Admitting a family member into a long term care facility (assisted living or nursing home) can be very emotional and stressful for a family. The admittance paperwork can often be many pages long and the pressure can be high to sign quickly to secure the family member a bed. However, signing the paperwork without having it reviewed by an elder law lawyer can spell trouble for the patients and their families. The following are the two big reasons to have an elder law lawyer review your nursing home or assisted living agreement before signing.
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- Avoid being left holding the bag: It is common place for long
Medicare covers the cost of skilled nursing for twenty days and then eighty additional days on a co-payment basis for a total of one hundred days of coverage. However, sometimes a patient will be told by a facility that they do not qualify for skilled nursing under Medicare and that their benefits are being terminated early.
What is the appropriate standard for terminating coverage?
An important court decision was made in January 2013 in the Vermont case of Jimmo v. Sebelius. In that case, a lawsuit was settled between the Center for Medicare Advocacy (CMA) and Medicare contractors which dealt… Read the rest
Medicaid covers the cost of long-term care, be it in a nursing home, assisted living community or care at home, if certain eligibility requirements are met. Due to the skyrocketing costs of long-term care, many people who need long-term care will need to consider Medicaid. Medicaid mistakes are common and can be devastating for a family. The following is a summary of the most common Medicaid mistakes to avoid.
- Not Considering Early Planning Options
Medicaid has a five year look back period. That means that when a person makes a Medicaid application, the state will look back five years for any… Read the rest
Long term care Medicaid coverage has rigid income and resource eligibility requirements as I’ve covered in previous posts like How to Qualify for Medicaid Coverage for Long Term Care.
One exempt asset is a life insurance policy with a cash value less than $1,500. However, for many people facing long term care costs and potential Medicaid applications, the question becomes what to do with life insurance policies with cash values above the exempt amount of $1,500. If you simply cash it in and spend the money, you may be losing a great deal of financial benefit for your beneficiaries. If the cash … Read the rest
Differences between Medicare and Medicaid at a glance:
Medicare: Federal health insurance, administered by SSA.
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- To be eligible,
- You or your spouse must have paid into the Medicare system for at least ten years.
- You must be 65 or older unless you have a disability or permanent kidney failure.
- You must be a citizen or permanent resident of the United States.
- No income requirements.
- May have premiums, copays & deductible.
- To enroll:
- If already receiving SS or Railroad benefits before age 65, then automatically enrolled in Part A & Part B.
- If not receiving, should contact SSA three