Posts Tagged ‘therapy’

“Up to 100 days” of coverage for rehabilitation does not guarantee 100 days.

“Up to 100 days” of coverage for rehabilitation does not guarantee 100 days. Up to 100 days of coverage rarely means 100 days. Often insurers discontinue therapy benefits after 2 to 8 weeks. They might say the patient has “plateaued” in treatment, not showing measurable improvement on a weekly basis. However the correct legal standard is aslong as the patient shows improvement or the therapy prevents deterioration. Many times therapy ends before it should. When Medicare therapy ends, if the resident stays in rehab or in a nursing home, then she must pay privately or, if assets are low enough,…

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Eligiblility for Medical coverage at Home

The health services used must be both reasonable and necessary in the treatment of an illness or injury.

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