Institutional Benefits – Institutional benefits include a living environment that should meet the functional medical, social, personal, and housing needs of patients with physical, mental, or developmental disabilities. Long term institutional services are Institutional Benefits that are residential type facilities that handle the total care of admitted patients.
Did you know that one in 5 Americans—56 million people—report having a disability that limits the routine activities of their daily living?. Among this population, about 10.3 million people require long-term care, including a variety of medical and social services to help meet health or personal needs. Most long-term care assists people with basic tasks, such as eating or bathing, or activities necessary for independence, such as preparing meals or managing money. And most people who need long-term care services and supports

Psychiatric Institutional Benefits

Psychiatric In-patient Institutional Benefits may be provided for people with intellectual disabilities who are under age 21 or over age 65.

If you are Medicare age, it pays for you to apply for Institutional Benefits based on need. It may be necessary for you to apply for Medicaid benefits short term until Medicare can be approved for your Institutional Benefits.

Medicare may cover medical treatment needs you may need beyond your nursing care. In other words, Medicaid will pay portions for treatment, and Medicare pays for different amounts.

Medicaid Payments for Industrial Benefits, Counseling Services

In general, eligible individuals can receive Medicaid reimbursements for psychological counseling provided as part of physician services, hospital services, or treatment by a licensed practitioner. Medicaid also pays for the cost of prescribed medications.

General Medicaid Institutional Benefits

All states have a Medicaid program for Institutional Benefits under Medicaid. This program may approve general health coverage and other services. These Institutional Benefits can cover room and board nursing care and therapy services Medicaid will look at your medical needs, functional eligibility, look at assets, etc.

Medicaid pays the most significant share of total U.S. long-term care Industrial Benefits and almost double the share paid by Medicare and more than three times paid by private insurance.

Medicaid beneficiaries who receive long-term care services accounted for 42 percent of total Medicaid spending in Facility benefits

Additional Benefits

Nursing home care, subacute care, and housing services can all be institutional type benefits. Some benefits are intended for patients that need constant care and assistance with day-to-day activities.

In certified Medicaid nursing homes – rehabilitation, skilled nursing, disability, or illness, and long-term care for mental or physical conditions are just some of the Medicaid benefits. Some professional nursing benefits are covered for up to 100 days per benefit period.

In Summary,

It pays for you to check out what benefits you or a spouse or loved one may be eligible for under Medicare, Medicaid, and health care insurance. Always call your insurance to inquire about the Institutional Benefits available to you under your plan.

Some health insurance really won’t pay a great deal on industrial type benefits. You really may have to apply for Medicaid first, then Medicare, but call them both to ask what steps are necessary to qualify for these benefits.

Many great agents can help with new policies, changing policies, adding unique benefits, supplemental plans, Medicare, and Medicaid plans. Medicare has an open enrollment plan, which may have just ended. Call an insurance agent today to see what types of procedures or policies can benefit you and your family the most and which ones will save you the most money!

You can also meet with your H.R. person at work and get information and questions answered on policies. Don’t be afraid to ask what each policy covers in detail, whether through your work or an insurance agent.

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