Pepper Hill Center for Rehabilitation and Healing

Pepper Hill Center for Rehabilitation and Healing

Insurance

PROVIDING YOU PEACE OF MIND

HEALTH INSURANCE PLANS ACCEPTED

Pepper Hill Center for Rehabilitation and Healing

WE ACCEPT HEALTH INSURANCE PLANS

MEDICARE

Medicare is a federal program that will pay for a short term rehab stay at a skilled nursing facility after an individual meets the Medicare qualifications. These include a minimum of a three night stay in a hospital and a need for skilled nursing care. During their rehab stay at the nursing facility they may receive therapy (physical/occupational/speech) at least 5 days a week as tolerated, as well as daily nursing services.

MEDICARE ADVANTAGE PLANS (HMO/PPO/FEE-FOR-SERVICE)

These health plans are run by Medicare-approved private insurance companies and take the place of traditional Medicare when a person has opted to switch. Each individual’s health plan has a different policy that can vary from traditional Medicare, especially when pertaining to a Skilled Nursing Facility. These policies must be verified by the Skilled Nursing Facility representative and may require pre-authorization at times.

MEDICAID

Medicaid is available to certain low-income residents who fit into an eligibility group that is recognized by federal and state law. Medicaid does not pay money to you; instead, it sends payments directly to your health care providers. Our federal government does have limitations on the amount of assets an individual can own and their amount of income they receive every month. The federal government has also made restrictions on the transferring of assets to qualify for Medicaid. The federal and state governments take all of this into consideration as well as other information they may request before someone may become eligible for Medicaid. Please visit the Medicaid link on our home page for more information regarding qualifications and eligibility.

LONG TERM CARE (LTC) POLICIES AND PRIVATE PAY

Long Term Care insurance policies are purchased by an individual or family usually years before they need long term care. Each Long Term Care policy is different so it is very important to keep information and paperwork on your policy to have a better understanding of what you or your loved one qualify for. Normally, a resident pays privately and then the policy reimburses the individual or family the amount their policy is in agreement to. A person may also reside in a skilled nursing facility and pay privately. Each facility’s rates are different so it is important to request this information when beginning your search for the next level of care.