Medicare Information and Facts for Seniors – Caregiverlist.com

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About Medicare

Department of Health and Human Services Medicare does not pay for long-term care. Medicaid does pay for long-term care in nursing homes only. A few states, such as Vermont, have recently begun offering Medicaid long-term care benefits both in the home and in nursing homes. Medicare is a health insurance program for Americans age 65 or older and people under age 65 with certain disabilities and people of all ages with End-Stage Renal Disease (Permanent kidney failure requiring dialysis or a kidney transplant).

Medicare Hospital Insurance

Cost

Premium FREE for most people who qualify (if you or a spouse paid Medicare taxes while working, you qualify)

Hospitalization Costs (per hospital stay)

  • First 60 Days: You Pay $1,024.00 Annual Deductible
  • Days 61 – 90: You Pay $256 per day
  • Lifetime Reserve Days (60 days over your lifetime): $512 per day

Skilled Nursing Facility (Nursing Home)

  • First 20 Days: You Pay $0
  • Days 21 – 100: You Pay $128 per day

Home Health Care (Skilled Care Approved by a Medical Doctor)

Includes Registered Nurse, Physical Therapist, Occupational Therapist and Speech Therapist, it DOES NOT INCLUDE Non-Medical Custodial Care provided by Senior Home Care Agencies:

  • First 100 visits: You Pay $0

Hospice Care

  • Outpatient Prescriptions: You Pay $5.00 per Prescription
  • Respite Caregiver to relieve the usual Caregiver: You pay 5%

Medicare Medical Insurance

Cost

Standard Monthly Premium of $135

Co-payment

20% for Medicare approved costs Includes:

  • Physician’s Visits
  • Some Diagnostic Tests
  • Ambulance Services
  • Outpatient Surgery
  • Diagnostic Procedures
  • Durable Medical Equipment (Wheel Chairs, Hospital beds, etc.)

Note: Part-time Skilled Home Health Care of a Homebound Patient (Registered Nurse, Physical Therapist, Occupational Therapist, Speech Therapist) costs $0.


Note: All costs are for 2008

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