Sunday, March 21, 2010

Some nursing homes will not allow Medicare to cover treatments in homes


I was told in a personal conversation recently that some nursing homes that accept only private pay (that is, no Medicaid) will not allow residents or guests to file for Medicare for medical treatments or prescription drugs available in the nursing home (that is, treatments that would be partially reimbursable by Medicare, usually part B). It’s possible that nursing homes that charge varying rents given level of care expect to be compensated by the patient (for family) for the care delivered regardless of whether Medicare would have covered it. A good question would be, what would happen if the patient were covered by a replacement Medicare Advantage policy?

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