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You kids will not be held responsible for the outstanding bill. However, since TX is a community property state (meaning all debts incurred by one spouse are the responsibility of the other spouse as well), your mother technically could be sued for this debt if the resthome actually chooses to sue.
I would recommend that your father and/or mother appeal the Medicaid decision, especially if the policy was disclosed on your father's original application for Medicaid.
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Thank you for the information but I have a couple of more questions. Why was he permitted to remain in the rest home if they did not know if Medicaid was going to pay. I thought that is what administrators are for. And if Medicaire didn't pay wouldn't his insurance company have to pay? Since the company was sold, how can the account be carried over ?
Happy to keep helping ou!
I cannot comment as to why they encouraged him to stay in the home when he did not have Medicaid. When did you find out that Medicaid had quit paying?
Does he have other full coverage insurance or just supplemental insurance?
With regard to the account being carried over, I am sure the new company assumed all assets and liabilities. So that is why the account carried over.
I assumed it was full coverage but I will have to find out for sure. If we have to pay will we be obligated to pay $200 a month like they say? If it was full coverage, shouldn't the insurance pay?
Why didn't they kick him out?
Yes, the secondary insurance policy should cover it.
I wouldn't pay them anything until you appeal Medicaid's decision.
Thank you LADYLAWYER. You were a lot of help.
But if Medicaid denies coverage and for some reason the insurance company will not pay, then your mom can work out a deal with them to pay monthly or she can let them sue her, if they will do so.
Again, I really do not know why they would not refuse service. If you were not informed of Medicaid's decision to quit paying (you sould have been sent a letter), then you have a good argument as to why your mom and dad should not be liable for the amount owed.