It is the largest payment source for nursing home care. Also, as with other government programs, there is no guarantee that the benefits and requirements of Medicaid will not change in the future. Finding alternatives to nursing home confinement. Dying before nursing home is required. Unpleasant as it is to think about, this possibility must be considered as an option.
Death definitely precludes any necessity for further insurance.
It already has been noted that Medicare does not pay for custodial care at all, and that the conditions for paying skilled care are extremely restrictive. The nursing home care must be similar to intensive care in a hospital before Medicare will pay. Moreover, the care must be obtained in a Medicare-approved skilled nursing facility. Even when such a facility participates in Medicare, not all its beds may be participating. Patients must be in a participating bed before Medicare will pay the bill.