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
$103,640.00 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 $2,541.00 of the monthly
income.
- Documents required to apply for Medicaid:
- Proof of Age:(one of the following)
birth certificate, baptismal certificate,
photocopy of the page from family Bible,
U.S. Census report.
- Marriage License: if applicable
- V.A. Claim #: if applicable
- 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).
- 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.
- Vehicles: Proof of ownership of any
vehicles, statement from institution
verifying pay-off (minus fiancé
charges and interest) and value.
- Life and Health Insurance: copies of
all life, burial, pre-need, and health
insurance polices with name and address
of each company.
- Burial Assets: Proof of all burial
funds, burial plot ownership, burial
insurance, headstones/markers, crypts,
caskets, vaults, urns and mausoleums.
- 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).
- Transfer Documents: on any resources
(real estate, money, insurance, shares
and etc.) given away, sold, or deeded in
the last 60 months.
