Paying for Care Let us help you. Dealing with insurance companies can be confusing, complex, and time consuming. Let us do the work for you.

Typically there are three options to pay for care:

  • Insurance.
    Most insurance plans are accepted, including Medicare.
  • Out of pocket.
    Also known as "private pay."
  • Military.
    If you're retired from the military, you may be able to tap into special benefits.
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What is covered by the Original Medicare Plan?

For Days…

Medicare Pays for Covered Services:

You Pay for Covered Services:

1-20

Full cost

Nothing

21-100

All but a daily co-payment*

All but a daily co-payment*

Beyond 100

Nothing

Full cost

*The co-payment (your share) is $164.50 per day beginning January 1, 2017. It can change each year. If you have a Medigap (Medicare Supplemental Insurance) policy or are in a Medicare Advantage Plan, your costs may be different or you may have additional coverage.  

When and how long does Medicare cover care in a skilled nursing facility?  You can receive up to 100 days of skilled nursing coverage in a benefit period if you continue to meet Medicare’s requirements.  There is no limit to the number of benefits periods you can have, but when your benefit period ends, you must have a period of 60 day wellness. 

What is a 60 day wellness  period?  A 60 day wellness period is 60 days in a row which you have not been in a skilled nursing center or hospital, or if you remain in a skilled nursing center, you must have a period of 60 days in a row during which you haven’t received any skilled care. 

Still have questions? Contact us and we’d be happy to assist you.