| In the early 1980's Medicare started using a | | | | Long Term Care Insurance. The long term |
| system called the diagnosed related group of | | | | insurance rates vary by geological location, as well |
| guidelines for advance payments to hospitals. This | | | | as state and local regulations. The premiums are |
| has really given hospitals authority and incentive to | | | | costly, however, a person has to weigh out the |
| discharge patients very soon after admission to | | | | advantages and disadvantages to purchasing long |
| the hospital. | | | | term care insurance. |
| The hospital gets paid the same whether the | | | | Many people assume that their healthcare |
| patient is in 3 days or 6 days. So the hospital can | | | | provider will cover long term care. Unfortunately |
| make more money if they free up the bed space | | | | Health care insurance covers medical bills, hospital |
| for the next patient. The problem this has caused | | | | bills and some prescriptions. They do not cover |
| is that nursing homes have become the recovery | | | | nursing home expenses. The same rule applies for |
| place for these patients that were not ready to | | | | Medicare. Medicare will pay for skilled nursing home |
| go back to their homes. The problem with this is | | | | care only for patients that are able to fully |
| that Medicare only pays up to 21 days of skilled | | | | recover from their injuries or illnesses. Then the |
| nursing care. Therefore, if a patient is not | | | | myth is that a person can always fall back on |
| recovered after the 21 days in the nursing home, | | | | Medicaid, but Medicaid is for the people who fall |
| then the funds come out of the patients estate, | | | | under the low income guidelines and have little or |
| provided they have one. Needless to say, it does | | | | no assets. |
| not take long to eat up one's estate at the | | | | If a person can afford long term care insurance, it |
| nursing home rates. | | | | is highly recommended that they purchase it |
| Insurance companies have just in the last decade | | | | when they are young, as the rates are |
| recognized this problem and now are offering | | | | substantially lower. |