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Medicare / Medicaid
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Medicare
Part
A, B, & D |
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Medicare Part A—
covers days 1-20 of skilled nursing home care in full. Days 21-100 will require a co-insurance payment which may be covered under nursing home Medicaid, a supplemental insurance policy, or may be paid privately.
Medicare Part B— covers therapy charges for residents in a skilled nursing facility. Part B pays at 80%, while a co-insurance payment of 20% is required either from a supplemental insurance policy, nursing home Medicaid, or may be paid privately.
Medicare Part D— assist Medicare recipients with drug coverage. A resident who is ineligible for nursing home Medicaid will be required to pay a monthly premium for Part D coverage along with co-pays for medications. Nursing home eligible residents are termed ‘dual eligible’ and are not required to pay premiums or co-pays. |
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Medicaid |
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Nursing home Medicaid requires both a financial and medical approval. Financial requirements are assessed by Hamilton County DHS on an individual basis, however, listed below are some of the minimum financial eligibility requirements.
1) Monthly income (SSA, VA, pension, etc.) must be less than $1869.
2) Resources (assets) (stocks, bonds, investments, life insurance policies, bank accounts, etc.) cannot
total more than $2000.
3) A home with or without property is considered an asset that can be liquidated and used to pay for
nursing home care if there is no intent to return home.
4) A three year look-back period will be conducted to identify sold/transferred assets that could be
considered a resource. |
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As a privately owned not-for-profit organization, we provide more on-campus services than any other long-term care facility of our type in the area. We provide services to each geriatric level, including independent living apartments, assisted living, long term care, skilled nursing care, Alzheimer's care, hospice, respiratory therapy, rehabilitation, and respite care.
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