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I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
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My mother was in the hospital for 3 days, and we then decided that she is terminally ill and transferred her to a skilled nursing facility and arranged for hospice. Will Medicare cover the cost of the SNF?
Thanks to everyone! This is what I learned in the meantime, which corresponds to mikejrexec's situation: Even if you need skilled nursing care after a hospital stay, medicare will not cover the room & board cost of such a facility, if you have opted for hospice. If you are not enrolled in hospice services, medicare would pay for some period, depending on your insurance plan (I think it would have been 100 days for my mom). They actually made a distinction between SNF and ICF at the same facility. If you need skilled nursing care and are not participating in hospice, it's a "skilled nursing facility"; if you are participating in hospice and need skilled nursing care, it's an "intermediate care facility" – which is not covered.
Hospice patients receiving care athome are allowed a five day stay in a facility at no cost to give the home care givers a break. What I cant remember is how long is a benefit period
My father was in the same situation. Hospital stay then moved to SNF for hospice care. Medicare paid for the hospice services but not the SNF part. He was private pay with the SNF. He had too much money to qualify for Medicaid. He passed away after about 2 weeks. I'm still waiting for the SNF bill to show up.
Barb -- You are correct. If I wrote otherwise, it was an error. I usually proofread my writing by reading aloud to myself, but I skipped that important step this morning. My apologies to readers here. Although the hospice social worker recommended that I place my husband in the SNF before the financial aspect of his admission was finalized, I was glad I took the leap of faith that the finances would work. With the help of the SNF finance office, they did.
The above answers are correct and useful. In addition to contacting the SNF, ask your mother's doctor whether hospice services are recommended. The doctor needs to recommend. In my case, my husband was under home hospice care and then transferred to a SNF. He was covered by hospice services after he entered as private pay, Medicare pending. He was required to assign his Social Security benefits to the SNF. Learn all you can about Medicare pending.
To the best of my knowledge, Medicare does not pay for long term care. Medicare typically pays for rehab in a Skilled Nursing Facility (SNF) after 3 days of hospitalization --- but rehab is to get the person up and running again. Medicare does pay for hospice services but typically in a home setting. see page 9 in this file. at medicare dot gov //www.medicare.gov/Pubs/pdf/02154-Medicare-Hospice-Benefits.PDF
It appears to me that your Mom will be responsible for paying for the SNF or whomever signed as the responsible party. I'd suggest you get a meeting with the SNF team to determine responsibility. Good luck to you and your Mom.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Even if you need skilled nursing care after a hospital stay, medicare will not cover the room & board cost of such a facility, if you have opted for hospice. If you are not enrolled in hospice services, medicare would pay for some period, depending on your insurance plan (I think it would have been 100 days for my mom).
They actually made a distinction between SNF and ICF at the same facility. If you need skilled nursing care and are not participating in hospice, it's a "skilled nursing facility"; if you are participating in hospice and need skilled nursing care, it's an "intermediate care facility" – which is not covered.
Medicare does pay for hospice services but typically in a home setting. see page 9 in this file. at medicare dot gov
//www.medicare.gov/Pubs/pdf/02154-Medicare-Hospice-Benefits.PDF
It appears to me that your Mom will be responsible for paying for the SNF or whomever signed as the responsible party. I'd suggest you get a meeting with the SNF team to determine responsibility.
Good luck to you and your Mom.