Medicare benefits

  1. Just looking for any input on Medicare coverage.
    Gram, s/p CVA w/ Lt sided paralysis. In LTC for rehab.
    What will Medicare pay for home health? PT/OT, home health
    aide, hoyer, etc?? Percentage they will pay, & a guesstimate as
    to length of time. THANKS
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    Joined: Jun '01; Posts: 669; Likes: 42
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  3. by   Talino
    Medicare Home Health Care coverage/benefits....

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  4. by   NRSKarenRN
    MC pays 100% for home care under part A of benefit (if no part A coverage, will bill under part B). Length of visit + pattern of visits is determined at initial visit by admitting RN/PT staff with confirmation by attending Doctor. Medicare will pay 80% for Hoyer lift under part B benefits with 20% co-pay.
    If needed, I can verify her Medicare benefit coverage if you do not have a copy of her insurance card (rehab should be also be able to tell you her benefit). Email me thru private message here if needed.

    In my homecare agency, patient would be seen for initial 60 day period post hospitalization/rehab, may be recerted for additional 60 days for therapy if patient progresses in treatment until functional goals met. We would provide: RN, PT, OT, HHA 1 to 3 times a week, maybe more for HHA depending on functional limits.
    If any problems with swallowing, would also do ST Eval to teach aspiration precautions and eval need for MSW for long term care planning and linkage with community resources. We would also focus on caregiver education.

    I do this type of evaluation for services/ insurance benefit coverage with every intake I receive in my homecare agency. Hope this is helpful.
    Last edit by NRSKarenRN on Sep 26, '01