When looking for long-term care or short-term recovery services, it’s important to understand what is and isn’t covered, and what forms of payment your provider will accept.
A.G. Rhodes provides service and care to anyone regardless of race, creed, sex or national origin. We accept Medicare, Medicaid, private insurance and private pay resources. The coverage of services and costs will vary based on your payer source’s rules, guidelines and eligibility requirements.
Below is a brief overview of the payment sources that A.G. Rhodes accepts and some of the services covered, but you should contact your payer source for more information specific to your situation and coverage plan.
What does Medicare cover?
If you meet certain conditions, Medicare will cover for a short-term stay and skilled nursing or rehabilitation services such as physical therapy. Medicare will cover some of your costs for up to 100 days. For the first 20 days, Medicare covers 100 percent of your costs. For days 21 through 100, you pay your own expenses up to $161 coinsurance per day (as of January 2016), and Medicare covers any balance. You pay 100 percent of costs for each day you stay after day 100.
Medicare does not cover non-skilled assistance with Activities of Daily Living (ADL), which make up the majority of long-term care services.
For more information about Medicare, visit www.medicare.gov
What does Medicaid cover?
Medicaid is a joint federal and state program that helps with medical costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, like long-term nursing home care and personal care services.
Medicaid covers the largest share of long-term care services, but to qualify, your income must be below a certain level and you must meet minimum state eligibility requirements. Such requirements are based on the amount of assistance you need with ADL, among other qualifications.
What does private insurance cover?
Most employer-sponsored or private health insurance, including health insurance plans, cover only the same kinds of limited services as Medicare. If they do cover long-term care, it is typically only for skilled, short-term, medically-necessary care.
What does long-term care insurance cover?
Most long-term care insurance policies sold today are comprehensive. They typically allow you to use your daily benefit in a variety of settings, including a nursing home. If you have a long-term care insurance policy, the buyer pays a pre-set premium. The policy then pays for the services you need, when you need them (up to its coverage limits).
The best way to find out which insurance companies offer long-term care coverage is to contact your state’s Department of Insurance.
What other private pay resources are available?
If you have enough income and savings, you will likely pay for long-term care services on your own, from your incomes, savings and possibly the equity in your home. Here are a few of the growing number of ways you can pay for your long-term care privately. These methods include:
- Reverse mortgage. This is a special type of home equity loan that allows you to receive cash against the value of your home without selling it.
- Annuities. You may choose to enter into an annuity contract with an insurance company to help pay for long-term care services. In exchange for a single payment or a series of payments, the insurance company will send you an annuity, which is a series of regular payments over a specified and defined period of time.
- Trusts. A trust is a legal entity that allows a person (the trustor) to transfer assets to another person (the trustee). Once the trustor establishes the trust, the trustee manages and controls the assets for the trustor or for another beneficiary.
How much does it cost to stay at A.G. Rhodes?
Visit our homes’ fees and services pages to find out more about the costs at each of our locations:
Where can I get more information about admission to A.G. Rhodes?
Visit our Admissions webpage, or contact one of our Admissions offices:
350 Boulevard SE
Atlanta, GA 30312
404-688-6731, ext. 313
900 Wylie Rd. SE
Marietta, GA 30067
770-427-8727, ext. 107
1819 Clifton Rd. NE
Atlanta, GA 30329
404-315-0900, ext. 109
or fax 404-315-0075