http://www.nytimes.com/2003/10/14/national/14MEDI.html?ex=1066708800&en=d5d8759f9a4d09d2&ei=5062&partner=GOOGLEWASHINGTON, Oct. 13 — House and Senate negotiators working on Medicare legislation say they are seriously considering imposing a co-payment on home health care, one of the few Medicare benefits for which patients do not have to pay such charges.
Congress eliminated the co-payment in 1972 in an effort to encourage the use of home care as an alternative to nursing homes and hospitals, which are generally more expensive.
Just four days remain before a Friday deadline suggested by Republican leaders of Congress for completing work on the legislation, which would revamp Medicare and add prescription drug benefits, at an estimated cost of $400 billion over 10 years.
Several negotiators said on Monday that they were seriously considering a co-payment of $40 to $45 for each 60-day period in which a beneficiary receives home care. That is about 1.5 percent of the average cost of such care. For each 60 day period, Medicare typically pays $2,700 to $3,000.
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