New Rule May Make It Harder for Medicare Beneficiaries to Receive Home Care
It may become harder for Medicare beneficiaries to find home health care due to a new rule. Although the rule changes the way...
Read moreHas anyone called recently trying to interest you in ordering a hospital bed, wheelchair or other piece of medical hardware? Medicare law prohibits suppliers of such "durable medical equipment" from making unsolicited telephone calls to Medicare beneficiaries about these items.
Calls to beneficiaries about this type of equipment, which Medicare covers if ordered by a doctor for use in the home, are permitted in only three situations: if a beneficiary gives written permission to the supplier to make contact by phone; if the contact is regarding a covered item the supplier has already furnished to the Medicare beneficiary; or if the supplier has furnished at least one covered item to the beneficiary during the preceding 15 months.
The law helps ensure that Medicare beneficiaries aren't pressured into buying items they neither need nor want. Recently, however, some suppliers of durable medical equipment have hired independent marketing firms to make marketing phone calls for them regarding these items.
The Office of Inspector General of the Department of Health and Human Services (HHS OIG) has issued a special fraud alert to warn Medicare beneficiaries about these telemarketing efforts.
More generally, the government warns that consumers should always be careful about giving sensitive personal information '“ such as one's Social Security number, Medicare number or personal medical information '“ to any telemarketers who claim to be providing Medicare items or services.
Anyone with information about durable medical equipment suppliers or telemarketers engaging in any of the activities described above should contact the HHS OIG's Fraud Hotline at 1-800-447-8477.
To download the OIG''s Special Fraud Alert, click here.
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Read moreIn addition to nursing home care, Medicaid may cover home care and some care in an assisted living facility. Coverage in your state may depend on waivers of federal rules.
READ MORETo be eligible for Medicaid long-term care, recipients must have limited incomes and no more than $2,000 (in most states). Special rules apply for the home and other assets.
READ MORESpouses of Medicaid nursing home residents have special protections to keep them from becoming impoverished.
READ MOREIn addition to nursing home care, Medicaid may cover home care and some care in an assisted living facility. Coverage in your state may depend on waivers of federal rules.
READ MORETo be eligible for Medicaid long-term care, recipients must have limited incomes and no more than $2,000 (in most states). Special rules apply for the home and other assets.
READ MORESpouses of Medicaid nursing home residents have special protections to keep them from becoming impoverished.
READ MORECareful planning for potentially devastating long-term care costs can help protect your estate, whether for your spouse or for your children.
READ MOREIf steps aren't taken to protect the Medicaid recipient's house from the state’s attempts to recover benefits paid, the house may need to be sold.
READ MOREThere are ways to handle excess income or assets and still qualify for Medicaid long-term care, and programs that deliver care at home rather than in a nursing home.
READ MORECareful planning for potentially devastating long-term care costs can help protect your estate, whether for your spouse or for your children.
READ MOREIf steps aren't taken to protect the Medicaid recipient's house from the state’s attempts to recover benefits paid, the house may need to be sold.
READ MOREThere are ways to handle excess income or assets and still qualify for Medicaid long-term care, and programs that deliver care at home rather than in a nursing home.
READ MOREMost states have laws on the books making adult children responsible if their parents can't afford to take care of themselves.
READ MOREApplying for Medicaid is a highly technical and complex process, and bad advice can actually make it more difficult to qualify for benefits.
READ MOREMedicare's coverage of nursing home care is quite limited. For those who can afford it and who can qualify for coverage, long-term care insurance is the best alternative to Medicaid.
READ MOREMost states have laws on the books making adult children responsible if their parents can't afford to take care of themselves.
READ MOREApplying for Medicaid is a highly technical and complex process, and bad advice can actually make it more difficult to qualify for benefits.
READ MOREMedicare's coverage of nursing home care is quite limited. For those who can afford it and who can qualify for coverage, long-term care insurance is the best alternative to Medicaid.
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READ MORELearn how a special needs trust can preserve assets for a person with disabilities without jeopardizing Medicaid and SSI, and how to plan for when caregivers are gone.
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