Although the quality of patient care is primary for those choosing a nursing facility, we are aware that finances also present a major concern at time of placement. There are several financial options available to help with payment of nursing home care, the most common of which are discussed here.
Medicare is the payer source for many patients. To qualify for Medicare payment in a nursing facility you must have a 3 day minimum inpatient hospital stay and require daily skilled nursing or rehabilitative services at the time of hospital discharge. If care is reimbursed by Medicare, you pay nothing for the first 20 days of the benefit period. You pay a coinsurance per day for days 21-100. You pay all costs after day 100, for Medicare does not pay for long term or custodial care. Some people have a supplemental insurance that covers the 21-100 coinsurances as long as the patient is entitled to skilled care.
In many cases Medicaid provides payment for nursing home care for people with medical need and low income or financial resources. In other words, applicants must show financial as well as medical need to become a Medicaid recipient. At Glen Island there is a deputized Medicaid worker on premise to provide information and/or assist in the Medicaid application.
Individuals often have long term care or health insurance which covers the costs of stay. These policies differ depending on the company and the terms of the policy. Each must be evaluated prior to admission or time of placement to make certain reimbursement coverage is maximized for the patient. The Admissions personnel are knowledgeable regarding the various insurances and work closely to help throughout the process. When there is insurance as a source of payment and the patient has funds, he/she is billed privately.
For more information about the various options contact the Admissions Office at (914) 636-2800 or e-mail us anytime at email@example.com