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Katherine C. Pearson, Editor, and a Member of the Law Professor Blogs Network on LexBlog.com

Congressmen ask SSA to tell people Medicare does not cover long term care

August 10, 2007

More than three dozen House members on Aug. 2 sent a letter to the Social Security Administration asking the agency to clarify that Medicare does not cover long-term care, CQ HealthBeatreports. The bipartisan letter urges SSA Commissioner Michael Astrue toinclude in Social Security statements sent annually to 143 million U.S.residents the sentence: “Medicare generally does not pay for long-termcare.”

The statement currently says that Medicare providessome coverage for “nursing care,” which the lawmakers wrote “creates anunnecessary risk that individuals will assume Medicare covers anextended stay in a nursing home, when in fact it does not.” WhileMedicare covers care delivered in skilled nursing facilities forbeneficiaries who require longer-term medical treatment, it does notpay for custodial care, such as assistance with eating, bathing andother daily living activities. A December 2006 AARP survey found that 59% of adults ages 45 and older overestimated Medicare coverage for long-term care.

Via KFF Daily Health Policy Report

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