Best Nursing Homes That Accept Medicare (2024)
Discover the Best Nursing Homes That Accept Medicare with our comprehensive and unbiased resources. We understand the importance of finding the right care for yourself or your loved ones. Our team is dedicated to providing valuable information and guidance to help you make informed decisions. Whether you're looking for quality of care, specialized services, or specific location preferences, we have the tools to assist you.
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Ty Stewart
Licensed Insurance Agent
Ty Stewart is the founder and CEO of SimpleLifeInsure.com. He started researching and studying about life insurance when he got his first policy for his own family. He has been featured as a life insurance expert speaker at agent conventions and in top publications. As an independent licensed life insurance agent, he has helped clients nationwide to secure affordable coverage while making the...
Licensed Insurance Agent
UPDATED: Oct 16, 2024
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Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.
UPDATED: Oct 16, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
Welcome to our comprehensive guide on finding the best nursing homes that accept Medicare. We cover key factors like quality of care, staff expertise, amenities, and location. Get valuable insights on navigating Medicare coverage and enter your zip code to compare rates from top insurance providers.
- Medicare and Medicaid are both great programs that allow for qualified, skilled care for you or your loved one
- Asking friends or family members who also have elderly family members in nursing homes is a great way to grab personal testimonies about long-term care
- Pre-existing conditions may limit your coverage, but veterans, government employees and other qualifying groups may be eligible for a discount
To simplify your search for the perfect nursing home, we encourage you to take the first step by entering your zip code below. By doing so, you can easily compare rates from top insurance providers in your area, empowering you to make an informed decision and secure the highest quality care.
Which nursing homes will accept Medicare and Medicaid?
There are plenty of ways to find nursing homes in your area. The majority of them will accept both Medicare and Medicaid. What most people don’t know, however, is that Medicare will only cover nursing homes for short stays.
Once Medicare stops paying, you’ll need to find other solutions. Medicaid does work a little bit differently in this regard. You may even need to pay for the best nursing homes that accept Medicare on your own.
Medicare Plans Available
Under Medicare, there are three different options to choose from: Part A, Part B, and Part C.
Medicare Coverage
Medicare Part | Coverage | Pays For | Prescription Medication Coverage |
---|---|---|---|
Part A (Original Medicare) | Short-term services with skilled nursing facilities (or at home care) | Nursing home care up to 100 days maximum | ✓ |
Part B (Original Medicare) | Room and meals; unskilled services (bathing, dressing, bathroom use) | Nursing home care up to 100 days maximum | X |
Part C (Medicare Advantage) | Room and meals; unskilled services (bathing, dressing, bathroom use) | Partial coverage for nursing home care (with specific contract with nursing home) | X |
Medicare will only cover a limited number of services within nursing homes for patients who meet specific criteria. Unskilled services and some skilled services (if deemed medically necessary) coverage will be determined based on which plan you choose.
Medicare also does not cover:
- Long-term, custodial care
- Dental care
- Routine eye exams
- Cosmetic procedures
- Hearing aids and related exams
- Routine Podiatry
To enter a Medicare-approved facility within 30 days, you must stay as a hospitalized inpatient for three or more days for evaluation, unless otherwise waived.
A physician will determine your daily care needs and treat any hospital-related medical condition during the qualified stay.
What does Medicare cover?
This will depend on the plan you choose and how long the rehabilitation stay is. Medicare only covers a maximum of 100 days, so once that time period is up, your out-of-pocket cost will need to cover any long-term care needed.
Medicare Coverage Rates
Days | Coverage |
---|---|
1-20 | $0, Medicare covers 100 percent |
21-100 | $185.50 per day, coinsurance |
101 and beyond | All expenses, Medicare covers 0 percent |
It’s in your best interest to know your long-term care options. When Medicare stops paying, you’ll need to apply for different HMO (Health Maintenance Organization) health insurance plans or PPO (Preferred Provider Organization) insurance.
What does Medicaid cover?
Medicaid pays for nursing home care. Medicaid pays for 100% of all qualifying individual’s nursing home costs in any Medicaid-certified facility. However, your income and assets cannot exceed your state’s limits for the Medicaid nursing home coverage program.
