Older Adults

Paying for Transitional Care Unit Stays

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Types of Insurance
Insurance Resources
Assistance Resources

Transitional Care

Transitional Care unit providers submit claims to insurance companies first; they will send statements about the billings. Contact the insurance provider for specific coverage information, including criteria, deductibles and copays.

Commercial Insurance
Commercial Insurance may provide coverage for transitional care. Check with your insurance company for more information.

Managed Care Insurance
Managed care insurance companies identify their “network” health systems; contact their representatives to discuss how that may impact reimbursement.

U.S. Veteran Benefits
U.S. Veteran Benefits may provide coverage for transitional care. Check with your representative for details.

Medicare
Duration of Coverage - Limited
Amount of Coverage - Full coverage of first 20 days and partial coverage of next 80 days following discharge from a hospital and if skilled needs are met.

Medical Assistance
Medical Assistance most often does not license hospital-based Transitional Care Units. Reimbursement in this location may be compromised if Medical Assistance is the primary insurance. The provider will review insurance specific coverage information, including criteria, deductibles and copays.

Worker's Compensation
Worker's Compensation may provide coverage for Transitional Care. Check with your representative for details.

Auto Insurance
Auto Insurance may provide coverage for Transitional Care. Check with your representative for details.

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