Financial Info

Financial Information for Skilled Nursing Care

SanStone Health & Rehabilitation does everything we can to make your rehabilitation or skilled nursing care as available and affordable as possible. We’ve provided our NC financial information below concerning the cost of rehabilitation and more.

Admission to SanStone Health

SanStone Health provides care to residents over the age of 18 who require rehabilitation, long-term care or skilled nursing. We often treat adults who have suffered:

  • Stroke or neurological incident
  • Orthopedic injury or surgery
  • Surgical wound
  • Pressure ulcer
  • An injury that requires feeding tubes or IV antibiotics

We also have a specialized program for those with Alzheimer’s disease or dementia, as well as care for adults who are dependent on a ventilator.

SanStone also accommodates couples by offering care in the same room.

After your admittance into SanStone Health, we will evaluate your financial needs and status.

Insurance, Medicare & Medicaid

SanStone Health accepts all major insurance policies, including Medicare and Medicaid in NC. We also accept insurance policies for state employees.

Medicare can contribute for up to 100 days of skilled care at SanStone. For the first 20 days, Medicare may pay for up to 100 days of an approved new benefit period in a NC skilled nursing facility. In order for Medicare to pay up to 100 days, the resident must meet the Medicare requirements for payment. Medicare may pay 100% for the first 20 days of a new Medicare benefit period. Days 21 to 100 may be paid by Medicare, excluding the coinsurance rate for Medicare (the coinsurance rate for Medicare is adjusted annually).

Medicare benefits are payable only if the following conditions are met:

  • A physician certifies that skilled nursing or rehabilitation services are needed on a daily basis.
  • The resident has been in a hospital for at least three consecutive days.
  • The resident has been admitted to SanStone within 30 days of discharge from the hospital for the same condition for which they were treated in the hospital.

Though a resident may be eligible for the 100 Medicare Part A days, they must continually qualify for our services to receive them.

How to Make a Referral

To make a referral, you will need the following documents and information:

  • A copy of FL2
  • Medical history and physical assessment
  • Demographic information on the resident
  • Resident’s therapy evaluation and progress notes

Please fax this information to your SanStone Health location. After we receive these forms, we will complete a clinical and financial evaluation, as well as contact the case manager regarding a bed offering. We provide 24-hour resident placement, providing that the resident meets admissions criteria and the appropriate bed is available for the proper care.

If you have questions about payments or the cost of rehabilitation in NC at SanStone, please feel free to contact us. We want to make our skilled nursing services as available to you as possible.

SanStone Health & Rehabilitation provides NC financial information for our residents at our locations, including Anson Health, Ashton Health, Camden Health, Carolina CareElizabeth CityHendersonville, Hickory Falls, The Lodge at Mills River, Madison, Oak Forest, Sanford, South Village, StoneCreek, and Village Green.