No one likes dealing with insurance issues. They are complex and difficult to understand. We can help here. All of our centers are licensed by the State of California and are approved for Medicare, Medi-Cal and most HMO providers. Many of our services are covered by various private insurance plans also. We’ll work closely with you to make sure you understand your benefits.

Medicare benefits are available to people over 65 years of age and in some cases to those under 65. To qualify the resident must have a Medicare card that reads “hospital insurance” and must have spent a minimum of three consecutive days (not counting the day you are discharged) in a hospital. The hospital stay must not have occurred more than 30 days prior to admission to our care center. A physician must certify that the individual needs skilled nursing care on a on-going basis and the need for skilled nursing care must be related to the reason for the hospitalization.

Medicare Part A – Coverage will pay for a semi-private room, meals, nursing services, rehabilitation services, medications, supplies and durable medical equipment for up to 100 days of skilled care. For the first 20 days in a nursing care center, Medicare covers 100 percent of skilled care. From day 21 through day 100, the resident must pay a daily co-insurance rate. For more information on skilled care, please refer to the CMS Website below (publication number cms-10153 “Medicare Coverage of Skilled Nursing Facility Care”).

Medicare Part B – Residents who are covered under Part B are responsible for an annual deductible plus 20 percent of the total charges for services such as therapy. The deductible also applies to medical supplies.

Medi-Cal

Medi-Cal is a California and federal program that will pay most nursing care costs for people with limited assets and income. We can help you determine if you are eligible.

For more information about these and other insurance programs, click on the links below:

Medicare Part A and Part B
Medi-Cal