Medicaid does take into account your assets, including bank balances, stocks and bonds, secondary property, and non-primary vehicles.
While every state’s Medicaid program covers nursing home care for all eligible applicants who need it, some states have expanded their coverage. It can now include other types of long-term care, such as home and community-based services (HCBS) and assisted living.
Medicaid Coverage
Medicaid also covers | Medicaid does not cover |
---|---|
Nursing Services | Private rooms (unless medically necessary) |
Room and Board | Private rooms (unless medically necessary) |
Dietary Services | Special food (beyond what the facility already prepares) |
Medically Related Social Services | Telephone, TV, radio, computers, reading materials, tobacco or alcohol |
Pharmaceutical Services | Extra grooming products |
Routine Hygiene Products and Assistance | Social activities beyond the facility’s activity program |
Dental (routine and emergency dental up to state limit) | Special care outside Medicaid-contracted coverage |
Professionally Directed Activities | |
Specialized Rehabilitation (for mental illness or disability) |
It is also possible to qualify for dual coverage for both Medicare and Medicaid. With dual eligibility, Medicare will pay for covered medical services first, and Medicaid will cover any remaining expenses.
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How do I find Medicare or Medicaid nursing homes near me?
The best way to answer: “where to find nursing homes that accept Medicaid near me?” is first to start talking with your doctor. Many service providers have vast networks of care facilities and doctors they can refer you to.
Both Eldercare and Medicare’s websites also have databases that you can access, and they have amassed a large network of providers and care facilities.
All 50 states offer Medicare and Medicaid, but nursing home services, cost coverage, and eligibility requirements will all vary.
Best Nursing Homes That Will Accept Medicare: Key Takeaways
Understanding the costs of nursing homes, and what is and isn’t covered under each plan, will help you determine which plan is right for you and your family.
Medicare and Medicaid plan pricing, coverage, and provider networks can change on an annual basis, so be sure to review your selections every year for the best rates.
Now that you’ve learned how to find nursing homes that accept Medicare and Medicaid, take the time to enter your ZIP code into our free and easy-to-use tool and start comparing quotes in your area today.
Frequently Asked Questions
What should I consider when looking for nursing homes that accept Medicare and Medicaid?
It’s important to consider the costs of long-term care, as Medicare only covers short-term care. You may need to look for alternative financing options. Also, each type of health insurance will pay for different kinds of care, so you need to meet specific requirements and eligibility differences to qualify.
What types of care does Medicare cover for nursing home patients?
Medicare will only cover a limited number of services within nursing homes for patients who meet specific criteria. Coverage for unskilled services and some skilled services (if deemed medically necessary) will depend on the plan you choose. Medicare does not cover long-term care once the 100-day maximum is up.
What types of care does Medicaid cover for nursing home patients?
Medicaid pays for nursing home care, including 100% of all qualifying individual’s nursing home costs in any Medicaid-certified facility. Eligibility is based on income and asset limits. Some states have expanded their coverage to include other types of long-term care, such as home and community-based services (HCBS) and assisted living.
How do I find nursing homes that accept Medicare or Medicaid near me?
You can talk to your doctor who may have a network of care facilities and doctors to refer you to. You can also access databases on Eldercare and Medicare’s websites. Eligibility requirements, cost coverage, and provider networks for nursing homes that accept Medicare and Medicaid will vary by state.
How often should I review my Medicare and Medicaid plan selections?
Medicare and Medicaid plan pricing, coverage, and provider networks can change annually, so it’s important to review your selections every year for the best rates.
How can I compare insurance quotes from different companies?
You can use a free and easy-to-use quote tool to compare quotes from different insurance companies. Enter your ZIP code into the tool to get started.
Compare The Best Insurance Quotes In The Country
Compare quotes from the top insurance companies and save!
Secured with SHA-256 Encryption
Ty Stewart
Licensed Insurance Agent
Ty Stewart is the founder and CEO of SimpleLifeInsure.com. He started researching and studying about life insurance when he got his first policy for his own family. He has been featured as a life insurance expert speaker at agent conventions and in top publications. As an independent licensed life insurance agent, he has helped clients nationwide to secure affordable coverage while making the...
Licensed Insurance Agent
Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.