attorney who specializes in medicare issues

What to do if you are denied Medicare?

If you have been denied such coverage, the best thing to do is to consult with a lawyer who specializes in Medicare and Medicaid law. Simply accepting a denial on a claim may not be a smart course of action. Many times, you do have legal recourse.

What happens if you are accused of fraud?

Otherwise, you put your rights at incredible risk and can end up facing a huge array of penalties and legal repercussions.

Do you have rights with Medicare?

It is important to keep in mind that when problems arise concerning Medicare and Medicaid, you do have rights. Familiarizing yourself with a few basic facts is a good way to begin:

Is Medicare and Medicaid confusing?

Medicare And Medicaid. The Medicare and Medicaid system in the United States can be tremendously confusing. When you are denied Medicaid benefits or otherwise have problems with a social welfare program, it can feel like you are all alone.

What is Medicare for seniors?

Medicare is the federal health insurance program for people who are age 65 or older. Almost all seniors are enrolled in Medicare, which pays for outpatient visits, hospital stays, prescription drugs, and much more. There are four different parts of Medicare, and each part covers a different aspect of health care.

What is Medicare Part C?

Medicare Part C is the least-used type of Medicare coverage. It is a type of health plan offered by a private company that contracts with Medicare to provide Part A and Part B benefits. If you have Medicare Part C, often called a Medicare Advantage Plan, most Medicare services are covered through the plan instead of Medicare Parts A and B. ...

How long do you have to enroll in Medicare?

Once you are eligible, you have seven months to enroll in Medicare (called the “Enrollment Period”) before you have to pay a late enrollment fee. Because most people pay into Medicare when they work, they won’t have to pay a premium for Medicare Part A. – even if they have health insurance through their employer.

Can an attorney help with Medicare?

An attorney can help defend you against these claims and reach an ideal conclusion for your circumstances. If you would like to learn more about Medicare or if you need the assistance of an attorney to help you navigate the Medicare process, contact Alperin Law today to schedule your consultation.

Does Medicare cover nursing home care?

Medicare Part A covers inpatient hospital stays (including emergency room visits), care in a skilled nursing facility, hospice care, and some home health care. However, Part A will not cover care in a skilled nursing facility for a long-term resident. If you or a loved one needs long-term care in a nursing home or assisted living facility, ...

What is the role of a Medicaid attorney?

On the other hand, Medicaid attorneys often focus more on the legal aspects of Medicaid planning, such as creating Medicaid asset protection trusts or Qualified income trusts, which makes them the better option for this type of assistance.

What do elder law attorneys do?

What Elder Law Attorneys Do? Elder law attorneys, also called elder care attorneys, estate and trust attorneys, or Medicaid lawyers, assist persons in preparing for long-term care and death. They assist seniors in a large and diverse array of legal tasks, which encompasses retirement planning, estate planning, creating wills and durable power ...

What is Medicaid asset protection trust?

One such strategy that elder law attorneys can implement is a Medicaid asset protection trust (MAPT). This type of trust not only prevents one from becoming ineligible for Medicaid due to gifting assets ...

What is a Miller Trust?

An option to meet the income limit in this case is a Miller Trust, often referred to as a Qualified Income Trust (QIT). In oversimplified language, income that is over Medicaid’s income limit is put into an irrevocable (meaning it cannot be changed or cancelled) trust to be used for very specific purposes.

What is a medicaid planner?

For persons who have Medicaid cases that are fairly simple and straightforward, a Medicaid planner, also called a Medicaid specialist or a Medicaid Advisor, might be a good option. Working with a professional Medicaid planner can be a lot more cost efficient than working with a Medicaid attorney.

How does Medicaid annuity work?

This strategy reduces one’s countable assets, while at the same time , protecting some of them for family. Essentially, Medicaid applicants gift approximately half of their “excess” assets (assets over Medicaid’s limit) to their loved ones and then purchase an annuity with the remaining “excess” assets. (An annuity turns countable assets ...

How long does it take for Medicaid to pay for long term care?

Medicaid attorneys and specialists also assist with crisis planning, which occurs when a senior needs Medicaid benefits within 30-60 days.

What is the difference between a Medicaid specialist and an elder law attorney?

The biggest difference between a Medicaid specialist and an elder law attorney is that Medicaid specialists are not lawyers. Likewise, elder law attorneys cannot call themselves “Medicaid specialists,” as this is not a designated law specialization.

What is a medicaid specialist?

A Medicaid specialist is a person or niche firm that specializes in establishing Medicaid eligibility, facilitating the application process, and even completing the actual application on behalf of the Medicaid recipient.

What is elder law?

Elder law attorneys are experts in Medicaid and related issues, but their expertise extends to all broader issues related to elder care, aging, and the law – a wide-reaching, often complicated milieu of interrelated topics . An elder law attorney can do everything a Medicaid specialist does, and additionally offers legal services related to aging, ...

Medicaid

Funded by federal and state governments, Medicaid helps low-income patients pay for a variety of inpatient and outpatient medical, dental, behavioral health care services, and medical equipment and supplies.#N#Medicaid is a complex system or rules and regulations and sometimes Medicaid representatives can improperly deny services, equipment, or supplies to its member patients resulting in harm to the patient..

Should I Hire a Medicaid Attorney?

If you have been denied services, equipment, or supplies you believe were necessary and allowed by Medicaid, your best recourse is to hire an attorney who is well-versed in Medicaid rules and regulations, insurance law, and has experience suing Medicaid with good results.#N#State Medicaid laws can differ, so you will need at attorney who knows the Medicaid program or Medicaid fraud laws in your state..

What Does a Medicaid Attorney Do?

The first step is to determine if you have a viable case.