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  Insurances / Medicare / Medicaid

Commercial Insurances:

Many residents with Medicare also have a Supplemental  Insurance  like  AARP, Blue Cross/Blue Shield, etc. All insurance must be preauthorized by our Admissions Coordinator.  Medicare will pay for the first twenty days of your 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 of your stay up to the final 100th day of your stay requiring skilled care.  At Sullivan County Health Care a fee of $167.50 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 room rates)

Sullivan County Health Care is licensed 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 a Medicare approved Skilled Nursing Facility (SNF).  If your doctor determines that Skilled-Nursing Placement is appropriate, following a qualifying stay in the hospital, we are able to accommodate your needs.  Once the facility application is completed in full and returned, medical information will be obtained to assist in determining nursing home placement. If an applicant has limited assets, an application for Medicaid must be made prior to admission through the Division of Health & Human Services in Claremont (17 Water Street, 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 you are 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 your doctor and/or home health agency. As a recipient of Federal assistance, Sullivan County Health Care does not exclude, deny benefits to or otherwise discriminate against any person on the grounds of race, color, or national origin, or on the basis of disability or age in admission to, participation in, or receipt of services and benefits of any of its programs and activities or in employment therein, whether carried out by Sullivan County Health Care directly, through a contractor or any other entity with whom Sullivan County Health Care arranges to carry out its programs and activities.

 

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