Medicare Residents. Medicare beneficiaries are not entitled to reimbursement for bed hold or therapeutic leave under the Medicare Program. Medicare residents who are absent from the facility past twelve (12) midnight on any given day are deemed to be discharged from the Facility. However, Medicare residents may elect to retain a bed in the facility by following the private pay resident bed hold policy above.
Medicare Residents. We participate in the Medicare Program. Medicare may pay for some or all of the Resident's nursing home care. For information on Medicare, see Exhibit 3A. [The Exhibit is written in terms of the Resident.] If the Resident is eligible for Medicare, you have the right to have claims for the Resident's nursing home care submitted to Medicare. You understand and agree to pay the Facility for amounts not covered by Medicare, including the co-payment which Medicare requires for most covered services, currently $______, which Medicare changes yearly. You also understand that some items and services offered by the Facility are not covered by Medicare and if you want (on behalf of the Resident) or the Resident wants any of these items or services, you agree to pay for them. (A list of the items and services not covered by Medicare and charges for them are at Exhibit 4.) If the Resident also participates in Medicare, Part B, for physical, occupational, or speech therapy or other billable charges which are not covered by Medicare, Part A, you agree to pay any required deductible, and any applicable co-insurance. *We do not participate in the Medicare Program for inpatient services. If during the time the Resident is at the Facility you wish to have inpatient services reimbursed by Medicare, we will assist you in finding and transferring the Resident to a facility that participates in the Medicare Program, unless you wish the Resident to remain here and pay privately for inpatient services.
Medicare Residents. In the event that Resident is eligible for Medicare Part A benefits and is transferred to or re-admitted to a hospital, Medicare Part A eligibility will be terminated on the day Resident is admitted to the hospital. Resident’s bed will be reserved at the Basic Daily Rate unless Resident elects not to reserve a bed.
Medicare Residents. In the event that a Resident eligible for Medicare Part A benefits is transferred to or readmitted to a hospital, Medicare Part A eligibility will be terminated on the day the Resident is admitted to the hospital. Resident or Responsible Person may reserve a bed by electing, either verbally or in writing, to pay the applicable per diem rate in effect during the time period of Resident’s temporary absence. If Resident or Responsible Person, either verbally or in writing, elects not to reserve a bed or Resident or Responsible Person fails to make a verbal or written election to reserve a bed within twenty-four (24) hours of Resident’s departure from the Facility, then Resident’s or Responsible Person’s decision not to reserve a bed or his/her failure to make an election shall be construed as a request for discharge, and the Resident will be voluntarily discharged from the Facility effective the date of Resident’s transfer. Readmission of Resident to the Facility shall be subject to bed availability.
Medicare Residents
