PruittHealth offers high-quality, compassionate care and provides families the transparency and information they need to stay connected with their loved one's progress.
While our experts are available to answer your questions, we've also addressed many common topics to help you learn more about treatments and financial information.
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At PruittHealth, family comes first. That’s why our team of health care professionals is dedicated to offering the highest quality of care–all focused on the needs of you and your loved ones.
For more than 50 years, PruittHealth has ensured the peace of mind of its patients, residents, clients, and their families through its commitment to quality health care.
While our experts are available to answer your questions, we’ve also addressed many common topics to help you learn more about treatments and financial information.
Find the answer you need to questions
about payments with Medicare, Medicaid,
or private insurance.
Medicare is health insurance paid by the federal government for people age 65 or older, under age 65 with certain disabilities. Medicare has multiple benefits that include Medicare Part A, Part B, Part C, and Part D.
To be eligible for home health care under Medicare:
Via application.
Patients are eligible for 100 days of Medicare Part A coverage during a benefit period and as long as the patient is medically necessary. The first 20 Medicare days are paid in full (100%) by Medicare Part A for charges related to a Medicare Part A stay. The remaining 80 days are referred to as Medicare co-insurance days. This means Medicare Part A will pay for all Medicare related charges for the next 80 days except for the co-insurance amount.
Medicare Advantage is a plan that was designed by the Federal Government to allow Medicare beneficiaries to purchase their Medicare Benefits from commercial health insurance companies. Medicare Advantage is also referred to as Medicare Part C
If you sign up for a Medicare Advantage plan, it is important to review the coverage available in all categories of service, such as Physician Services, Long Term Care, and Post-Acute Care (Skilled Nursing Facilities, Home Health Care, Hospice Care, etc.) Medicare Advantage plans are required to offer health benefits that meet or exceed the benefits offered by traditional Medicare, but they do not have to pay for each service in the same way.
When you sign up for private health insurance, remember to consider all out of pockets costs, such as the deductible and all copayment requirements for each category of service. Make sure you review your Evidence of Coverage document, which will explain all your plan benefits and costs. You should receive your Evidence of Coverage document when you sign up for your plan, but you can also find it on your company’s web site or by calling the insurance company to request it. With all the private insurance plans available, you should be able to choose one that makes sense for your financial situation.
Medicaid is an assistance program funded jointly by the federal and state governments and administered by individual states.
Medicaid eligibility is based on income level, assets, and resources.
In general, you are eligible for Medicaid if your income is low and meets your states requirements and you match one of the following characteristics:
When applying for Medicaid, you will need to speak to a representative at your local Department of Family and Children Services (DFCS) office. You must submit a signed application to DFCS.
When you begin the application process, it will be useful to have these documents with you. Having these documents prepared beforehand will allow the application process to move more quickly.
There are some limitations on services that you can receive through Medicaid, but generally Medicaid covers the following services:
Private health insurance is coverage that is purchased from a private (or commercial) health insurance company. Private Health insurance is the largest source of health insurance coverage for Americans. Most people purchase their health insurance coverage through their jobs, sharing the cost of premiums with their employer, but many purchase their coverage individually.
There are numerous private insurance companies that offer many types of benefit plans. When you sign up for a private health insurance plan, it is important to review the coverage available in all categories of service, such as Physician Services, Long Term Care, and Post-Acute Care (Skilled Nursing Facilities, Home Health Care, etc.) Make sure the plan you choose make sense for your health needs.
