Medicare Funding

Medicare Funding 2016-10-28T19:07:34+00:00

Medicare Funding for Community Living

Medicare Part A (Hospital Insurance)

Health care program for individuals over the age of 65 who are eligible to receive retirement benefits form Social Security of the Railroad Retirement Board or their spouses, or under the age of 65 who have received Social Security or Railroad Retirement Board disability benefits for 24 months, or have end-stage renal disease (permanent kidney failure requiring dialysis or a transplant). Part A covers inpatient and outpatient hospitalization, home healthcare, some nursing home and hospice care.

Medicare Part B (Medical Insurance)

Health care program for individuals over the age of 65 who are eligible to receive retirement benefits form Social Security of the Railroad Retirement Board or their spouses, or under the age of 65 who have received Social Security or Railroad Retirement Board disability benefits for 24 months, or have end-stage renal disease (permanent kidney failure requiring dialysis or a transplant).

Durable Medical Equipment (DME)

Medicare may cover DME items such as speech generating devices, scooters, wheelchairs, walkers, glucose monitors and more. For an overview of DME and other devices that “are” and “are not” covered visit Medicare.gov and search publications.

Definition:  Durable Medical Equipment is “equipment furnished by a supplier or a home health agency that:

1) Can withstand repeated use
2) Is primarily and customarily used to serve a medical purpose
3) Generally is not useful to an individual in the absence of an illness or injury
4) Is appropriate for use in the home.

Medicare and Speech Generating Devices (SGD)

Medicare covers SGDs as items of Durable Medical Equipment (DME).  To be eligible for an SGD, a Medicare recipient must satisfy these 4 requirements:
1) be enrolled in Medicare Part B (pay the enrollment premium)
2) live in his or her family home, an assisted living facility, or a group home, but not in a hospital, hospice or nursing facility
3) be determined, following an speech-language evaluation, to need an SGD to meet communication needs arising in daily activities
4) have a doctor’s prescription for the SGD and all related items.

For complete information on Medicare go to Medicare.gov

Resize Font