A:

Long-term care refers to a variety of care services (medical and non-medical) that helps meet the needs of people who have a chronic illness or are disabled. Generally, long-term care can be provided at home, in the community, in assisted living or in nursing homes. There are a variety of ways to pay for long-term care, but Medicare only pays for certain kinds of care. Medicare does not cover custodial care and only pays for the first 100 days of care in a skilled nursing facility or home health center. Custodial care, or nonskilled care, refers to care that helps a patient with activities of daily living like dressing, bathing, eating, diabetes monitoring etc. An individual seeking Medicare for the first 100 days at a skilled nursing facility has to meet two requirements:

No.

1 - The individual must be receiving skilled care.
Skilled care refers to activities that can only be provided by health professionals like nurses, rehabilitative staff, doctors, etc.

No.2 - The individual must have stayed at the hospital for at least three days, and entered the nursing home within 30 days of hospital discharge.

If the requirements are met, Medicare pays the full costs for the first 20 days, and for the remainder of the days (days 21-100) Medicare pays the difference between a co-payment and the actual cost.

(Learn more about Medicare in our article What Does Medicare Cover?)

This question was answered by Chizoba Morah.

RELATED FAQS
  1. What is long-term care insurance?

    Long-term care insurance is an insurance policy that that helps a patient pay for long-term care. The policy usually covers ... Read Answer >>
  2. What is long-term care?

    Long-term care refers to a collection of services that are intended to meet the medical and non-medical needs of disabled ... Read Answer >>
  3. What effect has the sustainable growth rate had on Medicare disbursements?

    Read about the impact of the Medicare sustainable growth rate mechanism on rising Medicare costs and physician reimbursements ... Read Answer >>
Related Articles
  1. Financial Advisor

    Advising FAs: Explaining Long-term Care Insurance to Clients

    As our life spans are extended, our family structures change and medical care improves, the need for long-term care (LTC) will continue to increase.
  2. Retirement

    Failing Health Could Drain Your Retirement Savings

    You may not be able to prevent illness, but it doesn't have to infect your savings.
  3. Managing Wealth

    Things Nursing Homes Are Not Allowed to Do

    What rights do a home's residents have? The same ones they they had before they entered the facility.
  4. Retirement

    Don't Pick The Wrong Type Of Retirement Community

    The names sound similar – continuing care, assisted living – but retirement communities differ widely. How to tell them apart and what you'll need to pay.
  5. Financial Advisor

    Long-Term Care: More Than Just A Nursing Home

    Learn what you can do now to keep your options open in the future.
  6. Financial Advisor

    How to Navigate the Medicare Maze

    Medicare provides several healthcare services for retirees. Taking a closer look at Parts A and B will help you determine which part works best for you.
  7. Financial Advisor

    Taking The Surprise Out Of Long-Term Care

    Don't be caught unprepared - find out what to look for in LTC insurance policies.
  8. Retirement

    How Much Will Healthcare Cost After You Retire?

    The price tag may shock you, which is why you should do some pre-retirement calculations. The fact is, Medicare is not going to cover it all.
RELATED TERMS
  1. Long-Term Care (LTC) Insurance

    Coverage that provides nursing-home care, home-health care, personal ...
  2. Medicare Star-Rating System

    A method for evaluating and ranking nursing homes used by the ...
  3. Group-Home Care

    Care given to a group of people with similar disabilities within ...
  4. Long-Term Care Ombudsman

    A government official who oversees nursing homes and assisted ...
  5. State Health Insurance Assistance Programs - SHIP

    State Health Insurance Assistance Programs (SHIP) offer free ...
  6. Medicare Wages

    An employee's earnings that are subject to a U.S. payroll tax ...
Hot Definitions
  1. Fiduciary

    A fiduciary is a person who acts on behalf of another person, or persons to manage assets.
  2. Demonetization

    Demonetization is the act of stripping a currency unit of its status as legal tender and is necessary whenever there is a ...
  3. Investment

    An asset or item that is purchased with the hope that it will generate income or appreciate in the future. In an economic ...
  4. Redlining

    The unethical practice whereby financial institutions make it extremely difficult or impossible for residents of poor inner-city ...
  5. Nonfarm Payroll

    A statistic researched, recorded and reported by the U.S. Bureau of Labor Statistics intended to represent the total number ...
  6. Conflict Theory

    A theory propounded by Karl Marx that claims society is in a state of perpetual conflict due to competition for limited resources. ...
Trading Center