Financial/ Rates

Financial Payment

Generally, during the first 20 days of care in a skilled nursing facility, Medicare will cover 100%. For days 21-100, a daily co-insurance rate is required. Medicare Part A covers skilled nursing care up to 100 days.

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

  • You have Medicare Part A* (Hospital Insurance) and have days left in your benefit period.
  • 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.
  • 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.
  • 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.
  • 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.

Participating Insurance Companies

  • Medicare
  • Blue Cross
  • Kaiser
  • Pacific Care
  • AARP
  • Aetna
  • HealthNet
  • Medicaid
  • United/Secure Horizons
  • Worker’s Compensation

Daily Rates for Private Pay Skilled Nursing Care

The following room rates have been set by the Governing Body of Vineyard Post Acute:

$8625 per month for Semi-Private Accommodations

$8343 per month for a Four-bed Ward

Daily rate includes:

Room and board:

  • Three meals per day served in designated areas
  • Special diets upon a physician’s order
  • Daily housekeeping service
  • Administration of medications as prescribed by either attending/alternate physician
  • Assistance with feeding
  • Recreational and occupational programs
  • Social services consultation
  • Furnished rooms in accordance with State and Federal regulatory agencies
  • Tray service, plus snacks
  • Daily assistance with activities of daily living (ADLs), i.e., dressing, bathing, ambulation, personal hygiene and needs
  • Bed and bathroom linens
  • 24-hour supervision by licensed Nursing personnel (R.N. or L.V.N.) and Certified Nursing Assistants
  • Planned activities
  • Drug regimen review
  • Discharge planning and referral service

PLEASE NOTE: The daily room rate does NOT include the following: Physician visit charges, 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, respiratory therapy, diagnostic tests, and other specialized care procedures, etc.