Financial Considerations

Arranging for the financial coverage of long term care can be a complex and overwhelming process. Ashford Hall staff will be pleased to explain every option that is available to you.

The basic payment sources are listed below:

MEDICARE

A person is entitled to Medicare Hospital Insurance beginning the first day of the month in which he/she reaches age 65 and becomes eligible for monthly Social Security benefits.

Effective July, 1973, people who have received disability benefits under either the Social Security or Railroad Retirement Acts for at least 25 months, and those having Chronic Renal Disease, also became entitled to Medicare benefits. For more details on Medicare eligibility, click here.

MEDICAID

Medicaid is a federal program administered by the Texas Department of Human Service, based on financial need and the medical necessity for nursing home care. Although the benefits last indefinitely, the State reviews all Medicaid residents periodically to make sure they continue to qualify both financially and medically.

SUPPLEMENTAL OR LONG TERM CARE INSURANCE

Insurance coverage is available to cover certain costs of nursing center care. Some plans will supplement Medicare or Medicaid coverage and cover expenses beyond what these plans cover. Others pay for a portion of daily expense for a set amount of days in a nursing center. These policies may be in the form of supplemental or long-term insurance.

If your family member has such insurance coverage, bring a copy of the policy to our attention. Our business office will be happy to assist you in verifying benefits and coverage.

PRIVATE PAY

Should you not meet the criteria for Medicare, Medicaid or Veterans Benefit, a private payment plan is available.