KBenefits Insurance Services
Original Medicare & Skilled Nursing

Original Medicare & Skilled Nursing Care

A skilled nursing facility is ideal for short-term support, while nursing homes offer long-term residential care.

 

Memory care is considered a form of skilled nursing. The goal of skilled nursing services is to rehabilitate the patient's specific needs. Memory care is specifically designed to help patients suffering from Alzheimer's or Dementia.  A personal care provider can also administer this type of care.  “Medicaid consumer-directed care program”

 

Original Medicare:   Medicare Part A covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home healthcareMedicare Supplement Plan G covers the 1st 100 days at 100%.

Medicare Part A pays 100% for 20 days and approximately 80% for 80 more days.

Most Medicare supplemental policies (Medigap) will cover the remaining approximately 20%.
Seniors can therefore receive up to 100 days of nursing home care with little out-of-pocket cost.
After 101 days, Medicare no longer provides a benefit. This is where a long-term care plan would help pay for the expenses.  Medicare-covered services in a skilled nursing facility can include:

  • A semi-private room (a room you share with other patients)
  • Meals
  • Skilled nursing care
  • Physical therapy
  • Occupational therapy
  • Speech-language pathology services
  • Medical social services
  • Medications
  • Medical supplies and equipment used in the facility
  • Ambulance transportation to the nearest supplier of needed services that aren’t available at the SNF
  • Dietary counseling

 

 

 

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Christopher S. Kudryk
Insurance Specialist
chris@kbenefits.com
732-333-1976

KBenefits specializes in health, dental, vision, life and medicare insurance for employers and individuals in NJ & NY.

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