What do seniors often misunderstand about Medicare's coverage for long-term care?
Answered by 17 licensed agents
Answered by Joseph Bachmeier on March 25, 2025
Agent Licensed in PA, AZ, DE & 5 other states
Answered by Tony Capraro III on March 27, 2025
Agent Licensed in NH & ME
Answered by Tasha Riggs on March 27, 2025
Broker Licensed in CO, AZ, HI & 10 other states
https://www.medicare.gov/coverage/long-term-care
Answered by Mark Maliwauki on June 3, 2025
Broker Licensed in ID, AZ, CA & 15 other states
The purpose of Long Term Care is to help people maintain their quality of life and well-being, typically when they are unable to independently perform daily activities.
Long Term Care Insurance is the tool that is used to help manage costs for Long Term Care. This insurance is private insurance and requires an application and approval for coverage.
Answered by Paul Potter on May 13, 2025
Broker Licensed in FL
Answered by Don Hudson on April 1, 2025
Broker Licensed in FL
Answered by Justin Sonon on April 14, 2025
Broker Licensed in Pa, DE, FL & IL, MD, NJ & SC
This often leads to financial strain and unexpected expenses when needing long-term care services.
Answered by Diana Garner on May 13, 2025
Broker Licensed in KY, FL, IN, OH & TN
Answered by Michael Kim on March 25, 2025
Agent Licensed in NV, AR, AZ & 18 other states
Here's a more detailed breakdown of the misunderstandings:
"Medicare will cover all my long-term care needs."
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This is a common misconception. Medicare primarily covers medically necessary skilled nursing care for a limited period (up to 100 days) following a qualifying hospital stay. It doesn't cover custodial care, assisted living, or adult day programs.
"Medicare will pay for my nursing home stay indefinitely." Medicare's coverage for skilled nursing facilities is limited to 100 days, even after a qualifying hospital stay. After that, individuals are responsible for the costs, and Medicaid may be an option depending on their financial situation.
"Medicare will cover home health services for my ongoing care." While Medicare can cover home health services for a limited period under specific circumstances, it does not cover ongoing, non-medical assistance with daily living activities.
"Medicare will cover assisted living or adult day care." Medicare generally does not cover these types of long-term care settings.
"Medicare will cover all my medical expenses for long-term care." .
While Medicare covers medical services, it doesn't cover the costs associated with the ongoing non-medical care and assistance that many seniors need.
Answered by Fred Manas on May 19, 2025
Agent Licensed in NY, CT, DC & 7 other states
Long-Term care policies are purchased separately. The older you are the more expensive they are
Answered by Gary Henderson on April 14, 2025
Agent Licensed in TX, AK, AL & 46 other states
Medicare does not cover long term care. But it can help with rehab at skilled nursing (SNC) as long as they think you could get better. Max benefit under any plan is 100 days. Some would be less.
There are prerequisites under Medicare alone or Supplements in order to get help with rehab at SNC. To get help you need to have atleast 3 days as an inpatient before going to an approved SNC facility. Observation does not count toward the 3 days.
Under Advantage plans you usually have no 3 day requirement in the hospital to get help at SNC.
Answered by Wild Bill Anderson on April 14, 2025
Broker Licensed in CA
Answered by Robert Rowe on May 12, 2025
Broker Licensed in MI
Answered by Jason Kirschner on May 14, 2025
Agent Licensed in FL
Answered by Jennifer Dixon on May 20, 2025
Agent Licensed in GA & TN
Answered by Roseann Vandevender on May 8, 2025
Agent Licensed in OH, AZ, CO & TX
It does not pay for room, board, or personal care in senior living communities such as assisted living or independent living.
Answered by Eric Stokley on April 15, 2025
Agent Licensed in GA & MS
Tags: Coverage
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