Financial / Rates

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Medicare will cover skilled care only if all of the following are true:

  1. You have Medicare Part A* (Hospital Insurance) and have days left in your benefit period.
  2. You have a qualifying hospital stay. This means an inpatient hospital stay of 3 consecutive days or more. You must enter the SNF within a short period of time of leaving the hospital.
  3. Your doctor has ordered the services you need for SNF care, which require the skills of professional personnel such as registered nurses, licensed practical nurses, physical therapists, occupational therapists, speech-language pathologists, etc.
  4. You require the skilled care on a daily basis and the services must be ones that can only be provided in a SNF on an inpatient basis.
  5. You need these skilled services for a medical condition that:
    – was treated during a qualifying 3-day hospital stay, or
    – started while you were getting SNF care for a medical condition that was treated during a qualifying 3-day hospital stay.

Kaiser members may expect the following:

  1. A Kaiser specific team dedicated to following the member throughout the rehabilitation process, consisting of a Physician, Nurse Practitioner, and Care Coordinator.
  2. A plan specific copayment that applies towards yearly out of pocket maximum

We are contracted with various other HMO insurances:

  • Aetna
  • Blue Cross
  • Blue Shield
  • Care 1st
  • Cigna
  • Community Health Group
  • Easy Choice
  • Health Net
  • Humana
  • Letter of Agreement (LOA)
  • Molina
  • Prime Care (PCAMG)
  • SCAN
  • SCMG and SCMC
  • Tricare
  • United Healthcare
  • Worker’s Comp

Copayments are defined by our guest’s individual Health Insurance.

Medi-Cal recipients should be aware of the following:

  • If our guests have a monthly Share of Cost, Medi-Cal will not pay until that Share of Cost is met.
  • Medi-Cal pays for Room and Board and/or Medicare/HMO Coinsurance.
  • Medi-Cal will not cover skilled services.

Private pay rates are as follows:

  • $260 per day – Semi Private Room
  • $300 per day – Private Room
  • $120 per unit – Physical Therapy, Occupational Therapy, or Speech Therapy Evaluation
  • $45.00 per 15 minute unit – Physical and Occupational Therapy
  • $60.00 per 15 minute unit – Speech Therapy

Daily rate for skilled nursing care include room and board:

  • Three meals per day served in main dining or rehabilitative dining areas
  • Tray service, plus snacks
  • Special diets upon physician order
  • Daily assistance with activities of daily living (ADLs), i.e., dressing, bathing, ambulation, personal hygiene and needs
  • Daily housekeeping service
  • Bed and bathroom linens (less incontinent care linens)
  • Administration of medications as prescribed by either attending/alternate physician
  • 24-hour supervision by licensed nursing personnel (R.N. or L.P.N.) and Certified Nursing Assistants
  • Assistance with feeding
  • Planned activities
  • Recreational and occupational programs
  • Drug regimen review
  • Social services consultation
  • Discharge planning and referral service
  • Rooms furnished in accordance with state and federal regulatory agencies
PLEASE NOTE: THE DAILY ROOM RATE DOES NOT INCLUDE THE FOLLOWING: DENTIST VISIT CHARGES, MEDICATION AND SUNDRY ITEMS, RESIDENT CARE MEDICAL SUPPLIES AND MATERIALS, INCONTINENT CARE SUPPLIES/LINENS, SPECIAL PHYSICIAN ORDERED THERAPIES SUCH AS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, DIAGNOSTIC TESTS, AND OTHER SPECIALIZED CARE PROCEDURES, ETC.
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