"...When you are over 65, a physician who accepts any Medicare patients is not allowed to accept payment from you if you are under Medicare. It’s a felony if he does. The only exception is if you’re covered by your employers’ policy.
Because hospitals charge high prices to uninsured people, but accept Medicare payments or insurance company payments for 20 cents on the dollar, if you aren’t under Medicaid, you can get ruined. Why does the government allow this dual pricing practice? Simple: the bureaucrats know that this forces everyone under Medicare/Medicaid at age 65..."
lewrockwell.com
medicarerights.org
thehealthcareblog.com
"Medicaid will pay the SLFs for services provided to Medicaid residents. SLFs must accept the Medicaid rate as payment in full for all services provided to Medicaid residents (except meals). Meals are included in the room and board amount paid by the resident. SLFs are not allowed to accept any additional payment, except as noted below.
Whether the Medicaid resident lives in a single occupancy unit or a double occupancy unit, the SLF will apply any extra income of the resident as follows: If the Medicaid resident has any income left after deduction of the $90 personal allowance and the room and board charges, the SLF must first apply that income towards medical expenses not covered by Medicaid. If there is still any income left after that, the remaining income is retained by the SLF to offset HFS’s payment.
If a Medicaid resident is working, the resident may keep $50 per month of employment income, in addition to the $90 personal allowance. Any additional monthly employment income must be turned over to the facility.
If a Medicaid resident receives food stamps, the SLF can require that the food stamps be turned over to the facility.
If a Medicaid resident is temporarily absent from the SLF for reasons such as vacations or hospitalizations, HFS will continue to pay the SLF for services. However, HFS will pay for no more than 30 days per State fiscal year (July 1 -June 30) during a Medicaid resident’s temporary absence from the SLF. If the absence extends beyond that time, the resident must pay for services. In the discretion of the SLF, they may allow a Medicaid resident additional days before the resident must pay for services. If so, those additional days should be stated in the contract. "
illinoisprobono.org |