Medicare - Like Many Insurances Medicare has eligibility requirements for coverage in a skilled nursing and rehabilitation facility.  Because of our extensive experience, we can help you secure your maximum Medicare Coverage.

We can answer your questions about Medicare Coverage:

To be able to access Medicare Part A coverage for skilled nursing facility stay you must meet the following criteria:

Hospital Stay for at least 3 consecutive overnights;

Be admitted to a Medicare Certified facility within 30 days of discharge from a hospital or other facility;

Require further care for the same condition treated in hospital.

In Addition, a doctor must certify that skilled care is required on a daily basis.  And you must not have exceeded the number of Medicare days you are entitled to (a total of 100 per benefit period).

Part A covers short term care, including: room and board, all meals, lab and x-rays, nursing care, oxygen, pharmacy, medical supplies and special equipment, physical, occupational, speech-language, and respiratory therapies.

How much and how long Medicare pays depends on whether you continue to meet the skilled criteria requirements.  Part A pays for 100 percent of all approved services during the first 20 days of your benefit period.  On day 21 through 100, you are responsible for a co-payment set each year by Medicare.

Medicare Part B Coverage is ancillary coverage.  You pay an annual deductible as well as a monthly premium.  Medicare will then pick up 80 percent of the cost of all covered supplies or services while you pay 20 percent.

Some Primary Services covered under Part B include:

Physical, Occupational, and Speech-Language Therapies

X-rays

Some  medical supplies and special equipment

Private Payment - Many residents may choose to use personal funds to pay for part or all of their long term care at a facility.  Rates are as follows:

Private Insurance Coverage - Some Private Health Insurance policies cover care in a skilled nursing and rehabilitation facility.  Normally, these policies pay a predetermined dollar amount per day toward the cost of care.

Medicaid - Medicaid is a joint federal/state program that pays for most medical care for persons who meet the strict eligibility requirements.  Again, because of our extensive experience, we can help you analyze your eligibility for Medicaid coverage

A more detailed list of covered services can be obtained from our Admissions Office, so please feel free to contact us in person or by phone for more details.