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So much for enjoying my retirement!
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<blockquote data-quote="slsh" data-source="post: 563214" data-attributes="member: 8"><p>You might want to have them recheck Medicare benefits - I recently read an article that Medicare will now pay for PT if it is to *maintain* function, as opposed to limiting PT to regaining function. It made an impression on me because it's always burnt my toast that Boo can only get PT to regain function (which he obviously never will), but not to hold onto ROM he's got now. on the other hand, insurance co's will be more than happy to pay for surgery to "fix" contractures, etc. Always seemed bass ackwards to me - why not avoid surgery in the first place? Anyway, while he's not on Medicare, seems like insurance companies usually follow Medicare's lead, which is why the article clicked with- me in the first place.</p><p></p><p>I couldn't find the exact article, but did find this: <a href="http://www.medicareinteractive.org/page2.php?topic=counselor&page=script&slide_id=353" target="_blank">"In 2012, Medicare will cover up to $1,880 for physical and speech therapy combined, and another $1,880 for occupational therapy. If you are approaching the limit and need more therapy, your doctor can tell Medicare that its medically necessary for you to continue. Medicare is most likely to cover additional therapy if your case is medically complicated." </a></p><p></p><p>The article also talked about SNF and Part B funding, etc.</p></blockquote><p></p>
[QUOTE="slsh, post: 563214, member: 8"] You might want to have them recheck Medicare benefits - I recently read an article that Medicare will now pay for PT if it is to *maintain* function, as opposed to limiting PT to regaining function. It made an impression on me because it's always burnt my toast that Boo can only get PT to regain function (which he obviously never will), but not to hold onto ROM he's got now. on the other hand, insurance co's will be more than happy to pay for surgery to "fix" contractures, etc. Always seemed bass ackwards to me - why not avoid surgery in the first place? Anyway, while he's not on Medicare, seems like insurance companies usually follow Medicare's lead, which is why the article clicked with- me in the first place. I couldn't find the exact article, but did find this: [URL="http://www.medicareinteractive.org/page2.php?topic=counselor&page=script&slide_id=353"]"In 2012, Medicare will cover up to $1,880 for physical and speech therapy combined, and another $1,880 for occupational therapy. If you are approaching the limit and need more therapy, your doctor can tell Medicare that its medically necessary for you to continue. Medicare is most likely to cover additional therapy if your case is medically complicated." [/URL] The article also talked about SNF and Part B funding, etc. [/QUOTE]
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