Subacute / Transitional Care
Subacute care is comprehensive inpatient care designed for someone who has an acute illness, injury or exacerbation of a disease process. It is goal oriented treatment rendered immediately after, or instead of, acute hospitalization to treat one or more specific active complex medical conditions or to administer one or more technically complex treatments, in the context of a person’s underlying long-term conditions and overall situation.
Often referred to as Transitional Care, the focus of this type of care is to “transition” the patient as quickly as possible back to their previous level of functioning and independence.
Subacute care requires the coordinated services of an interdisciplinary team including physicians, nurses and other relevant professional disciplines, who are trained and knowledgeable to assess and manage these specific conditions and perform the necessary procedures. Subacute care is given as part of a specifically defined program.
Subacute care is generally more intensive than traditional nursing facility care and less than acute care. It requires frequent recurrent patient assessment and review of the clinical course and treatment plan for a limited time until the condition is stabilized or a predetermined treatment course is completed.
EHM Senior Solution was one of the first organizations in the area to create a dedicated program specific to this type of high intensity care. The Redies Center for Rehabilitation and Healthy Living is the premier short term care facility designed to return those who are recovering from an injury or illness home as soon as possible. Our entire team of highly specialized physicians, nurses, therapists, wellness coordinators, dieticians, social workers, and support personnel all work with the patient and their loved ones to craft a care plan to emphasize independence and a transition home.Our goal is to help patient recover from an injury or illness and regain their independence as quickly as possible. Our focus is to get you home. We provide:
- Orthopedic recovery
- Stroke / neurological rehabilitation
- Cardiac after care
- Aquatic therapy
- Advanced intravenous therapy
- Enteral nutrition (feeding tube)
- Gurney or wheelchair mobility
- Pain management
- Concentrated therapies
- LSVY Big and Loud® therapy,
- Lymphedema wraps
- Patient and family education
- Physical, occupational and/or speech therapy
- Social services and/or case management
- Tracheostomy / Respiratory care
- Wound management
Medicare Part A will pay for care in a nursing home for up to 100 days if the care that is required is considered “skilled”. In order to be considered “skilled,” nursing care must be ordered by a physician and delivered by, or under the supervision of, a professional such as a physical therapist, registered nurse or licensed practical nurse. Moreover, such care must be delivered on a daily basis. but there are a number of requirements that must be met before the nursing home stay will be covered. If you qualify, then Medicare may cover expenses related to your nursing home care in a skilled nursing facility for the first 100 days as follows: For days 1 to 20 of your stay during the benefit period, you pay $0. For days 21 to 100 of your stay, you pay a coinsurance that is set by the government. Medicare generally doesn’t cover long-term care stays in a nursing home.
The key to understanding Medicare is that it provides reimbursement care for a specific time and is not intended to be utilized for long-term insurance coverage. The maximum benefit period is 100 days, but your medical condition may not qualify you to receive this length of coverage.
Medicare benefits apply under the following circumstances:
- The patient spends three consecutive days in an acute care hospital, not including the day of discharge.
- A physician certifies that the patient requires skilled or rehabilitative care.
Services typically covered by Medicare include:
- Patient room
- Meals, including therapeutic diets
- Nursing care
- Rehabilitation services
- Medical supplies
- Use of adaptive equipment and appliances
- Ancillary services, such as laboratory tests and x-rays
We participate in a variety of additional private insurance plans including: accepts many payer types including Medicare, Medicare HMO’s, Medicaid, Blue Cross Blue Shield, HAP, Aetna, Priority Health, AARP and many more. Each plan is different and coverage amounts may vary greatly. We are happy to sit down with you and review your plan to determine your insurance eligibility and coverage.
If you have limited assets and a low income and you need help paying for nursing home or assisted living care, Medicaid might help you pay for your care. Medicaid will generally only cover the cost of “convalescent care” or what most people refer to as “long term care”. However, before Medicaid will pay for a nursing home stay, it must be proven “medically necessary” for the patient. The rules for Medicaid are complicated, but we can help. Our admissions professionals can help answer your questions and explain what Medicaid will and will not pay for.
Every insurance plan is different and coverage and benefits vary. Please contact our Admissions and Marketing Department for more information.
For more information on how we can help you recover from a serious illness or injury, please contact us at: 734-429-9401
440 West Russell Street
Main Phone: 734-429-9401