Haven't received bill for private room charge. When should I expect it?

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My mom has been in a nursing home since the end of May. Medicare and Medicaid pay for what her social security doesn't. She is in a private room and when she moved in I agreed that we would pay out of pocket the additional cost for her private room. We have not been billed for her private room once yet. My concern with this is, will we receive a huge bill for it sometime in the future? The nursing home billing employee already discussed it with me and she said she would write up a bill, but I never received it. Is there a certain time they have to send the bill for us to have to pay them? Such as can they bill a year or so later for something that is going on now? I feel like I make no sense and I am having a hard time explaining my question. I'm burnt out at the moment!

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freqflyer: You're correct on the 20 day Medicare protocol.
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The days of estates are definitely gone for the middle class, FF. Increase in the length of life and cost of end-of-life care evaporates them completely. I hope that my mother has enough to carry her through without having to apply for Medicaid. We never know.

That's actually kind of glum for FT family caregivers, y'know. Say that a person quits their job and loses all the salary and retirement benefits. Then there is no estate, either. Family caregivers really do have to be careful to make sure their own needs are met when caregiving. Otherwise there will be nothing left for them at the end when it comes to resources.
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After 20 days, Medicare stops paying, and it becomes self-pay. I will check with Hospice as I would think some items would be paid even if one is in a facility.

In a way I wonder how fair this is. My parents saved big time and were frugal their whole lives, they did without, and now Dad is writing checks left and right for long-term-care for Mom. If they had shopped until they dropped and didn't save for rainy days, then Medicaid would pay for everything. It's like being rewarded for not saving. Don't get me wrong, I am glad Medicaid is there for those who really need it.

Makes me wonder why I am saving for my old age? Is it going to get me much better care? No, as those residents on Medicaid are getting the same care as my Mom on self-pay. In a fancier place? Maybe for a short time until the money runs out, and at $132,000 a year [$11k per month] it will disappear quickly.
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If you're concerned about them billing all at once on down the road, set back the payment each month in savings. Then if they do that, you'll have the money ready to pay. I would ask if anything is owed, though. They might be sending the bill to the wrong address.
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Nice to know you never have to buy another pack of depends or boost unless of course we need them....oh please not yet!
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FF when you are on medicaid everything is paid except hair salon and private room if she is in one. EVERYTHING else is paid for so no worries there.
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Not sure about the rest but oxygen should be paid by Medicare and supplimental. Mom's balance was $20 a month. Air mattress should be covered too.
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EBeach, go again the nursing home's business office and ask if there are any charges.

My Mom is in a nursing home, she started the middle of September and I received a bill last week. My Mom was in under Medicare for the 20 days, then she became self-pay right after that.

Maybe it is different when one has Medicaid. I wonder if Medicaid pays for everything, where my Mom has to pay for general costs not included in the daily room rate such as laundry, air mattress, oxygen, wheelchair, Boost, depends, etc.
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Thanks for everyone's responses. I'm just wondering if they can send a bill in like two years from now and I'd still be required to pay it. We are moving, my mom included, next spring. I'd love it taken care of before then but if we don't receive a bill, how late can they charge us for the room?
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Possibly they have missed sending you the bill..
Or it got lost in the mail. You have the choice to call them or wait for the bill to arrive.
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