|
Kaweah Delta Health Care District Includes:
• Kaweah Delta Medical Center
• Kaweah Delta Rehabilitation Hospital
• Kaweah Delta Mental Health Hospital
• Kaweah Delta Imaging Center
• Kaweah Delta Exeter Health Clinic
• Kaweah Delta Urgent Care
• Kaweah Delta Visalia Dialysis
• Kaweah Delta Porterville Dialysis
• Kaweah Delta Hospice
• Kaweah Delta Sleep Disorders Center
• The Lifestyle Center
and maintains partnerships with:
• Cypress Surgery Center
• Quail Park Retirement Village
• Sequoia Regional Cancer Center
Patients with Medi-Cal or Medicare Coverage
If you are currently uninsured, you may qualify for Medi-Cal or Medicare coverage.
Facts About Medi-Cal
Medi-Cal is an insurance program jointly funded by your state and federal government. Patients have 90 days from date of treatment to apply for Medi-Cal; this applies to inpatient and outpatient treatment.
Eligibility is Determined by:
For more info visit www.medi-cal.ca.gov/ or contact the Patient Financial Services department at (559)624-4200.
Facts about Medicare
Medicare is a federally funded health insurance program for people age 65 or older, some people with disabilities under age 65, and people with End-Stage Renal Disease. Medicare has 2 parts, Part A and Part B. Part A is hospital insurance - most people do not pay for Part A coverage. Part B is medical insurance - most people pay monthly for Part B coverage.
If you qualify for Medicare, you also have the option of choosing a Medicare + Choice plan, which is a managed care plan administered by a private company that replaces your Medicare coverage.
There are limitations on a number of services and items covered by Medicare and Medi-Cal, depending on the plan you have. You are responsible for copayments, deductibles, and other services not covered. If your Medicare or Medi-Cal coverage is through an HMO, it is important that you bring this to our attention.
Medicare Premiums and Deductibles/Copayments (2010 Rates)
Medicare Part A
• Most people do not pay a monthly Part A premium because they or a spouse has 40 or more quarters of Medicare-covered employment.
• The Part A premium is $233.00 per month for people having 30-39 quarters of Medicare-covered employment.
• The Part A premium is $423.00 per month for people who are not otherwise eligible for premium-free hospital insurance and have less than 30 quarters of Medicare-covered employment.
Medicare Part B
• Monthly premium: Based on patient's income, ranging from $96.40 to $238.40 per month
• Annual Deductible: $155
• Coinsurance: 20%
Inpatient Hospital Deductibles and Copayments
• $1,100 deductible per benefit period
• No coinsurance for days 1-60
• $275 daily coinsurance for days 61-90
• $550 daily coinsurance for 60 lifetime reserve days
Skilled Nursing Facility
• No deductible for each benefit period
• No coinsurance for days 1-20
• $137.50 daily coinsurance for days 21-100
Home Health Care
• No deductible or coinsurance
Hospice Care
• No deductible
• Small copayment for outpatient drugs and inpatient respite care
• Physician and other medical services: 20% (providers who accept assignment)
• Outpatient hospital care: coinsurance or copayment (as determined by Medicare)
• Home health care and clinical diagnostic lab services: nothing
Medicare Does Not Cover the Following Services (you must pay the full cost yourself):
• Private duty nursing
• Most prescription drugs
• Custodial care, unless skilled nursing is provided at the same time
• Most chiropractic services
• Cosmetic surgery
• Care outside of the United States
• Acupuncture
• Eyeglasses, except after cataract surgery
• Dental Care
For more information regarding Medicare, call (800) 633-4227 (800-Medicare), or visit www.medicare.gov.
«Return to Finance
|
