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Heide, aged 72, has both Medicare A and B coverage without Medicaid or a Medigap policy. Heide is hospitalized for a cerebral vascular event (stroke) due to a deep vein thrombus of the leg with pulmonary embolus. She is in the hospital for 70 days during the acute phase for care. She is being seen by a nurse practitioner, neurologist, and pulmonary medicine. Her condition has improved somewhat and she is being transferred to the skilled nursing facility for rehabilitation. She stays in the facility for 30 days, but remains unable to care for herself at home. Heide is sent to a nursing home for custodial care where she lives for three months. Surprisingly, she experiences great improvement in functionality. Heide is released to return to her own home where she received physical therapy from a home health agency. She also has home care services provided for 4 hours a day, three times a week. This service aids in buying food, cooking, and light cleaning of the home. Heide has seven medications for maintenance care.
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