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Eldercare
Reply to "Please help! Medicare Part A SNF facility coverage after hosp for long term care patient"
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[quote=Anonymous]Wow 20:11 - I think you're right about Tricare. The facility told us that Tricare was especially strict in covering skilled nursing and would only do so for IV antibiotics, daily therapies, or stage 3+ wounds, and that continued progress in PT/OT was necessary for daily therapy, so we didn't ask for more after September. But the Tricare website says they follow Medicare Part A rule in determining eligibility after Medicare is exhausted. They probably should have been paying all along since progress isn't required under Medicare. What fools we were to listen to the facility. I think the facility people are not bad people, but what they say sure doesn't match the rules I can find. I would assume it's way too late now to argue Tricare should have been paying between last September and now. [/quote]
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