Our business office staff understands the payment options available to you and can find answers to your financial questions. The most appropriate method of payment will vary depending on your individual circumstances, but below is a brief overview of payment options which include, but may not be limited to:
Medicare may help pay for your short-term rehab stay at Evergreen Health & Rehab. A Medicare benefit period for skilled nursing and therapy is 100 days, but you must meet certain Medicare requirements.
What does Medicare pay for?
Medicare pays 100% of covered charges for the first 20 days of a benefit period, but will only continue to pay past Day 20 if you continue to require skilled care. If you remain “skilled” for Days 21-100, Medicare pays all covered charges minus a daily co-payment.
Days 1-20: Medicare pays 100% of covered charges
Days 21-100: Medicare pays all covered charges except co-payment
After day 101: Medicare benefit period ends
How much is the daily Medicare co-payment?
Medicare requires a co-payment of $144.50 per day (2012 rates) beginning on Day 21.
How do I get Medicare?
To receive Medicare benefits, you must be 65 years of age or older, disabled for 24 months, or have End Stage Renal Disease (ESRD).
How do I qualify for a Medicare benefit period?
To be eligible, you must
- Have a minimum in-patient hospital stay of at least 4 consecutive days
- Require skilled nursing care 7 days a week or therapy services 5 days a week
- Have a physician’s order for admission certifying that you need skilled care
- Be admitted to a Medicare-certified bed within 30 days of discharge from the hospital or a Medicare-certified bed in a skilled nursing/rehab facility
- Have days available in the benefit period
What does Medicare pay for?
- Room and board
- Skilled nursing care and supplies
- Lab and X-ray
- Respiratory therapy
What am I responsible for?
- Non-covered charges for the first 20 days
- Daily co-payment and non-covered charges starting on Day 21
We’ll be happy to help you evaluate your eligibility for Medicare coverage. To schedule a free evaluation, or for more information, please call us.
Health insurance policies are available that pay for care in skilled nursing and rehabilitation centers. Some policies pay what Medicare doesn’t cover, while other policies pay a pre-determined dollar figure per day toward the cost of care. Still others pay the full daily rate plus the cost of supplies and medications for a maximum number of days or dollar amount. If possible, we will bill your insurance company directly.
Some individuals choose to use personal funds to pay for part or all of their nursing care or therapy services. Schedule an appointment with our Business Office to discuss daily rates, as well as covered and non-covered services.
Medicaid (or Medical Assistance)
Medicaid is a joint federal/state program that pays for most medical care for people who meet strict eligibility requirements. To qualify, typically you must have a medical need for round-the-clock nursing care or for rehabilitation services and be unable to pay your medical bills. Our Business Office will help you determine your eligibility for Medicaid coverage.