What medical bills can be counted toward a spend down?
° Her medical bills.
° Any spouses's medical bills.
° Past unpaid medical bills (sometimes up to 6 years old) .
° The part of any medical bill not covered by Medicare or private insurance.
° Medical expenses (including insurance premiums) paid for you by certain public programs, for example, the Elderly Pharmaceutical Insurance Program (EPIC) and the Child Health Insurance Program (CHIP).
What types of medical expenses count toward spend down? Many types, including:
° Paid and unpaid medical bills from previous months.
° Transportation expenses to get medical services (sometimes).
° Medical expenses or payments to therapists, day treatment, drug and alcohol programs, nurses, personal care attendants, and home health aides (as required by a physician).
° Prescription drug bills
° Payments made toward surgical supplies, medical equipment, prosthetic devices, hearing aids, and eye glasses (as ordered by a physician).