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Re: Very OT Medicare and stuff


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Posted by John A. on June 26, 2008 at 06:06:37 from (138.210.118.138):

In Reply to: Very OT Medicare and stuff posted by dave guest on June 25, 2008 at 19:26:56:

dave, Where your neighbor is.....
Medicare Only pays for SKILLED NURSING not Custodial Nursing! Skilled means 24/7 skilled care.
Custodial means there is someone around on a 24/7 basis but they are not skilled ie Dr., Nurse, etc.
There are clauses that allow your friend to go home and come back after a time, and Medicare will pick up the tab but ,,,,,You are talking about jumping through specific hoops at specific times, Like threading a needle. If he can remain at home for a time that will be the best.
BUT I will tell you that your Neighbors will need to start making prep for a Custodial Care Nursing Home, Now this is where the hard decisions will have to be made.
At $4000/month average cost how will they pay for his care, use pensions and SS payments. sign over their home to be used as collaterial against the debt. Sell off land or other property. If this is done what about the Mrs. Are their tax consequence.
Is your state a "Community Property" state, Then each spouse is entitaled to 1/2 of the whole. That may be a way to approach this problem. Simply split the estate in 1/2 and go from there.
Hope this helps, Call me if you like. 512-577-3837
Later,
John A.


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