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- #101
Not an expert, but have dealt with something similar with a dying family member and Medicare.
How it often works, not in all cases/this case, is Medicare will pay full price for a hospital room for a set amount of days/months. Usually the hospital makes sure to extend the persons time to that limit to maximize profit. After that Medicare is only willing to pay half of what they were being charged
Many times it is a tactic used when they are aware someone is dying. (Just from personal observation.)
Once the time period has expired, the hospital informs you they will be moving the patient to a nursing home, many times saying for "rehabilitation".
They then move the patient, sometimes without informing you, to a nursing home.
The same cycle happens. Medicare will pay for a private room at a nursing home for a set amount of time, then they cut payment and the person gets moved ro a shared room.
They will try to obtain guardianship to avoid lawsuits or family interfering with their game plan. They know the person is dying, usually lying and giving false hope to the family, to avoid the family taking the person home and obtaining an at home nurse.
Also, if they have guardianship they can control any money/estate once the person dies.
If MamaRalph had an estate or any money, it will be ordered that it be used to repay Medicare.
If Ralph somehow managed to sue the hospital, that money would also be ordered to go as repayment to Medicare.
TLDR: Medicare pays full price for a hospital room for a set amount of time. It then only offers to pay half.
The hospital then moves the patient to a nursing home, so it can bring in someone that they can get full price from.
They often know it is the persons last days and it is all about profit.
Any money MamaRalph may have had will be ordered as repayment for Medicare.
Any money won from a lawsuit would go to repay Medicare.
If you ever have a loved one being kicked from the hospital, take them home if possible.
How it often works, not in all cases/this case, is Medicare will pay full price for a hospital room for a set amount of days/months. Usually the hospital makes sure to extend the persons time to that limit to maximize profit. After that Medicare is only willing to pay half of what they were being charged
Many times it is a tactic used when they are aware someone is dying. (Just from personal observation.)
Once the time period has expired, the hospital informs you they will be moving the patient to a nursing home, many times saying for "rehabilitation".
They then move the patient, sometimes without informing you, to a nursing home.
The same cycle happens. Medicare will pay for a private room at a nursing home for a set amount of time, then they cut payment and the person gets moved ro a shared room.
They will try to obtain guardianship to avoid lawsuits or family interfering with their game plan. They know the person is dying, usually lying and giving false hope to the family, to avoid the family taking the person home and obtaining an at home nurse.
Also, if they have guardianship they can control any money/estate once the person dies.
If MamaRalph had an estate or any money, it will be ordered that it be used to repay Medicare.
If Ralph somehow managed to sue the hospital, that money would also be ordered to go as repayment to Medicare.
TLDR: Medicare pays full price for a hospital room for a set amount of time. It then only offers to pay half.
The hospital then moves the patient to a nursing home, so it can bring in someone that they can get full price from.
They often know it is the persons last days and it is all about profit.
Any money MamaRalph may have had will be ordered as repayment for Medicare.
Any money won from a lawsuit would go to repay Medicare.
If you ever have a loved one being kicked from the hospital, take them home if possible.
