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Medicare and Medicaid


Bender Terrace is both Medicare and Medicaid approved and accepts most insurances—including managed care (HMOs and PPOs) that are in network.

Medicare premiums and co-pays

Part A skilled nursing facility co-pay—Days 1 to 20 — Full cost
Part A skilled nursing facility co-pay—Days 21 to 100 — All but a daily coinsurance
Medicare co-pay maybe covered if you have supplemental insurance.
Part B annual deductible — $147.00
Part B co-pay after meeting annual deductible — 20%

Medicare and MedicaidWhat's the difference between Medicare Parts A & B?

Part A helps pay for certain services provided by a hospital, skilled nursing, hospice or home health agency.
Part B helps pay for physicians, therapists and other services not covered by Part A.

Who is eligible for Medicare?

With certain exceptions, you must be at least 65 years of age to be eligible for Medicare.

What will Medicare Part A pay for in a skilled nursing center?

Under certain conditions, Medicare Part A will pay for a portion of inpatient skilled nursing or rehabilitation services provided in a participating healthcare center like Bender Terrace. Medicare Part A will pay up to 100 days—after at least a three-day qualifying hospital stay (which includes three consecutive midnights). Medicare may pay all of the covered services for the first 20 days. During the last 80 days, you will be required to pay a daily co-insurance amount. Though the maximum Medicare Part A benefit is 100 days, each guest's coverage will vary based on individual medical conditions.
For more information about the benefits you may be eligible to receive—please call our Admissions Department at 806-795-4368.

 

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