What does Medicare cover in a nursing facility?
Medicare pays for the first twenty days of an admission to a skilled nursing facility (SNF). If a patient continues to meet Medicare guidelines, coverage may be available up to 100 days. Many supplemental insurance policies cover Medicare co-insurance in a nursing facility.
How long does Medicare pay?
In a skilled nursing facility, coverage is at 100% for twenty days, and a co-insurance amount is required between the 21st and 100th day. Medicare can pay up to the first 60 days of an acute admission before co-insurance payments are required. Regular hospital days do rebuild once a patient is out of the hospital for a designated length of time.
What is home health?
Home Health is beneficial for patients who continue to have skilled nursing or therapy needs after their hospital discharge. This can include nursing, home health aide, physical therapy, occupational or speech therapist visits. A home health aide can be provided if a skilled nursing or therapy need is identified. Medicare Part A covers home health at 100%. Medicare Part B may also provide coverage for home health as does Medicaid and most major medical health plans.
What facilities/resources are located in my county?
The social worker is available to assist you in identifying nursing facilities, home health agencies, assisted living, rehabilitation facilities, hospice, infusion companies, medical equipment vendors, social security or human services offices or other identified linkage. Social workers will coordinate linkage with the service identified.
What are the income guidelines for Medicaid?
Medicaid is a federal and state program that is based upon financial and physical eligibility. Medicaid also provides coverage for long term care, inpatient rehabilitation, and home health. Social workers can provide you with information that may help determine if you may qualify. Nursing home benefits also include what is referred to a “Medicaid spousal impoverishment.” A spouse may access income and assets of a institutionalized spouse to assist them with maintaining home residency. Social workers are available to for information concerning this program for both Ohio and West Virginia residents.
Do social workers work for the county and/or the state?
Yes, that is true. Professional social workers are employed in many health care settings, including Holzer Medical Center.
Can social workers tell a patient or their family members what they have to do?
Social workers attempt to foster each patient’s right to self-determination and recognize each patient’s sense of autonomy. The first axiom of social work is to start where the patient is, that is, the social worker assesses the social system of the patient and the interface between the patient and his or her environment. We intervene to improve the patient’s ability to function effectively within his or her social network.
Must social workers report abuse and domestic violence?
We are mandated by state law to report suspected cases of neglect, domestic violence, or abuse.
Will you see to it that my family member is placed in a nursing facility?
When a patient is unwilling to enter a nursing facility, and proves to be alert and oriented and has not been declared incompetent, it is not possible for us to place them into a nursing facility against their will.
May I complete advanced directives for a family member?
No. Advanced care directives may only be completed for oneself. However, we can assist an individual with his or her own advanced directive paperwork.
Can you help with wills and financial power of attorney?
No. Social Services is unable to assist patients with wills or financial powers of attorney.