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Applying for Medicare & Medicaid can be a stressful process. A medicare attorney from Pennsylvania may be able to help you.

While having access to medical insurance such as Medicare or Medicaid can be helpful in many circumstances, there is often a lot of red tape involved in getting coverage for necessary procedures. Often, Medicare and Medicaid will refuse to pay for a service or deny a claim that has already been submitted. This can cause a tense relationship between a patient and their doctor – the doctor requires payment, and the patient believes their insurance should cover it.

The most commonly denied services by Medicare and Medicaid are often the most necessary, including but not limited to:

  • Physical therapy 

  • Rehabilitation

  • Nursing home care

  • Hospitalization

  • In home care

  • Treatments

  • Diagnostic testing

  • Hospice care

Who Qualifies for Medicare And Medicaid?

Persons over the age of 65 or with significant disabilities are eligible for Medicare. However, Medicare typically only pays 80% of any covered service, so the patient is left with 20% of each service that he or she must pay for. For patients with disabilities and other health issues, 20% of each bill can rack up quickly and cause families serious financial strain.

Can A Pennsylvania Medicare Attorney Help Me If I’m Denied?

Medicaid can cover the remaining portion of what Medicare does not cover, but most people are over the exceptionally low income limit that Medicaid requires. However, an experienced attorney can assist you with obtaining Medicaid without you having to become absolutely destitute to qualify.

At the Law Firm of Schrom & Shaffer, P.C., we have successfully fought against Medicare and Medicaid denials for our clients and can do the same for you. Schedule a free consultation today to discuss your case with a Pennsylvania attorney who works with Medicare and Medicaid cases – we are here for you. (215) 364-2483.