It starts with a phone call. Seasons Health & Rehab works to make the move to skilled nursing as easy as possible, and that includes helping you understand how care is paid for. We accept Medicare, Medicaid, private pay and most insurance plans. Call us at 435-628-1601 and we'll walk you through your options.
Who to Talk To
We're Here to Help
Sarah Kelley
Resident Services Manager
Ask Sarah about:
Admission questions
Working with social workers, doctors and hospitals
Insurance questions, including Medicare and Medicaid
Planning discharges and arranging home health care when a resident returns home
Solving problems or concerns for residents and families
Tawndi Barrett
Financial Manager
Ask Tawndi about:
Balances and account statements
Medicare and Medicaid billing
Insurance verification for admissions and therapy
Card payments
Third-party insurance billing
Payment Options
Ways to Pay for Skilled Nursing Care
There are several ways to pay for a stay at Seasons: Medicare, Medicaid, long-term care insurance, veterans benefits and private funds. Many families use a combination. Medicare often covers a short-term rehab stay first; after that, long-term care is usually paid through Medicaid, insurance, private funds, or a mix. For questions about your specific plan, call the customer service number on the back of your insurance card, or call us and we'll help.
Medicare
Medicare
Medicare is the federal health insurance program for people 65 and older, certain people under 65 with disabilities, and people with end-stage renal disease.
What Medicare covers in a skilled nursing facility
Medicare Part A can cover up to 100 days of skilled nursing care per benefit period when you qualify. Days 1–20 are covered in full. For days 21–100, Medicare continues to cover care, but a daily coinsurance amount applies (set each year by Medicare; many supplemental plans cover it). Medicare does not automatically approve all 100 days. Coverage continues only while you need and receive daily skilled care.
Semi-private room
All meals, including special diets
Skilled nursing care
Physical, occupational and speech therapy
Medications
Lab and X-ray services
Medical supplies and equipment used in the facility
Physician services
Who qualifies
A qualifying inpatient hospital stay of at least 3 days (not counting the day of discharge)
Admission to the skilled nursing facility, usually within 30 days of leaving the hospital
Care for a condition treated during the hospital stay, or one that started while in skilled care for that condition
A doctor's order for daily skilled nursing or rehabilitation that can only be provided in a skilled nursing facility
Note: Medicare Advantage plans may have different rules, such as prior authorization or no 3-day hospital stay requirement. Call us and we'll check your plan.
Medicaid
Medicaid
Medicaid helps pay for long-term nursing home care for people who meet income and asset requirements. Residents on Medicaid contribute part of their monthly income, such as Social Security, toward the cost of care, and Medicaid pays the rest of the covered costs. Medicaid generally covers nursing care, room and board, and medically necessary supplies and equipment. Rules for bed holds during hospital stays and leave days are set by the state. Ask Tawndi how they apply to your situation.
Additional Options
Other Ways to Pay
Private funds
Savings, investments and other personal or family assets. Private-pay residents pay the daily rate from admission through the end of the first month. Any credit balance is refunded after discharge once all payers are settled.
Pensions and Social Security
Retirement income that many seniors use toward the cost of care.
Supplemental Security Income (SSI)
Monthly assistance for seniors and people with disabilities who have very limited income and assets.
Reverse mortgage
Can provide income to help pay for care, including nursing home care for a spouse.
Long-term care insurance
Coverage varies by policy. Some pay only for nursing home care; others also cover home care or assisted living.
Good to Know
Frequently Asked Questions
Does Seasons accept Medicare and Medicaid?
Yes. We also accept private pay and most insurance plans.
How much does a stay cost?
Rates depend on the level of care and how it's paid for. Call 435-628-1601 for current daily rates.
How do I start the admission process?
Call Sarah at 435-628-1601. In most cases the process is simple, and we coordinate directly with the hospital and your doctor.
Not sure where to start?
Call us and we'll help you understand your coverage and options.