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Financial Considerations

Medicare, Medicaid and Other Insurance Information

When you're searching for a nursing home, we're here to guide you.

Medicare requires a minimum hospital stay of three nights before you can be admitted to a post-acute care facility. You must be admitted within 30 days after your hospitalization. Medicare Part A covers your first 20 days in full and can cover up to 100 days; it covers days 21 to 100 for a $148 co-pay. Medicare Part B covers 80 percent. You must meet Medicare’s clinical criteria for coverage.

Medicare Advantage plans provide similar coverage to Medicare but need authorization from the insurance company before you can be admitted to a post-acute care facility. Your hospital discharge planner can work with us to coordinate the process.

Medicare Supplemental (Medigap) Insurance typically covers charges not covered by Medicare, including Medicare co-pay (days 21 to 100) if you need a longer stay. We will contact your insurance company to confirm the extent of your coverage.

HMO and Managed Care Plans require preauthorization before we can admit you to Transitions’ care. We will contact your insurer to verify your coverage.

Long-Term Care Insurance: Transitions Healthcare accepts long-term care insurance for a portion of the cost of skilled nursing care and assisted living. We will work with your insurance company to verify your benefits before you are admitted.

Medicaid provides long-term care funds for people who qualify because of income need. The state Department of Social Services can help you determine your eligibility. Transitions accepts most patients under Medicaid.

Other Coverage: Transitions accepts many other plans, including most Worker’s Compensation insurance, Preferred Provider Organization (PPO) coverage, motor vehicle policies and commercial insurance. Contact us for details.

Self-Pay: If you need to pay with your own funds, ask us for rates and pricing.

Click here for our locations and contact information.

Click on Who You Would Like to Contact:

Transitions Healthcare Gettysburg

717-334-6249

Transitions Healthcare Sykesville

410-795-1100

Transitions Healthcare Autumn Grove

724-735-4224, 800-896-9354 (toll-free)

Transitions Healthcare Oakland Manor

410-795-4100

Transitions Healthcare North Huntingdon

724-864-7190

Transitions Healthcare Washington, PA

410-795-4100, 724-228-5666 (Personal Care Home)

Transitions Healthcare Capitol City

202-889-3600

Transitions Healthcare’s Compliance Hotline

855-279-6665

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