revolutionary War . Growing ever since, the debt stands today ...
Publ.Date : Sat, 04 Jul 2009 13:40:00 GMT
WASHINGTON – Mississippi’s still king of cellulite, but an ominous tide is rolling toward the Medicare doctors in neighboring Alabama: obese baby boomers. It’s time for the nation’s annual obesity rankings and, outside of fairly lean Colorado ...
Publ.Date : Sat, 04 Jul 2009 08:25:00 GMT
WASHINGTON – Mississippi’s still king of cellulite, but an ominous tide is rolling toward the Medicare doctors in neighboring Alabama: obese baby boomers. It’s time for the nation’s annual obesity rankings and, outside of fairly lean Colorado ...
Publ.Date : Sat, 04 Jul 2009 08:25:00 GMT
Elderly patients in the South Bay spend more time during the final days of their lives in an intensive care unit or hospital bed than do their counterparts in the great majority of the country, federal Medicare data shows. That pattern, experts say ...
Publ.Date : Sun, 28 Jun 2009 11:10:00 GMT
MANSFIELD -- Ohio adults are the 10th fattest in the nation and the state is spending about $3.3 billion a year dealing with related health problems, according to a report released this week by a national health care foundation. Almost 29 percent of ...
Publ.Date : Sat, 04 Jul 2009 10:55:00 GMT
|
|
How Will You Pay For Skilled
Rehabilitation In The Nursing Home
by Tammy Gonzales
One of the most frustrating events for individuals facing rehabilitation is
thinking that their insurance is going to pay for everything and finding out
that their insurance will not pay for the complete services required for a
successful rehabilitation.
Nursing home skilled units want to be assured that the necessary steps will be
taken to assure that they will be paid. Nursing homes are most familiar with
Original Medicare, Medicare Advantage Plans, Medicare Managed Care Plans,
Medicare Preferred Provider Organization Plans, Medicare Private Fee-for-Service
Plans, Medicare Specialty Plans, federal employee health program, military
health program and railroad retirement programs. If your patient has one of
these, they will be highly considered once that payer source is verified.
Medicare Part A is the primary source of insurance that will pay for a skilled
nursing home stay. Medicare pays 100% of day 1 through day 20 and from day 21 up
to day 100 Medicare will pay everything less $114.00 per day co-pay as long as
the resident is making progress towards their rehabilitation goals.
If, Medicare is managed through a HMO (Health Management Organization) it
usually pays 100% of the rehabilitation stay. The HMO determines the length of
stay by the assessments provided to them by the nursing home rehabilitation
staff and the level of independence required where the resident will reside
after their rehabilitation stay. The HMO utilizes a Nurse Case Manager and a
Medical Director who is a physician to make this determination.
Secondary insurances with Medicare Supplemental Coverage will usually pay the
$114.00 per day co-pay from day 21 through day 30 up to day 100 depending upon
the tier level of the insurance plan and some tiers will some times pay up to
120 days. It is important for you to know what your insurance will cover.
If you have the resources you can of course pay the Medicare $114.00 per day
co-pay privately.
Most states offer a Medicaid Program for individuals who meet the financial
eligibility and medical need criteria. Please contact your States Department of
Human Services Income Support Division (local Medicaid office) to see if you or
your loved one meets the criteria for assistance. Most individuals fear that
they may loose their home or all of their income and assets if they apply for
assistance. There are laws and regulations in each state that provides Medicaid
to protect the home or homestead and to protect the spouse from poverty. There
are also attorneys that specialize in Elder Law that can help you protect your
income and assets and plan for the transition to State Medicaid Assistance when
you or your loved ones resources become exhausted.
Nursing homes generate income from providing rehabilitation services to keep
financially afloat. They check to see that they will make a profit from
providing the patient the services they need. That means that everything the
patient needs in the way of treatments, therapy and medications must be covered
by your insurance before they agree to accept a patient from a hospital.
The nursing home will also want to get an understanding of the patients
cognitive status and psycho/social-well-being to see that they are appropriate
for their facility unless they have a contract with the discharging hospital.
Keep in mind that not all nursing homes are adapted to serve all types of
patients. If you or loved one has some behavioral issues, related to dementia,
Alzheimers disease or psychiatric problems they may not be accepted for
admission. You may need to find a nursing home that specializes for those types
of paient needs.
