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Medicare Eligibility for Nursing Home and Nursing Care

Medicare does not generally pay for long term care. It only pays for medically necessary skilled nursing facility or home health care. Medicare will cover nursing home care only if the patient receiving the care needs the highest level of care, called skilled nursing. The patient must also have spent at least three consecutive days in a hospital not more than 30 days prior to nursing home admission. A physician must certify that skilled nursing services are needed for the same or related illness for which the patient was hospitalized.

Medicare will pay the cost of the following: You must meet these conditions for Medicare to help pay for your care in a nursing home:

If you meet these conditions, Medicare pays for up to 100 days in a benefit period. A benefit period begins the day you go into the hospital or skilled nursing home. The benefit period ends when you have been out of the hospital or skilled nursing home for at least 60 days in a row. You pay a Part A deductible ($1,024 in 2008) for each new benefit period.

Reporting Abuse

If you are unsure where to report a case of elder abuse, you can contact an attorney specializing in elder law who can help you with the reporting.

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Medicare Eligibility for Nursing Home Care

Medicare will cover nursing home care only if the patient receiving the care needs skilled nursing.

Nursing Home Abuse
Abuse can be physical, emotional, financial and sexual. More ...