Wesley Enhanced Living can guide you in determining the costs of independent living and what Medicare covers for skilled nursing and rehabilitation. We will support you in the decision-making process and empower you to make the right choice for your circumstances.
In many cases, the cost of a continuing care retirement community (CCRC) for independent living and personal care services can be more economical than remaining in your current home, once all the maintenance expenses/carrying costs of a home are considered.
CCRC cost savings:
- CCRC fees usually include meals, housekeeping, activities, fitness/wellness centers, security, maintenance, transportation, and more.
- The VA Aid and Attendance benefit can help qualified Veterans and/or surviving spouses cover the cost of personal care services.
At Wesley Enhanced Living, we can discuss the costs and benefits of CCRC living and provide insight into our lifestyle options. Many residents are surprised to discover a very reasonable price for senior living in our independent living and personal care communities.
Planning services we offer:
- Home sale guidance program that provides complimentary estimates from screened local realtors of the value of your house and how to get your home ready to market.
- Access to senior move managers/downsizers who can simplify the process of decluttering and moving.
HOW TO PAY FOR NURSING CARE
For short-term rehabilitation stays, Medicare or a Medicare Managed Care plan will pay for a majority of the care in a nursing facility while on a skilled stay. If you have long-term care needs, the cost of care is paid from your funds. Once funds are spent down to qualifying guidelines for Medicaid, a Medicaid application is submitted by the facility with the assistance of you and your family.
What do I pay for in a Skilled Nursing Facility under Medicare Part A?
- Medicare pays 100% for the first 20 days of each benefit period.
- You pay a coinsurance per day for days 21-100 of each benefit period. In 2023, the coinsurance is $200 per day.
- Please note the coinsurance amount changes annually.
- You pay all costs for each day after day 100 in a benefit period.
Medicare does not cover long-term care or custodial care.
You may purchase a Medicare Supplement Insurance (Medigap) policy to pay for those services which are not covered under Medicare Part A such as the coinsurance for the days 21-100.
What do I pay for under a Medicare Advantage Health Plan Stay?
- In most cases, Medicare pays 100% for the first 20 days of each benefit period.
- You pay a copay per day for days 21-100 of each benefit period. Each insurance plan may have a different copay.
- The copay amount can change annually.
- You pay all costs for each day after the authorization period has ended.
Medicare Advantage Plans have a yearly limit on your out-of-pocket costs for medical services. Once you reach this limit, you will pay nothing for covered services. Each plan can have a different limit, and the limit can change each year.
Medicare Advantage Plans do not cover long-term care or custodial care.
You do not need a Medicare Supplement Insurance (Medigap) policy while you are in a Medicare Advantage Plan. You cannot use it to pay copayments or deductibles.
Can Medicaid be used for long-term stays?
Not all skilled nursing facilities have Medicaid-certified beds. However, all Wesley Enhanced Living communities have Medicaid-certified beds, which is helpful to residents requiring long-term care following a skilled stay. Wesley Enhanced Living will work with family or court-appointed guardians for long-term care placements.
Contact us for more information on how to make the move to a Wesley Enhanced Living community near you or your loved ones.