Comparing Long-Term Care Coverage | ||||
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SKILLED NURSING CARE A facility that is either licensed to provide skilled or intermediate nursing care |
þ First 20 days are paid by Medicare. The 2lst through 100th require a co-payment of $97 per day (in 2000); after 100 days there is no coverage. |
þ Coverage varies, usually no payment or only small percent of Medicare co-payments. |
o No substantive benefits are available |
þ Covered up to the specified Daily Maximum Benefit (DMB) and Lifetime Maximum Benefit (LMB) |
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RESIDENTIAL CARE FACILITY A facility that provides personal custodial care to five or more residents. Includes facilities that are designed expressly for Alzheimer's or other "cognitively impaired" patients. |
o Not covered |
o Not covered |
o No substantive benefits are available |
þ Covered up to the specified DMB and LMB |
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HOME HEALTH CARE Includes home health care, adult day care, personal care, homemaker services, hospice care, and respite care. |
þ Coverage available up to 7 days a week, but only for a short period of time |
o Usually not covered |
þ Coverage available after hospitalization |
þ Covered up to the specified DMB and LMB |
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Next Section National Council on Aging/Long-Term Care Quiz |