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Medicare and Medicaid
Information
URGENT: Medicaid Funding in State Biennial Budget
The Skilled Nursing Care Coalition is asking employees, families
and friends to urge the senate and help increase Medicaid
funding in the Ohio State biennial budget. Go to
www.caringforohio.org
in
the “What You Can Do Now” section to access call buttons.
Interested parties may also call 877/917-CARE toll-free to
become involved and initiate a call. For additional information
please contact
Steve Mould, (614) 540-1325 or
Pete Van Runkle, (614) 540-1329.
Helpful Website Information
Kaiser
Family Foundation
Publishes "Talking With Your Parents About Medicare and
Health Coverage," "Medicare Chart Book," and other
information and research through "The Medicare Policy
Project."
Headquarters:
2400 Sand Hill Road
Menlo Park, CA 94025
phone: (650) 854-9400
fax: (650) 854-4800
(800) 656 - 4533
Washington, D.C. Office:
1450 G Street, NW, Suite 250
Washington, DC 20005
phone: (202) 347-5270
fax: (202) 347-5274
Center For Medicare Education
A project of the American Association of Homes and Services
for the Aging with funding from the Robert Wood Johnson
Foundation.
2519
Connecticut Ave. NW
Washington, DC 20008-1520
Telephone: 202-508-1210
Fax: 202-783-4266
Careplanner
This web site, sponsored by the Centers for Medicare and
Medicaid Services, offers a decision support tool which can
be used by seniors, caregivers, family, friends, and
professionals.
National Family Caregiver Support Program
This web site, offered by the U.S. Administration on Aging,
offers information on the implementation of the National
Family Caregiver Support Program, including a resource
guide, issue briefs and resources for caregivers.
Email to AoA
(estimated response time: no more than 3 business days)
Administration on Aging
330 Independence Avenue, SW
Washington, DC 20201
Eldercare
Locator
(800) 677-1116
(to find services for an older person in his or her
locality)
AoA's
National Aging Information Center
(202) 619-7501
(for technical information and public inquiries)
Office of
the Assistant Secretary for Aging
(202) 401-4541
(Congressional and Media Inquiries)
FAX: (202) 260-1012
HHS
Employee Locator (off site)
Federal Relay Services
1-800-877-8339
(toll free relay service to call AoA and other federal
agencies from TTY devices - useful for for persons with
hearing impairments)
Basic Medicare and Medicaid Information
Federal law requires us to give you the following descriptions of the Medicare and Medicaid Programs and information about how to apply for coverage. Please note that these descriptions are general and do not include all the details about the programs. For more information, please contact our Social Services Office or the agencies listed below:
Medicaid - State Assistance Program for Needy Individuals
Eligibility:
-
Aged - 65 years of age or older
-
Blind - poor eyesight hampers ability to earn living
-
Disabled - disability hampers ability to earn living
-
No more than $1500 total assets - savings, checking, cash,
car, life insurance, etc.
To apply, file an application with the county human services department:
Franklin County Department of Human Services
80 East Fulton Street
Columbus, Ohio 43215
Contact:
Carole Brown
(614) 462-4122
Requirements:
Please contact:
Passport Services of Franklin County
Preadmission Review Desk
(614) 645-7250
Length of Coverage:
Unlimited length of stay in nursing facility, provided the person does not exceed the $1500 resource maximum.
Payment to Facility:
The individual keeps a $40 monthly allowance. The remainder of the monthly resources, including social security, pensions, private retirement, annuities, etc., is turned over to facility as partial payment for the bill. Medicaid pays the rest of the total cost, including medication, doctor services, laboratory charges, etc. Medicaid does not cover certain items such as beauty shop services and special foods or personal care items not ordinarily furnished by the facility. These items can be purchased with the monthly allowance.
Caution!
We recommend the family contact our Social Services office approximately one month before the resident's funds are reduced to $1500 so that the application for Medicaid can be made.
Medicare - Federal Health Insurance Program
for Elderly and Disabled Individuals
Eligibility:
To apply, visit the local Social Security Administration Office at least three months before your 65th birthday. Bring your birth certificate or other proof of age. If you cannot visit in person, call the office to apply through mail. The Social Security Administration is located at:
Social Security Administration
90 East Wilson Bridge Road
Worthington, Ohio 43085
(800) 772-1213
Requirements:
At least 3-day hospital stay within 30 days before admission.
Skilled care on a 24 hour basis (Medicare has a very strict definition of "skilled care" - not all nursing home care meets Medicare's definition).
Length of Coverage: 1-100 days within a benefit period. Actual amount depends on how long skilled care is required. A new benefit period begins if the individual had not required skilled care for at least 60 consecutive days and then is rehospitalized and needs a different type of skilled care.
Payment to Facility: 1-20 days paid totally by Medicare. For 21-100, the individual or his/her insurance company must pay a co-insurance
amount. The current co-insurance amount is $96.00 per day. It increases each year. Payment covers semi-private room, meals, nursing care, rehabilitation, drugs, and medical supplies and use of equipment. It does not cover personal convenience items, private room, custodial care, etc.
Two Parts of
Medicare:
-
"Part A"
- covers basic costs in a hospital or skilled nursing
facility
-
"Part B"
- covers ancillary charges such as X-rays, laboratory tests, medical equipment, and therapies when a person's stay in the nursing facility is not covered by Part A.
Caution!
Medicare is becoming more strict about what is and is not covered. Very few people receive the full 100 days of coverage.
Request for
Reciprocity Links
If you have an
organization that would like to be considered to be included
here for a Reciprocity Link:
Send
Email to:
Webmaster
Subject: Reciprocity Link Request
We give high priority to
agencies and organizations that provide services to the
Deaf, Deaf / Blind, elderly, and hard of hearing. Please
provide the basic information such as:
Once the link is established
please inform us of any URL changes and provide a link to
our site on a similar page.
We reserve the
right to refuse any information or reciprocity link and to
remove such information without notice. We are not
responsible for maintaining the quality of links or the
content within.
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