In February 2022 my husband was admitted to a nursing facility from a hospital. During the first 11 weeks it was covered by original Medicare and a supplement plan but when that benefit ran out I then paid his bill every month as a private pay until he died at that facility
When he died I contacted social security and Medicare and this is the first Medicare statement that was sent to him at this address since a month after he died.
Today I received a letter
addressed to
My husband from Medicare for claims processed this year. At first I thought it was fraud but it was for being in that facility in 2022
Are they allowed to bill Medicare three years after he died even though it was a period when he was there. If Medicare pays it what are my obligations since his estate closed three years. When he first died I paid all his medical bills but isn’t there a time limit
When my husband was in the skilled nursing facility he was on Medicare until that benefit ran out and then I paid the entire bill every month until he died. Yesterday I received a statement from Medicare addressed to
him for claims they processed this year. At first I though it was fraudulent but they were for when he stayed there in 2022. Can they submit bills three years after he died..I am pretty sure they were paid at the time but I have no access to his Medicare records because his account was closed three years ago when I notified Medicare of his death. Isn’t there a time limit for them to be able to contact Medicare and the family.
I’m not doing anything until the facility tries to send me a bill for what Medicare won’t pay for a claim that they didn’t file three years ago. I wonder if Medicare realizes that the recent claim was for when he was there three years ago.
I suppose it is possible that Medicare rejected the initial submission by the provider and there was a lengthy appeal or resubmission process. If it is a bill for a service that you previously paid for, you should be entitled to reimbursement from the provider. If it was first submitted beyond the one year limit, Medicare should not have paid. You can call Medicare for a clarification, assuming someone is at the other end of the line.
@jimtoo - I have another question. For all practical purposes who is this addressed to. It has my husbands name on it but he died over three years ago. His estate was settled three years ago. If I tried to call Medicare they would probably refuse to talk to me because they will usually only talk to the person who has their name on the account and that person died three years ago.