Insurance / Medicare / Medicaid

Commercial Insurances

Many residents with Medicare also have a Supplemental Insurance such as AARP, Blue Cross/Blue Shield, etc. All insurances must be preauthorized by our Business Office Manager. Medicare will pay for the first twenty days of the residents stay in full. The purpose of Supplemental Insurance at a nursing home is to pay the portion per day that Medicare does not cover from the 21st day to the final 100th day of the residents stay requiring skilled care. At Sullivan County Health Care a fee of $170.50 per day is charged for day 21-100.

Long Term Care Insurance

"Private-Pay" residents whom have Long Term Care Insurance are responsible for paying their own Sullivan County Health Care charges, applying for reimbursement through their insurance company and paying balances not covered by their individual policies.  See the Daily Room Rates page.

Health Care Information

Our home is Medicaid licensed for 156 beds as an Intermediate Care Facility (ICF) and is certified by the New Hampshire Bureau of Health Facilities Administration. The nursing home provides 24-hour Nursing care and other services to residents whose health care needs cannot be successfully managed at home or in a community setting. 

Sullivan County Health Care is also a Medicare-approved Skilled Nursing Facility (SNF). If a potential resident's doctor determines that Skilled-nursing placement is appropriate, following a qualifying stay in the hospital, we can accommodate their needs. 

Once the facility application is completed in full and returned, medical information will be obtained to assist in determining nursing home placement.  If necessary, a home visit will be scheduled with our Director of Community Development.  If an appropriate bed is not available, a waiting list is maintained, with Sullivan County residents having priority. 

If a potential resident has limited assets, an application for Medicaid must be made prior to admission through the Division of Health and Human Services in Claremont at 17 Water Street or call at 603-542-9544. You must call the Medicaid or Service Link office for an appointment; please do not just stop by. Spouses of applicants must have a resource assessment done by them in order to determine how and when assets should be divided. In many cases, the community spouse may be able to keep a portion of the applicant's income to meet their own expenses. 

If the potential resident is a Medicaid recipient, or will be applying for Medicaid, an assessment will need to be done prior to admission for the state to determine eligibility for nursing home level of care. We will coordinate the necessary paperwork for this assessment with the potential resident's primary care doctor and/or home health agency.