Financial Considerations
Admissions Criteria
Oak Forest provides care for all adults over the age of 18 who require rehabilitation, long-term care, or skilled nursing care. This includes adults who have had a stroke or neurological incident, orthopedic injuries or surgeries, surgical wounds, and pressure ulcers; or those who require feeding tubes and IV antibiotics.
Oak Forest offers a specialized program for residents with Alzheimer’s Disease or dementia, as well as ventilator care for adults who are ventilator dependent and non-weanable.
Oak Forest can accommodate couples, offering them care in the same room.
After a potential resident is referred to Oak Forest, the admissions team consisting of a post-acute care evaluator, an admissions coordinator and a financial assessment coordinator evaluate the resident’s needs and financial status.
Insurance
Oak Forest accepts all major insurance policies including Medicare and Medicaid. In addition, insurance policies covering state employees are accepted.
Medicare and Medicaid
Medicare can help pay for up to 100 days of skilled care at Oak Forest. For the first 20 days, Medicare will pay 100 percent of covered services. For the next 80 days, Medicare will pay for 80 percent of all covered services. The resident is responsible for the daily 20 percent co-pay. The 20 percent may be covered by Medicaid or any other supplemented insurance.
Medicare benefits are payable only if the following conditions are met:
- A physician certifies that skilled nursing or rehabilitation services are needed on a daily basis.
- The resident has been in a hospital at least three consecutive days.
- The resident has been admitted to Oak Forest within 30 days of discharge from the hospital for the same condition for which he or she was treated in the hospital.
Even though a resident may be eligible for the 100 Medicare Part A days, he or she must continually qualify for the skilled services in order to receive them.
Making a Referral
The following documents and information are required to make a referral:
- A copy of FL2
- Medical history and physical assessment
- Demographic information on the patient
- Patient’s therapy evaluation and progress notes
Fax this information to 336-744-9401.
After receiving the information above, we will complete a clinical and financial evaluation and contact the case manager regarding a bed offering.
We offer 24-hour resident placement provided that the resident meets admissions criteria and that an appropriate bed is available for the level of care needed.