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As a caregiver, you'll need to plan for the long-term needs of your loved one, including how to pay for medical bills. Medicare and Medicaid can be important parts of his care.

What Is Medicare and What Does It Cover?

Medicare is a federal health insurance program that gives benefits to Americans 65 and older. It also covers some disabled people under 65.

It has four parts, and they each cover different aspects of your loved one's care.

Part A covers services and supplies that he needs to treat a disease or condition. That includes things like:

  • Hospital care
  • Skilled nursing facility care for a limited time. This includes things like getting an injection. It doesn't include help with daily tasks such as bathing and getting out of bed.
  • Home health services, such as a visiting nurse or a physical, occupational, or speech therapist
  • Blood transfusions at a hospital or skilled nursing facility
  • Medical supplies
  • Hospice care that keeps a sick person comfortable at the end of his life
  • Mental health treatment given in a hospital

Part B covers doctors' bills and things like:

  • Preventive services to keep a person healthy
  • Ambulance rides
  • Physical, speech, and occupational therapy
  • Medical supplies and equipment such as wheelchairs, hospital beds, oxygen, and walkers
  • Blood transfusions if you don't need to stay overnight in a hospital
  • Medical/surgical supplies and services for outpatients (you don't stay overnight in a hospital)
  • Mental health care when you don't need to stay overnight in a hospital

Part C is also known as Medicare Advantage. These are insurance plans you buy from private insurers that are approved by Medicare. If you get one, you're still in the Medicare program, but you'll get your Part A and Part B benefits from the Medicare Advantage Plan. 

Part D pays for part of your prescription drugs. Medicare works with insurers and other private companies to offer different plans. You will pay a monthly premium and part of the drug costs. 

Medicare Coverage of Skilled Nursing Care Homes

Medicare offers some coverage, for a limited time, if your loved one needs to enter a skilled nursing care home. But there are certain conditions he has to meet in order get it, such as:

  • He needs to have had a 3-day hospital stay before being admitted to the skilled nursing home. There are some exceptions though, so check the Medicare web site for details.
  • He must be admitted into the skilled nursing home within 30 days of leaving the hospital.
  • He needs to enter the skilled nursing home for treatment of the same condition that he was treated for in the hospital.
  • He must need daily skilled care.
  • The home must be Medicare-certified.
  • His doctor must write a care plan.

There is no evidence that NAMENDA XR® prevents or slows the underlying disease process in patients with Alzheimer's disease.

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Who should NOT take NAMENDA XR?

NAMENDA XR should not be taken by anyone who is allergic (hypersensitive) to memantine, the active substance in NAMENDA XR, or who has had a bad reaction to NAMENDA XR or any of its ingredients.

What should be discussed with the healthcare provider before taking NAMENDA XR?

Before starting NAMENDA XR, talk to the healthcare provider about all of the patient's past and present medical conditions, including:

  • Seizure disorders
  • Difficulty passing urine
  • Liver, kidney, or bladder problems

If the patient is taking other medications (including those without a prescription), ask the healthcare provider if NAMENDA XR is right for the patient.

  • Certain medications, changes in diet, or medical conditions may affect the amount of NAMENDA XR in the body and possibly increase side effects.

What are the possible side effects of NAMENDA XR?

The most common side effects associated with NAMENDA XR treatment are headache, diarrhea, and dizziness. This is not a complete list of side effects.

NAMENDA XR® (memantine hydrochloride) extended-release capsules are approved for the treatment of moderate to severe Alzheimer's disease. NAMENDA XR is available by prescription only.

Please see full Prescribing Information, including Patient Information.