Reply to Mdicare long term care appeals

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Medicare does not cover LTC.[/quote]
Yes up to 100 days per year after a hospital stay.  [/quote]

It’s short term rehabilitation and they take that seriously - there must be a specific issue related to the reason for hospitalization where there is a reasonable expectation that therapy will result in improvement. There is a mandated schedule for the staff from various departments to review progress and your loved one will be discharged if their condition isn’t changing for the better.[/quote]

Not true...a supreme court decision says improvement is not required to continue

http://www.protectingseniorsnews.com/medicare-rehab-and-failure-to-improve/[/quote]

NP. Regardless, it still doesn’t pay for LTC. LTC is housing and physical care. Medicare pays for rehab. The goal can be improvement or necessary to prevent status quo or regression. But it doesn’t pay for LTC.[/quote]

[b]But up to 100 days resetting after a 3 day hospital stay.[/b][/quote]

No. That's incorrect. The individual must be out of an inpatient setting (hospital or skilled nursing facility) for 60 consecutive days in order for the 100 days to reset. [i]Then[/i] you need the 3 day QUALIFYING hospital stay. And anyway the 100 days you keep referencing is a benefit for short term skilled nursing and/or subacute rehabilitation. Long Term Care is entirely separate, financially, and absolutely NOT covered by Medicare. Perhaps you are confusing Medicare and Medicaid?[/quote]

If Medicare is not covering the SNF, then does the 100 reset?[/quote]

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