ThingsToConsider_FinancialConsiderations

Financial Considerations

Learn about different financing options, insurance coverage and more.

Understanding the financial considerations when seeking care options is an important aspect of the search process. The following information explains the various funding sources accepted at CareOne locations:

Medicare

Medicare insurance generally covers patients who need sub-acute/after-hospital care. Medicare requires a hospital stay of at least three nights, within 30 days of admission to a CareOne center, to qualify for coverage. Medicare covers the first 20 days of the stay in full and can cover up to 100 days, with days 21 to 100 covered at 80 percent. Patients are required to meet clinical criteria for coverage as defined by Medicare.

Medicare Advantage

Medicare Advantage plans work essentially the same as traditional Medicare. All CareOne centers accept Medicare Advantage plans.

The main difference between traditional Medicare and Medicare Advantage is that Medicare Advantage plans require authorization from the insurance company before admission to CareOne. The CareOne Admissions Office will work to coordinate what is needed with your hospital discharge planner.

Medicare Supplemental Insurance (a.k.a. Medigap Insurance)

For patients who require sub-acute/after-hospital care, Medicare supplemental insurance plans may cover charges not covered by Medicare. Typically, this includes covering Medicare co-pay (days 21 to 100) days when a patient requires a longer stay. Please contact the Admissions Office at the CareOne location of your choice, and we will be glad to verify coverage with your insurance company.

HMO and Managed Care Plans

CareOne participates with most major HMO and managed care plans. Before admission to one of our centers, our Admissions Office will contact your insurance company for pre-authorization and to verify benefits. Please contact the Admissions Office of the CareOne location of your choice, and we will be glad to verify coverage with your insurance company.

Self-Pay

For long-term care and assisted living, care may be funded directly by the patient through his or her own financial resources. Before admission, CareOne will explain and review pricing and rates thoroughly. For rates and pricing, please contact the Admissions Office at the CareOne location of your choice, and we will be glad to assist you.

Long-Term Care Insurance

All CareOne Centers accept long-term care insurance. Long-term care insurance plans generally pay for all or a portion of long-term care services and assisted living. CareOne can contact your insurance company to review benefits before admission. Please contact the Admissions Office at the CareOne location of your choice, and we will be glad to assist you.

Medicaid

Medicaid is the state funding program for long-term care. To qualify, contact your local Department of Social Services. Most CareOne centers are Medicaid certified. To learn more about the availability at the CareOne center of your choice, please contact the Admissions Office.

Other Insurance Plans

CareOne participates with most Worker’s Compensation insurance, Preferred Provider Organization (PPO) insurance, motor vehicle insurance and commercial insurance plans. To learn more, contact the Admissions Office at the CareOne center near you.