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| It is our pledge at National Eldercare Alliance to take care of our members as if they were our own family. If we feel a service or facility wouldn't be worthy for our own parents or family, then we won't recommend them to you either. |
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Welcome Shriners |
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 What is Medicare?
Medicare is a federal health insurance program for people 65 years or older, and certain people with disabilities, or permanent kidney failure.
What does Medicare Part A cover?
Part A helps pay for inpatient hospital care, some skilled nursing facility care, hospice care, and some home health care.
Does Medicare cover Long Term Care?
No. Generally, Medicare only covers medically necessary care under Part A (Hospital Insurance) and Part B (Medical Insurance). You must meet certain conditions for Medicare to cover skilled nursing facility, home health, and some hospice care.
How do I qualify for Medicare Long Term Care Benefits?
For skilled nursing facility benefits your client must meet all of the following requirements:
- 3 day hospitalization (excluding the day of discharge)
- Physician must certify the need for daily skilled care or skilled rehabilitation services (recipient must be expected to recover)
- Skilled nursing facility must be certified by Medicare
What will I have to pay in 2005 for Skilled Nursing Facility Care?
If you meet all of the eligibility requirements:
- Days 1-20: You pay nothing
- Days 21-100: You pay first $114.00 of cost of care
- After day 100: You pay all costs of care
Did You Know?
95% of all long term care services are custodial and therefore, not eligible for Medicare benefits (Medicare only pays for skilled care.*). Medicare currently pays for approximately 2% of all nursing home and home health care services.**
The information above is intended to be a quick reference guide to this program and is not intended to be legal advice. Please refer to www.medicare.org for more information.
*www.understandingltc.com
**MA Division of Insurance, 1996
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