What Medicare Covers for Long Term Care

 

 

Medicare Part A
Covered Services What you Pay in 1999
Skilled Nursing Facility (SNF) Care***: Semiprivate room, meals, skilled nursing and rehabilitative services, and other services and supplies. For each benefit period you pay:
bulletNothing for the first 20 days.
bulletUp to $96.00 per day for days 21-100.
bulletAll costs after day 100 in the benefit period.

Call your Fiscal Intermediary with questions about skilled nursing facility care and conditions of coverage.

Home Health Care**: Intermittent skilled nursing care, physical therapy, occupational therapy, speech language pathology services, home health aide services, durable medical equipment (such as wheelchairs, hospital beds, oxygen, and walkers) and supplies, and other services. You pay:
bulletNothing for Home Health Care services.
bullet20% of approved amount for durable medical equipment (such as wheelchairs, hospital beds, oxygen, and walkers).  Call your Regional Home Health Intermediary with questions about home health care and conditions of coverage.
Hospice Care**: Pain and symptom relief, and supportive services for the care of a terminal illness.  Home care is provided. Also covers necessary inpatient care and a variety of services usually not covered by Medicare. You pay:
bulletLimited costs for outpatient drugs and inpatient respite care (care given to a hospice patient so that the usual care giver can rest).  Call your Regional Home Health Intermediary with questions about hospice care and conditions of coverage.
 

Medicare Part B

Covered Services What you Pay in 1999
Home Health Care: (under certain conditions.)
Intermittent skilled care, home health aide services, DME and supplies, and other services.
You pay:
bulletNothing for services.
bullet20% of approved amount for DME.
Outpatient Hospital Services:  Services to find, or treat an illness or injury. You pay:
bulletNo less than 20% of the Medicare payment amount (after the deductible).

 

 

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