Medical Coverage & Insurance
Harmony is both Medicare and Medicaid approved and accepts most insurances—including managed care plans (HMOs and PPOs) and VA.
2017 Medicare Facts from Harmony
2017 Medicare premiums and co-pays
Part A skilled nursing facility co-pay—Days 1 to 20 — You pay $0
Part A skilled nursing facility co-pay—Days 21 to 100 — $164.50 a day
Medicare Co-pay maybe covered if you have supplemental insurance.
Part B annual deductible — $183
Part B co-pay after meeting annual deductible — 20%
What’s the difference between Medicare Parts A & B?
Part A helps pay for certain services provided by a hospital, skilled nursing center (such as Harmony), hospice or home health agency. Part B helps pay for physicians, therapists and other services not covered by Part A.
Who is eligible for Medicare?
With certain exceptions, you must be at least 65 years of age to be eligible for Medicare.
What will Medicare Part A pay for in a skilled nursing center?
Under certain conditions, Medicare Part A will pay for a portion of inpatient skilled nursing or rehabilitation services provided in a participating healthcare center like Harmony. Medicare Part A will pay up to 100 days—after at least a three-day qualifying hospital stay (which includes three consecutive midnights). Medicare may pay all of the covered services for the first 20 days. During the last 80 days, you will be required to pay a daily co-insurance amount. Though the maximum Medicare Part A benefit is 100 days, each guest’s coverage will vary based on individual medical conditions.
Accepted Insurance Plans
Harmony accepts most insurance plans, including:
- Advocate Health CentersAetna/CofinityAetna Better Health
Assurant / John Alden / Fortis (HFN Affiliate)
Blue Cross/Blue Shield
Blue Cross Community MMAI, MLTSS
Blue Cross Medicare Advantage
CenBen USA (HFN Affiliate)
Cigna / Great West
Concert Health Plan (HFN Affiliate)
Federated Insurance (HFN Affiliate)
Health Alliance (HFN Affiliate)
HealthSmart / Interplan Health Group / Preferred Plan, Inc.
Independent Living Systems
Midwest Security (HFN Affiliate)
Multiplan / PHCS
North Carolina Mutual (HFN Affiliate)
Pekin (HFN Affiliate)
Personal Care (A Coventry Health Care Plan)
Principal Financial (HFN Affiliate)
Starmark / Trustmark (HFN Affiliate)
Sterling PPO & PFFS
United Security Life of IL (HFN Affiliate)
University of Chicago Health System
WellCare / Harmony
For insurance plans not listed above—or for more information about the benefits you may be eligible to receive—please call our Admissions Department at 773.588.9500.