Financial / Rates

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Accepted Insurance

  • Scan
  • Tri Care
  • AARP
  • Veterans Association
  • HealthNet
  • Blue Cross of California
  • Blue Shield of California
  • Humana
  • United Healthcare / Secure Horizons / Pacific Care

We also coordinate care with many medical groups, including, but not limited to:

  • Healthcare Partners
  • Memorial Health Care System
  • Greater Newport Phy.
  • Edinger Medical Group
  • HAP
  • St. Joseph’s
  • UCIMG

Hospice Contracts:

  • Reliance Hospice
  • Vitas Hospice
  • Hospice Touch

Private Pay – HVHC’s Private Pay rates are as follows:

  • Semi-Private Room = $350/day
  • 3 Bed Room = $300/day

Medicare Eligibility, Enrollment & Premium

Medicare is a Health Insurance Program for people 65 years of age and older, some disabled people under 65 years of age, and people with End-Stage Renal Disease (permanent kidney failure treated with dialysis or a transplant).

Medicare will cover skilled care only if all of the following are true:

  1. You have Medicare Part A* (Hospital Insurance) and have days left in your benefit period.
  2. You have a qualifying hospital stay. This means an inpatient hospital stay of 3 consecutive days or more. You must enter the SNF within a short period of time of leaving the hospital.
  3. Your doctor has ordered the services you need for SNF care, which require the skills of professional personnel such as registered nurses, licensed practical nurses, physical therapists, occupational therapists, speech-language pathologists, etc.
  4. You require the skilled care on a daily basis and the services must be ones that can only be provided in a SNF on an inpatient basis.
  5. You need these skilled services for a medical condition that:
    – was treated during a qualifying 3-day hospital stay, or
    – started while you were getting SNF care for a medical condition that was treated during a qualifying 3-day hospital stay.

Daily rate for skilled nursing care include room and board:

  • Three meals per day served in main dining or rehabilitative dining areas
  • Tray service, plus snacks
  • Special diets upon physician order
  • Daily assistance with activities of daily living (ADLs), i.e., dressing, bathing, ambulation, personal hygiene and needs
  • Daily housekeeping service
  • Bed and bathroom linens (less incontinent care linens)
  • Administration of medications as prescribed by either attending/alternate physician
  • 24-hour supervision by licensed nursing personnel (R.N. or L.P.N.) and Certified Nursing Assistants
  • Assistance with feeding
  • Planned activities
  • Recreational and occupational programs
  • Drug regimen review
  • Social services consultation
  • Discharge planning and referral service
  • Rooms furnished in accordance with state and federal regulatory agencies
PLEASE NOTE: THE DAILY ROOM RATE DOES NOT INCLUDE THE FOLLOWING: PHYSICIAN VISIT CHARGES, DENTIST VISIT CHARGES, MEDICATION AND SUNDRY ITEMS, RESIDENT CARE MEDICAL SUPPLIES AND MATERIALS, INCONTINENT CARE SUPPLIES/LINENS, SPECIAL PHYSICIAN ORDERED THERAPIES SUCH AS PHYSICAL THERAPY, OCCUPATIONAL THERAPY, RESPIRATORY THERAPY, DIAGNOSTIC TESTS, AND OTHER SPECIALIZED CARE PROCEDURES, ETC.

Medi-Cal Eligibility Policy

If you need assistance applying for Medi-Cal benefits please see our in-house Medi-Cal specialist. We would be happy to help you begin your application!

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