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686-0515

There are four different ways to pay room board and care.

 

  • Medicare – Qualifying
    • Must have a 3 day or 72 hours stay in the hospital.
    • Must be admitted to the facility within 30 days of last hospital stay.
    • Medicare will pay up to 100 days.
      • Pays 100% - 1 – 20 days
        Pays 80% - 21 – 100 days

        Co-insurance or secondary insurance
        Pays 20% - 21 – 100 days

        If co-insurance or secondary insurance is not available, payment for the remaining 20% can be made by paying private pay at $124.00 per day for days 21 – 100 or applying for Medicaid Co-Pay.
  • Private Pay – Pay facility fees “out of pocket”.
  • Long Term Care Insurance – The Administrator will review your policy for coverage.
  • Medicaid - Must apply for when the resident is admitted. A notice is sent to the Medicaid office by the facility then the Medicaid Office will contact the family for an appointment.

    • Eligibility Requirements:

      Liquid assets must be less than $2,000.00 for an individual and $3,300.00 for couple that is in the facility. This includes the following: cash, checking accounts, saving accounts, annuities, stocks and bonds. A house, vehicle, burial assets are excluded from the liquid assets. Cash value life insurance policies that total less than $1500.00 are also excluded.

      Monthly Income must be less than the cost of the monthly fee to the facility.

    • Spousal Impoverishment:

      This program is design for couples when one spouse enters the facility and one remains in their home or community. (Not available for Medicaid Co-pay)

      Liquid assets totaling less than $104,400.00 plus a home, vehicle, $1,500.00 cash value life/burial insurance.

      Monthly income can not exceed the monthly facility rate of $3,373.21. The spouse at home can keep $2,610.00 of the monthly income.

    • Documents required to apply for Medicaid:
      1. Proof of Age:(one of the following) birth certificate, baptismal certificate, photocopy of the page from family Bible, U.S. Census report.
      2. Marriage License: if applicable
      3. V.A. Claim #: if applicable
      4. Proof of Income: award letters from Social Security, S.S.I., retirement/pension, Veterans Administration, Unemployment, alimony, Workers’ Compensation, money/loans from friends or relatives, interest of dividends, oil/gas/mineral leases, rentals, royalties, in-kind income, etc. (not bank statements).
      5. Bank Statements: on all accounts/institutions for the past 3 months which includes checking/savings accounts, Christmas club, stocks, bonds, CD’s, trust funds, credit unions, IRA/Keogh, safety deposit etc.
      6. Vehicles: Proof of ownership of any vehicles, statement from institution verifying pay-off (minus fiancé charges and interest) and value.
      7. Life and Health Insurance: copies of all life, burial, pre-need, and health insurance polices with name and address of each company.
      8. Burial Assets: Proof of all burial funds, burial plot ownership, burial insurance, headstones/markers, crypts, caskets, vaults, urns and mausoleums.
      9. Real Estate: Copies of titles/deeds to all real estate or houses in-state/out-of-state owned by applicant (if other than home property they will need value of property and names of all owners).
      10. Transfer Documents: on any resources (real estate, money, insurance, shares and etc.) given away, sold, or deeded in the last 60 months.

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