My husband has just entered rehab after surviving a cardiac arrest. He has had multiple issues in the past couple of years and had a few other rehab stays.
I was just told by the facility that he had used up his 100 days of lifetime that Medicare gives you for rehab. They said that they would apply for Medicaid for him but I know our income is too high.
we do not have any savings and depend on his pension and my social security to pay our monthly bills. There is no possible way we could pay out of pocket for this. I know there is a trust that can be applied for for my husband but it would leave us without enough money to even pay rent not to mention food, my medical bills, etc.
Has anyone been in this situation?
Are there other alternatives? There is no way he could be cared for at home right now.
I am going to call Legal Aid next week.
I had a free consultation with an elder law attorney before this but to continue with him would be cost prohibitive.
Thank you.
So that, for instance, a person may have rehab after a stroke and stay in hospital for 3 days then rehab for 60 more days. This counts as one benefit "period" in the eyes of Medicare. Now if they get, say, a stroke in another few months and again require rehab there may be problems in coverage.
Medicare pays for "benefit period" which I think is 90 days starting with first day of hospitalization. Then you start to tap into "lifetime reserve" number of days that qualify for rehab payment by medicare. How many that is I don't know and once they are gone I have no idea what happens either!
Much may also depend on whether there is an advantage program in place or other supplemental insurance, and you should check with the carrier your loved one has for supplemental insurance or advantage plan.
If there is no coverage for cardiac rehab, do understand that most rehab for cardiac issues is not inpatient care. There has to be something other going on to require in facility care.
This all gets very complicated.
I would call Medicare at 1 800 Medicare and check on coverage. You will wait a long time on the phone but they are often very helpful once you get them.
I wish you best of luck. I think without coverage this is virtually unaffordable.
Also, this is not cardiac rehab. He had a cardiac arrest after becoming septic.
He did not have a heart attack. He needs rehab for lack of mobility after being in the hospital for so long. He also has had an above the knee amputation.
You might get some insight from an article on this site, “Spending Down” for Medicaid: One Caregiver’s Personal Journey.