Medicare benefits may pay some costs

Millions of Americans over the age of 65, as well as some disabled individuals under the age of 65, are eligible to receive Medicare benefits. In terms of skilled nursing, this Medicare coverage is crucial in offsetting some of the expense. Depending on your loved one’s level of care and need, their Medicare benefits may pay for some of their short-term costs.



Financial resources that can help 

Listed below are a number of financial resources that will help you in planning how to cover your senior living and assisted living costs.  These resources include available programs and third-party vendors that provide the financial flexibility needed to enable you to enjoy this new phase of your life.

Medicare Part A

Qualifications for Medicare Part A can vary. However, to put it simply, if your loved one is over the age of 65 and is eligible to receive Social Security, they may be able to receive Medicare Part A benefits that will pay for all or some of their stay in a skilled nursing facility. The coverage, limitations, regulations and restrictions for this level of coverage can include:

  • Coverage can last for up to 100 days. However, after the first day 20 days the resident must pay daily co-pay costs.
  • Coverage will pay for meals, a room, nursing and rehabilitation services, medications and supplies.
  • The individual must have spent a minimum of at least three consecutive days in a hospital. Also, the recipient has to be admitted to the skilled nursing facility within 30 days of the hospital discharge.
  • The patient must require the services of a skilled nursing facility, meaning that they require a high level of medical care.

In general, Part A covers:

  • Hospital care
  • Skilled nursing facility care
  • Nursing home care (as long as custodial care isn’t the only care you need)
  • Hospice
  • Home health services
  • How to find out if Medicare covers what you need

Talk to your doctor or other health care provider about why you need certain services or supplies, and ask if Medicare will cover them. If you need something that’s usually covered and your provider thinks that Medicare won’t cover it in your situation, you’ll have to read and sign a notice saying that you may have to pay for the item, service, or supply.



Medicare Part B

Individuals over the age of 65 who are not eligible to receive Medicare Part A are eligible for Medicare Part B. Medicare Part B, which requires the payment of a monthly premium, can help cover some of your loved one’s skilled nursing home costs.

Part B covers things like:

  • Clinical research
  • Ambulance services
  • Durable medical equipment
  • Mental health
  • Inpatient
  • Outpatient
  • Partial hospitalization
  • Getting a second opinion before surgery
  • Limited outpatient prescription drugs

Talk to your doctor or other health care provider about why you need certain services or supplies, and ask if Medicare will cover them. If you need something that’s usually covered and your provider thinks that Medicare won’t cover it in your situation, you’ll have to read and sign a notice saying that you may have to pay for the item, service, or supply.



Information on this page is for general purposes only and is not intended to be a substitute for financial, legal, tax, accounting, health or other professional advice.