Christian Homes is certified as a provider of both Medicare Part A and Part B services. Medicare is the federal government’s health insurance program for people 65 years of age and older. It also covers many people who are disabled.
Medicare Part A
Medicare has certified Christian Homes to deliver Part A services because we have the staff and equipment to give skilled nursing care, skilled rehabilitation therapies, and other related health services.
Skilled Care” is health care given when you need skilled nursing or rehabilitation staff to manage. observe, and evaluate your care. However, Medicare does not cover custodial care. “Custodial Care” is care that helps you with usual daily activities like walking, eating, or bathing. It may also include care that most people do themselves, such as using eye drops, oxygen, and taking care of catheters. Christian Homes delivers both skilled and custodial care services.
Generally skilled care is available only for a short time after hospitalization. Custodial care may be needed for a much longer period of time.
Medicare will cover skilled care only if all of the following are true:
- You have Medicare Part A benefits and have days left in your benefit period.
- You have a qualifying hospital stay. This means an inpatient, acute hospital stay of at least 3 consecutive days, not including the day you leave the hospital.
- You must enter a SNF, which has been certified by Medicare, within 30 days of leaving the hospital.
- Your doctor has decided that you need daily skilled care
- You need these skilled services for a medical condition that was treated during the qualifying 3-day hospital stay.
Medicare Part B
Medicare Part B (Medical Insurance) helps cover your doctors’ services, outpatient hospital care, and some other medical services that Part A does not cover, such as some of the services of physical, speech, and occupational therapists. Part B helps pay for these covered services and supplies when they are medically necessary. You pay a Medicare Part B premium to obtain Part B benefits.
People with Medicare are covered if they meet all of these conditions:
- You have Part A and have days left in your benefit period.
- You have a qualifying hospital stay.
- Your doctor has decided that you need daily skilled care given by, or under the direct supervision of, skilled nursing or therapy staff. If you’re in the SNF for skilled rehabilitation services only, your care is considered daily care even if these therapy services are offered just 5 or 6 days a week, as long as you need and get the therapy services each day they’re offered.
- You get these skilled services in a SNF that’s certified by Medicare.
- You need these skilled services for a medical condition that was either:
Your doctor may order observation services to help decide whether you need to be admitted to the hospital as an inpatient or can be discharged. During the time you’re getting observation services in the hospital, you’re considered an outpatient—you can’t count this time towards the 3-day inpatient hospital stay needed for Medicare to cover your SNF stay. Find out if you’re an inpatient or an outpatient.
What Part B covers
Medicare covers services (like lab tests, surgeries, and doctor visits) and supplies (like wheelchairs and walkers) considered medically necessary to treat a disease or condition.
If you’re in a Medicare Advantage Plan or other Medicare plan, you may have different rules, but your plan must give you at least the same coverage as Original Medicare. Some services may only be covered in certain settings or for patients with certain conditions.