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Do we need Doctors orders to have Medicare pay for these services?

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We are currently trying to figure this out. Evidently, day care services can be covered if medically necessary. The program has to be "specialized" and a full time nurse on staff. In our case day care is for those with Alzheimer's Disease, is specialized, has a full time nurse on staff, and doctor has said it is important for her health. Does that mean medically necessary? Who the heck knows, we are still in the midst of this.
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If you talk to the Day Care Program manager and give some details, they can determine if Medicare will pay. Usually there is a co-pay involved.
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