Does Medicare Pay for Dementia Problems of the Elderly?


Quick Answer

Medicare covers some ongoing medical costs associated with dementia, indicates the Alzheimer's Association. Health laws require the initial evaluation to be covered by Medicare as well, according to WebMD.

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Full Answer

Physician-prescribed outpatient services, including speech, occupational therapy and physical therapy, are covered by Medicare Part B, states Caring.com. The 2015 therapy cap limit is $1,940 for physical and speech-language therapy combined, according to Medicare.gov. Occupational therapy services are capped separately at $1,940 a year. Cap exceptions are considered if a therapist establishes and records a medically necessary need and that information is included on the Medicare claim.

A maximum of 100 days of nursing home care may be covered by Medicare, though long-term care in a nursing home is not covered, explains the Alzheimer's Association. In-home care may be covered by Medicare if the patient is near the end of his life.

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