Important Information Regarding Medicare Coverage
Nursing Home Residents 

Medicare Part A may pay for part of your stay in the nursing home if you meet the following criteria for nursing home coverage:

  1.  A three night qualifying hospital stay in the hospital
                                                            AND
  2.  The need for skilled care on a daily basis.  Examples of skill care are listed below:
       a. Physical, occupational or Speech Therapy
       b. IV medications
       c. Special wound care
       d. Certain tube feedings
       e. The need for close clinical monitoring of condition of symptoms

If you meet these criteria, you will be eligible for Medicare Part A to cover your stay for up to 100 days.  As long as you  continue to meet the above criteria, Medicare covers the first 20 days in full.  Days 21-100 there is a $119.00 per day co-pay.  You may be required to pay all or part of this amount depending upon your supplemental insurance plan.

Most residents fall below the skilled level of care before the 100th day and are no longer qualified  for Medicare coverage.  If you no longer qualify for Medicare Part A coverage and wish to continue your stay at the Virginia Convalescent Center, you must pay privately or apply for Medical Assistance through St. Louis County Social Services at: (218) 749-7173.  You will be notified in advance of Medicare non-coverage.

Medicare Supplements

Medicare Supplemental Policies sometimes cover all or a portion of the Medicare co-pay.  Each supplemental policy is different and it is necessary for you to call your insurance company (number on the back of the card) and verify if you have any nursing home supplemental coverage on your policy   If you or your family member needs assistance with this process, please let us know.  Because policies vary, we do not know what your specific policy will cover and it is important for you to verify your coverage with your insurance company directly.

Acknowledgement of Understanding 

I have read the above  information regarding Medicare and Supplemental Insurance policy coverage for nursing homes and this information has been explained to me by a representative of the Virginia Medical Center or Virginia Convalescent Center.

Staff Member                                                                                       Date:                                  

Resident                                                                                              Date:                                  

Resident representative                                                                      Date:                                  

Relationship to Resident                                                                     Date: