Information and Resources
Understanding how to pay for skilled nursing care can feel overwhelming. We’re here to help you navigate the options and find the best solution for your family. Below is an overview of common payment sources for nursing home and rehabilitation care.
What is long-term care insurance?
Long-term care insurance (LTC or LTCI) helps cover the cost of long-term care in a skilled nursing facility, beyond a certain predetermined period. It is meant to pay for care not covered by other insurance, Medicaid, or Medicare.
What does Medicare cover?
Medicare Part A (Hospital Insurance) provides time-limited coverage for skilled nursing care in a Medicare-certified skilled nursing facility (SNF) when certain conditions are met.
Most long-term care isn’t medical but rather a range of support services for personal care. Medicare pays for skilled nursing care in an SNF up to 100 days per qualifying spell of illness.
We accept private health insurance, Medicaid, and Medicare.
Including Aetna, WellMed, America’s Choice Physician Network, Amerivantage, Wellpoint, BCBS, Cigna / Cigna Healthsprings, Humana, Molina, Tricare, Baylor Scott & White Superior and United Healthcare.
Contact us today to speak with our admissions staff for more information.
(972) 284-8600
Criteria for Medicare Part A Eligibility
- Patient must have Medicare Part A with days remaining in the benefit period.
- There must have been a three-consecutive-day or more inpatient hospital stay, and the patient must have entered the SNF soon after being released from the hospital.
- A physician has prescribed care that requires the skills of RNs, LPNs, or speech/language, occupational, or physical therapists.
- Skilled care is needed daily on an inpatient basis.
- The care is for the condition that was treated during the previously discussed three-day hospitalization, or began during care for another condition that received treatment during the qualifying 3-day stay.
Daily rate for skilled nursing must include room and board
- Three daily meals plus snacks
- Special diets if ordered by the doctor
- Assistance with activities of daily living (bathing, personal hygiene, dressing, etc.)
- Housekeeping daily
- Linens for bed and bath
- Administration of prescribed medications
- Round-the-clock supervision by licensed nurses and nurse assistants
- Feeding assistance
- Regular Weekly Activities
- Occupational and recreational programs
- Medication review
- Social services consultation
- Rooms that meet federal and state guidelines
- Planning and referral upon discharge
Daily Rate Does Not Include
- Physician Visits
- Dental Care
- Medication Cost
- Sundries
- Medical Supplies and Materials
- Supplies and Linens for Incontinence
- Doctor ordered therapies including physical occupational, & respiratory therapy
- Diagnostic Tests
- Specialized Care Procedures