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My 84 yr old mother was in a rehab center for 2 months. The total medical expense for that plus one wk in hospital is $4500. Rehab center not willing to work out anything but $600/month. If mom skips the house pmt then that would be the only way. Have offered $100/mo but was rejected. Mom was denied for Medicaid - not sure why. I am at my wits end trying to avoid the lawsuit. Any advice?

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I'd be hardball in all this as they are being unreasonable. You have a bill, correct? Then send them a check for $ 50.00 from moms bank account. It has to be her bank account. Make a copy of the check and where you indicate $ 50 amount paid on the tear off part of the bill.

Mail that sucker. They will deposit the $ 50 check. Do this again next bill. You now have established repayment terms which they have accepted by cashing the checks.

Ok about her income bring too high for Medicaid issue. See if she can do a Miller Trust or QIT to qualify. Done all the time & totally legit. Usually done for those needing NH & Medicaid to pay. I don't know it works if they are still at home - but
the too high income should be able to be resolved by a Miller. It's not a DIY project, you need elder law to structure this. Good luck.
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Thank you Pam, you have been most helpful. I am beside myself with worry about this. Not trying to skip out on what is owed, just feel director is being very unreasonable about bill. Other facility she was at over 2 years ago allowed us to pay $50/month. This person knows mom is in frail health & that her finances are bad. I will send out a letter at once.
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Tell them to take the 10% or they will have to answer to a complaint to the Tennessee Attorney General for unfair debt collection practices. Be sure you turn them in to:
Tennessee Division of Consumer Affairs
500 James Robertson Pkwy., 5th Floor
Nashville, TN 37243-0600
Telephone: (615) 741-4737
Fax: (615) 532-4994
If Inside Tennessee: (800) 342-8385
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I have, she is in ill health, has dementia among other things. Her house payment is more than $600. $600 is what rehab center countered when I offered $100/month. Trying to pay other medical bills too but they have been more willing to work with us. Mom is not up to a move right now nor do we have the funds for deposits, etc. or costs to get house ready to sell. She is not living in the rehab center, only was there as transitional care after hospital stay. The bill owed is $2400. She lives in her home. A move is too costly right now both financially & to he health.
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Pst8367, there are ways to cut back on household expenses to save money to make payment. How much is her social security? Is $600 for rental or mortgage payment, or is the monthly cost more? How much for household expenses?

If your Mom still own her own house, it might be time to start downsizing. I know that easier said then done. With a home, there will be costs to update and repair that would cost as much as what is owed to rehab. Something to think about.
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Offer them 10% of her monthly income and not a penny more. If they want to sue, that's the most the court will give them.
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Mom does not fall under poverty guidelines based on social security received. All she has is the medicare advantage plan. There is no money left for a supplement plan - if sued, not sure what will happen.
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Find out why Medicaid was denied. This is critical!! Get details on all the bills submitted to Medicare or Insurance.
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She has Humana Medicare advantage and they approved, on a week to week basis. Her co-pay was $2400. I am going to contact an attorney to find out why the Medicaid denial. It was a hospital stay to rehab.
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What sort of insurance does your mom have? Medicare? Was hospital and transition to rehab covered by Medicare? Medicare will generally pay in full for 20 days of rehab; for the next 80 days, there is a copay.

Are you in contact with an Eldercare attorney about the Medicaid Denial?
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