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?

    Long-term care refers to a collection of services that are intended to meet the medical and non-medical needs of disabled ... Read Answer >>
  2. When is the best time to purchase long-term care insurance?

    Long-term care insurance (LTCI) covers the risk that individuals may need medical and custodial care, either at home or in ... Read Answer >>
  3. Does Medicare provide assistance for patients unable to perform Activities of Daily ...

    Find out how Medicare provides some benefits, both direct and indirect, for those who are unable to perform some of the activities ... Read Answer >>
  4. What are activities of daily living (ADL)?

    Activities of daily living (ADL) refer to daily activities that individuals normally do, unassisted, to take care of themselves. ... 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. Managing Wealth

    What Does Medicare Cover?

    Don't assume you're insured. Find out what you can expect from this healthcare program.
  3. 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.
  4. Financial Advisor

    Long-Term Care: How and Why You Should Plan for It

    The likelihood of needing long-term care is higher than most people realize. Here are some ways to plan for it.
  5. 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.
  6. 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.
  7. Retirement

    Things Nursing Homes Are Not Allowed to Do

    Nursing home residents just got new safeguards to their rights – rights they aren't suppose to lose when entering a facility.
  8. Insurance

    The Bad News About Long-Term Care

    The costs of long-term care continue to increase and most retirees can't afford to pay out of pocket for these services for an extended period.
  9. 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.
RELATED TERMS
  1. Skilled Nursing Facility

    A special facility or part of a hospital that provides services ...
  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. Medicare Advantage

    Hospital and medical insurance provided by private companies ...
  5. Long-Term Care Ombudsman

    A government official who oversees nursing homes and assisted ...
  6. Medicare Wages

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

    An aggressively managed portfolio of investments that uses leveraged, long, short and derivative positions with the goal ...
  2. Financial Statements

    Records that outline the financial activities of a business, an individual or any other entity. Financial statements are ...
  3. Operating Cost

    Expenses associated with the maintenance and administration of a business on a day-to-day basis.
  4. Money Market

    A segment of the financial market in which financial instruments with high liquidity and very short maturities are traded. ...
  5. Block (Bitcoin Block)

    Blocks are files where data pertaining to the Bitcoin network is permanently recorded.
  6. Fintech

    Fintech is a portmanteau of financial technology that describes an emerging financial services sector in the 21st century.
Trading Center