Understanding your insurance benefits and your needs will get you the services
you require for a successful rehabilitation stay.
Tammy Gonzales, Life Coach and Advocate to Caregivers, of Revitalife Coaching
& Consulting, LLC guides Baby-Boomers and the Sandwich Generation on how to take
initiative to manage aging and caregiving before it becomes a crisis. Visit
www.caregiverinfonline.com for more information.
Outdoor Search Resource
Welcome to the Rangerrob Outdoor Search Information Resource site. Find all types of outdoor activities and places. Abuse Online Search Resource and Information Center
Welcome to Abuse online find. Featuring a complete search tool for Women, Children, Drugs and Animals. Shopping.com Online Mall
Shopping.com is a full service online shopping mall. Featuring great deals and discounts everyday. Investments Online Extreme Search Center
Welcome to the Investments Online Search Center. A fun and exiting secured Informational website on investing. Food Search Resource
Welcome to the food search online, Featuring all types of food, recipes, dishes and resources. A fast and reliable searvice. Golden Palace Online Casino
Welcome to the Golden Palace Online Gambling Casino. A safe and secure website. Play for fun or for real Money. Northwest Custom Webs
Welcome to Northwest Custom Webs. A Full service web design, hosting, updates and marketing firm. With real personal treatment and effective packages. Poker Online Search Engine
A full resource for search for online Poket, Casinos, Bingo and Sports betting. Bookmark us today. Social Security Resource
Social Security Search Resource. Find SSN information and answer your department questions. Games, Gaming and Gamers Online
Welcome to the Online Gaming Extreme Search Resource. Featuring Games, PC, PS2 and X Box Information and Downloads. Fashion Online
Find Fashion, Bridal, Baby supplies and Lingerie sites. A complete shopping tool. Business Online Search
Welcome to Business Online search and Information Center. A complete search engine tool. Weather Online Search
Welcome to Weather Online Seach and Information Resource Center. Featuring a full search of weather related issues. Tax and Taxes Online Search Resource
Welcome to the Tax and Taxes Online Search Resource Center. A full search tool for business and personal. Rental Search Online
Welcome to Rental Search Online Information Resource Center. Featuring property rentals and homes. Mortgage Agents, Brokers and Lenders Online Search Resource
Welcome to mortgage agents, brokers and lenders online search resource center. A complete search resource for home buyers and sellers. Find the best rates here. National Real Estate Online Search Center
Welcome to the National Real Estate Online Search Center. A complete search tool for Homes, property, land and real state listings. College Online Searchand Information Tool
A Complete Web Search Online for Colleges and Schools. Search all types of Education. Health Online Find
Welcome to Health and Fitness online search and Information Resource Center. Domains - Northwest Domain Registration Services
Domain Registration for only $12.95. A fast and easy domain registration company with no games or gimmicks. Check us out. Medicare.gov - The Official US Government Site for People with ...
Official US government site for Medicare information. AdminaStar Federal -- Home Page
Approved durable medical equipment regional carrier. Administers Medicare for
the Centers for Medicare and Medicaid Services in several states. Health Insurance Information, Counseling and Assistance Program ...
Consumer help with Medicare, managed care, Medigap insurance, long term care
insurance; written for New Yorkers, but contains information of general interest. Transit Office for James City County, Virginia
Provides fixed-route and paratransit bus services to James City County, the City
of Williamsburg and the Bruton District of York County. RIPTA: Pass Program: Seniors & People with Disabilities
Explains eligibility requirements, fare policy and guidelines for certification. Drugstore.com Online Pharmacy - Prescription Drugs, Health and ...
A drugstore with a world of products and the expertise to help you find what you
need. Health, beauty, wellness, personal care and pharmacy. Medicare.gov - Medicare Fraud Prevention and Detection Tips
Provides tips on how to detect and prevent Medicare fraud and abuse. Medicare Rights Center
A not-for-profit organization that is the source for Medicare consumers and
Medicare professionals. City of Iowa City, Iowa - Official Web Site
Bus schedules and fares for Iowa City. Louisiana Department of Health & Hospitals
The governmental organization created to protect and promote health and to ensure
access to medical, preventive, and rehabilitative services for the State of ...
Add Your Site!
| 
