My mother had a stroke ******* transported via ambulance to Erlanger Hosp in Chattanoog...

GetHuman810681's customer service issue with Medicare from June 2018

Help with my Medicare issue
The issue in GetHuman810681's own words
My mother had a stroke ******* transported via ambulance to Erlanger Hosp in Chattanooga, TN. ****** *:** pm transported to Lifecare Clevelsnd, TN. She was progressing well, passed swallow test to drink liquids and modified soft diet, eyes back to normal, left lip droop almost gone, moving left fingers and toes and beginning to lift leg slightly. *******, taken to Tennova Hosp after call saying she was passing fresh blood. ER physician Karl E Lawrence MD and accompanying nurse said bleeding caused by too much heparin injected abdominally at Life Care was the reason. In ICU until ******* and transported back to Life Care ******* at * pm. Since developed heel sore from bed at LC, treated with ultrasound. Less physical therapy. Not eating much-kept serving her minced chicken, mashed potatoes and gravy *-* X a day which I kept insisting needed to be changed because she didn’t eat it and was getting water. *NOW, they are telling me they will soon take her off skilled therapy (regardless of their fault of hospitalization necessity). When they do, they informed me she would lose her Medicare and TriCare Insurances and have to go to private pay at $**** a day. I pointed out she was doing well until hospitalization, only answered with an insipid smile and ignored. I have Power of Atty from her -Gen and Med, and her oldest Daughter. She will soon be ** (ssn *——-****-D). My QUESTION is:*What is the “*** day rule? Does she lose coverage permanently if THEY say she will lose skilled therapy status and have to go to private pay? What process do I need to take to get someone to re-evaluate that status so she won’t worry about personal money to pay , etc. I feel they just want more income direct instead of lower adjusted insurance payments rather than HER getting stronger and healthier . I’m at a loss and need Medicare rules, regulations and just basic knowledge of what is going on and how best to help her in this matter. They also said she would lose TRICARE coverage along with MEDICARE. Is all this true, what Do I need to do?*Cassandra L Booth*C*****@***.com****-***-******** Ramsey St NE*Cleveland, TN *******Thank you for any help and clarification in this matter.*Her lawyer said I need to transfer her to another facility. Agree?

GetHuman810681 did not yet indicate what Medicare should do to make this right.

How GetHuman810681 fixed the problem
Called Medicare for information. A patient has to be discharged and out of a rehab facility for ** consecutive days before being readmitted to start *** day stay again under Medicare. If the patient is taken off skilled therapy, Medicare is dropped and patient is then under private pay and will never be able to have Medicare or Tricare (all sec insurances?) during their lifetime again according to the rep of Medicare I spoke with. This was info I needed but did not solve the problem except to have Mom transferred to another facility before being dropped. All personal monies in banks, annuities, stocks, etc as I understand it has to be paid to a nursing home before the patient can apply for Medicaid which can be supplemented by a Miller’s trust-together providing $*,*** to pay for the nursing home. Cost above that will be taken from any personal property they own following their death to repay the debt above $**** mo times length of time under Medicaid. This may not be ***%accurate, but it is the information that I have received in trying to understand this seemingly unfair dalemna.
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Medicare

Customer service issue
Reported by GetHuman810681
Jun 22nd, 2018 - 3 years ago
Fixed
GetHuman810681 shared how to fix
Seen by 8 customers so far
Similar issue to 255 others
0 customers following this
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Timeline

GetHuman810681 started working on this issue
Jun 22nd, 2018 4:35pm
GetHuman810681 indicated the issue is not fixed yet.
Jun 22nd, 2018 5:50pm
GetHuman810681 confirmed the issue is fixed. Hooray!
Jun 25th, 2018 7:07pm

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