Private Pay – Rates are determined by a standardized assessment of the Resident’s strengths and weakness, therefore based on the amount of care required by the resident. Specific arrangements can be made with the resident or responsible party concerning the cost of care. Rates are subject to change whenever necessary due to economic reasons or change in level of care required by the resident. Complete details are contained in the Admission Agreement.
Medicare – Our center is a participant in the Medicare program. The Medicare Part A health insurance program pays for skilled nursing care for up to 100 days per spell of illness if certain criteria are met. The criteria for coverage includes having Medicare insurance, having a three-day acute care hospital stay in the last 30 days and the need for daily skilled nursing services and / or therapy services. At the time of admission each resident is screened for Medicare eligibility and readmission as to whether Medicare will cover the resident’s stay. If the resident meets the criteria for Medicare A coverage, Medicare pays 100% for the first 20 days. For the next 80 days Medicare pays all but a coinsurance daily rate; the coinsurance is the resident’s responsibility. If the resident has a Supplementary Insurance Policy, we will bill the insurance company. We however are not a party to the resident’s supplemental health insurance contract, so ultimately the co-insurance is the resident’s responsibility. Please be aware that some and perhaps all of the services provided may be non-covered services under the resident’s particular insurance policy.
Medical Assistance (Medicaid) – Medicaid is a statewide program and is available to individuals with limited income and resources who fit into an eligibility group that is recognized by federal and state laws. Medicaid does not pay money to you; instead it sends payment directly to your health care providers. You may also be asked to pay a share cost toward your monthly statement. To apply for Medicaid, contact www.ACCESSNebraska.ne.gov or call #1 -800-383-4278.