RandyK72
Expert
- 23
I took her word for it, why would she or I lie? I'm obviously not trying to impress any of you, just want to know what you think of this?
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And you might want to open up the RED White and Blue Book for 2008 and read whats on the bottom of page 13.If she was put into SNC for rehabilitative purposes, she would have paid zero, nada, nicht. If it was custodial in nature (ie. she couldn't get to the bathroom without help) then it would not be covered by Medicare, therefore her supp would not pay.
AND NETIHER WOULD ANY MA PLAN ON THE FACE OF THE EARTH!
You honestly need to learn about how Medicare works before you decide what is best for your clients. You might want to take the MSAA designation course - not for the initials, but for the knowledge.
Rick
Funny how most of the MA plans have a summary of benefits and on the SNF benefit it states " No prior hospital stay is required"If she was put into SNC for rehabilitative purposes, she would have paid zero, nada, nicht. If it was custodial in nature (ie. she couldn't get to the bathroom without help) then it would not be covered by Medicare, therefore her supp would not pay.
AND NETIHER WOULD ANY MA PLAN ON THE FACE OF THE EARTH!
You honestly need to learn about how Medicare works before you decide what is best for your clients. You might want to take the MSAA designation course - not for the initials, but for the knowledge.
Rick
You've been doing this long enough to know how Medicare and a Medicare supplement work.
Do you really believe that Medicare didn't pay?
Look at your summary of benefits information. Specifically Skilled Nursing Care.
It says Medicare pays for the first 20 days. Can you give me a reason you believe him when he said Medicare didn't pay? The most she could have had to pay was the deductible for 8 days. That sure ain't $28,000.
He didn't say that she checked herself in to a SNC facility, he said she "was put into SNC". Only a doctor can "put" her into SNC. If that is the case why wouldn't Medicare have paid?
He needs to learn how Medicare works before he starts quoting information like that.
I apologize. It did not register that it was only 1 night in the hospital. Now I understand why Medicare did not pay.Funny how most of the MA plans have a summary of benefits and on the SNF benefit it states " No prior hospital stay is required"
I took her word for it, why would she or I lie? I'm obviously not trying to impress any of you, just want to know what you think of this?
WRONG!
We are smarter than CMS. To avoid dealing with CMS and all their nonsense, simply state:
Hello, this is Bob Levine. I specialize in Medicare coverage, and it has come to my attention that you will be turning 65 in May. I've received a card, either completed by you personally, or by someone you know, stating that you'd like to recieve information about your Medicare options.
I have a copy of the 2008 Medicare and You booklet you will be receiving. It details what your options are for coverage, be it Medicare Supplements, Medicare Advantage Plans, or Medicare Savings Accounts.
It can get confusing. If you'll allow me to stop by, with a copy of this booklet, the two of us can go through it, and we can determine which option would be best for you. If you haven't received your copy of the booklet by the time we meet, we can call Medicare, and get yours ordered then. Fair enough?
At no time did I mention plan design, company name, or benefits. And, the only marketing material we will be using is approved by CMS. It says so on the back of the book.
Bottom line and Everyone would agree....
MA kicks Butt over a supp any day of the week...
muahahahahaha