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Medicare & Payment


Independence House is certified by the Ohio Department of Health to provide skilled nursing care and has a Medicare contract to provide skilled nursing and rehabilitation services to eligible clients.

Skilled care is defined by Medicare based upon rehabilitative potential and medical complexity of the required nursing services. It is not based upon the amount of care needed, but on the skill level required in meeting the need. It is possible for a client whose condition is very serious and requires a maximum amount of service not to need skilled care.

We suggest clients with nursing home insurance and Medicare supplemental insurance review these policies with the administrator to be certain all benefits are obtained. Unless the facility has a contract with the insurance company to allow for direct billing, the client or family must pay for the care and receive reimbursement from the insurance company.


Prior to admission, it is necessary to determine how the bill will be paid. If the admission is to be covered by Medicare, it is still necessary to arrange for the co-insurance payment. That happens if the stay exceeds the Medicare period of coverage. Social services is available to discuss payment. 

Independence House staff will assist in any reasonable manner with insurance claims. However, the client, staff or family is expected to arrange for payment unless Independence House has received confirmation from the insurance company that the stay is covered and that the payment will be made directly to the facility.

Someone should be designated as the Financially Responsible Party. This is the person who will receive the monthly bill and see that Independence House is paid. Unless covered by insurance, upon admission the daily room rate will be billed for the remaining days in the month. Thereafter, on the first of the month the entire month will be billed in advance.


Independence House provides all services and employment to all persons without regard to race, color, national origin, handicap, or age. All persons and organizations having occasion either to refer persons for services or to recommend our services are advised to do so without regard to the person's race, color, national origin, handicap, or age.

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