As I mentioned in my original post, I have done an exhaustive search for high-risk LTC insurance and certainly understand the business of "insurance." No one should depend on Medicare for any "long-term care" help beyond 20 days in a skilled nursing facility. According to THE MEDICARE PLAN which can be accessed at www.medicare.gov
, scroll down until you get to Medicare Benefits, go to page 39, you will read the following under "What do YOU pay in 2004?"
YOU pay the following amounts for each benefit period in 2004
(following at least a related three-day covered hospital stay):
Days 1-20 $0 for each day
Days 21-100: up to $109.50 for each day
(Nursing Home care averages $100 per day)
Days beyond 100: You pay 100%.
Plus, you must be admitted to a Medicare-certified Skilled Nursing
Facility. Medicare does not cover Assisted Living which is what most MSers would be interested in.
Medicaid, on the other hand, is a state administered program and each state sets its own guidelines regarding eligibility and services. For general information about the Medicaid program, including eligibility requirements, go to http://cms.hhs.gov/medicaid/eligibility/default.asp
. Medicaid Planning is another avenue. There are attorneys that can help with Medicaid Planning.
So, I come full-circle again. Does anyone know of any LTC insurance offered for high-risk individuals with MS?