Financial / Rates
We understand that entering a rehabilitation or skilled nursing facility can be a difficult and stressful time. It can also come about suddenly and often times present difficulty in understanding what medicare and other insurances cover. Knowing the financial obligations this type of care entails is important and understanding what the resident is entitled to under their individual insurance policy(ies) can help alleviate some of this stress.
Our Business Office and Admission staff will work closely with your insurance company or payers so that the resident fully understands how the financial aspect of their stay with us will be covered. We accept both Medicare Part A and B and have contracts with numerous managed care organizations. We will also help to determine what any secondary insurances will cover and what those policy benefit/restrictions might entail.
Medicare will cover skilled care only if all of the following are true:
- You have Medicare Part A* (Hospital Insurance) and have days left in your benefit period.
- You have a qualifying hospital stay. This means an inpatient hospital stay of 3 consecutive days or more. You must enter the SNF within a short period of time of leaving the hospital.
- Your doctor has ordered the services you need for SNF care, which require the skills of professional personnel such as registered nurses, licensed practical nurses, physical therapists, occupational therapists, speech-language pathologists, etc.
- You require the skilled care on a daily basis and the services must be ones that can only be provided in a SNF on an inpatient basis.
- You need these skilled services for a medical condition that:
– was treated during a qualifying 3-day hospital stay, or
– started while you were getting SNF care for a medical condition that was treated during a qualifying 3-day hospital stay.
Daily rate for skilled nursing care include room and board:
- Three meals per day served in main dining or rehabilitative dining areas
- Tray service, plus snacks
- Special diets upon physician order
- Daily assistance with activities of daily living (ADLs), i.e., dressing, bathing, ambulation, personal hygiene and needs
- Daily housekeeping service
- Bed and bathroom linens (less incontinent care linens)
- Administration of medications as prescribed by either attending/alternate physician
- 24-hour supervision by licensed nursing personnel (R.N. or L.P.N.) and Certified Nursing Assistants
- Assistance with feeding
- Planned activities
- Recreational and occupational programs
- Drug regimen review
- Social services consultation
- Discharge planning and referral service
- Rooms furnished in accordance with state and federal regulatory agencies