Frequently Asked Questions:
Q. What is Medicare, and how do I access the benefit?
Medicare is a Health Insurance PROGRAM RUN BY THE Federal Government (run by Centers for Medicare Services/CMS). It is designed for people 65 and older as well people with disability under the age of 65. Medicare has a benefit period of 100 day; however it is based upon the need for daily skilled care.
Covered Services Include
- Room and Board/Meals/Routine Nursing Care
- Rehabilitation Therapy including Physical, Occupational, and Speech Therapy
- Medications/Medical and Surgical Supplies
Requirements for Eligibility:
- 3 day in-patient hospital stay
- Skilled Care must begin within 30 days of hospital discharge
- In order to qualify for a new 100 day benefit period there must be a 60 break in services, another 3 day in-patient hospital stay. Additionally, you must not have been receiving skilled services such as tube feeding or wound care.
- Medicare will pay for the first 100 days at 100% coverage. On day 21, there is a $148.00 per day co-pay. This amount can change as determined by CMS. This amount is the patient’s responsibility. There are many cases whereas your private medical insurance (AARP) will either pay, or re-imburse you for the co-payment amount.
Services Not Included: Private Sitters, Private Duty Nurses Beauty Salon Services, Newspapers and Magazines, Other Convenience Items. Medicare will not pay for what is considered custodial nursing home care (Long Term Care).
Please remember Medicare allows up to 100 days of coverage. This is for skilled nursing and rehabilitative care. This is as long as a Medicare Utilization Review Team determines that there is a skilled need making it necessary to continue on the Medicare coverage.
Q. What is Medicaid, and how do I access the benefit?
In Maryland the Medicaid program provides benefits to people who have no medical insurance, or lack of adequate insurance. The federal government establishes general guidelines for the program; however each state better defines the details. Cherry Lane employs a Medicaid Eligibility Coordinator who is there to guide our family members through the Medicaid Eligibility Process.
Q. What different levels of care are available at Cherry Lane Nursing Center?
CLNC provides skilled nursing and rehabilitative care centered on providing individualized care for those recovering from illness, injury, or surgical procedures. Many of our patients need additional medical or rehabilitative services as they begin a transition to be safely transitioned back to their home. Some patients may decide to make CLNC their home. In these cases, the patient may need more supervision and support in Activities of Daily Living (ADL’s) than can be safely provided at home.
Q. What other insurance does Cherry Lane Nursing Center accept?
CLNC accepts the following insurances: Blue Cross Blue Shield, Carefirst, Cigna, Johns Hopkins Health Plan, Priority Partners, Maryland Physicians Care, Riverside Health Plan, Amerigroup. CLNC also has an agreement with the Washington DC, Veterans Health Center to provide care for our Veterans in need.
Q. What should I look for when considering a skilled and rehabilitative center?
Start with a thorough tour of the facility. Keep a keen eye out for staff, resident, visitor interactions. In particular look out for smells and or odors. In particular, inquire as to the longevity and commitment of the Leadership. Take a look at the overall cleanliness of the facility, pay particular attention to the detail cleaning.
Q. What should I consider when moving a family member or loved one into the Long Term Care setting?
This is by far one of the most difficult decisions family member have to make for a loved one. Ask the county ombudsman or the Office of Healthcare Quality about the facility you are considering. Additionally, a great resource is to review the facility ratings by using the CMS website “Nursing Home Compare.” This website rates facilities using a 5 star rating system, 5 star is the highest rating achievable. Also, a thorough tour of the facility can provide much insight into the quality of care provided.
Q. Can my pet visit?
Absolutely, just make sure vaccination records are up to date, and provide a copy to the facility.
Q. What are visiting hours?
Cherry Lane Nursing Center does not have set visiting hours. Our residents’ friends and families are welcome to visit anytime. All visitors must present photo ID and sign-in at the Receptionist’s desk.
Please contact us.