Admissions

At Villa of Tyler , we can assist you in identifying your options to pay for services. We can answer questions about qualifying for Medicare, Medicaid, Managed Care, Insurance and Private Pay funding options. Please contact our Customer Care Line to speak with an admissions coordinator who can help you get the answers you need.

 

Learn more about admissions by reviewing the material to the left. There are multiple ways to pay for senior housing or long term care.

 We gladly accept Private Pay, Private Insurance and Medicaid.  

MEDICAID

As defined in Title XIX of the Social Security Act, Medicaid is a joint Federal and State program which may pay for medical services to eligible families and individuals. Medicaid may assist in paying for services received in an assisted living community. Click for more info.

In order to qualify for the Medicaid Assistance program, an individual must meet both medical and financial criteria which are set forth in State and Federal law and regulations. Persons qualifying for Medicaid must have incomes and resources below specific levels determined by each state regulating the program. Anyone has the right to apply for Medicaid. To apply for the Medicaid program you must contact the Department of Health and Human Services in the county in which you live. A caseworker will give you an application and talk with you about your needs for medical assistance. Following are a list of items you should have available for review at the time of application:

  • Social Security card
  • Birth certificate and any other type of identification, such as a driver's license or Medicaid card
  • Proof of all income
  • If you receive Social Security, your Social Security award letter
  • Information about cash on hand, money in checking and savings accounts, savings bonds, current value of stocks, life insurance and health insurance
  • Information about property you own or are buying
  • Information regarding any monies or properties you have recently transferred
  • Information about medical treatment and medicines you need regularly
  • Medical bills you owe

Please remember that Medicaid is the federally funded program a person automatically becomes eligible for at the age of 65 and provides very limited coverage in a skilled nursing facility. Medicaid is a state funded program, with each state determining eligibility through specific criteria, which may vary from state to state. Specific coverage under the Medicaid program will be provided to eligible recipients prior to time of admission.

Please contact us for more information. We look forward to your call.

PRIVATE INSURANCE

If you are a subscriber to a Managed Care or Private Insurance product, you may have benefits which would assist in paying for services received in an assisted living community. We accept many Managed Care / Private Insurance carriers. Click for more info.

A majority of individuals with Managed Care or Private Insurance have pretty straight forward requirements if assisted living services is a covered benefit for the enrollee. We encourage you to speak directly with your provider to ensure you understand what your coverage parameters and options. If you are uncertain about what to ask, we are happy to assist you as needed. Each Managed Care or Private Insurance is different regarding the amount of coverage, deductibles and co payment requirements.

Typically some or all of the below are required:

  • A physician may need to certify that you need assisted living services.
  • Most have a Pre Authorization approval process step that must be met to ensure coverage.
  • Many have continued stay re-authorizations periodically throughout the stay to ensure skilled services meet the criteria of the coverage plan.

At any time during the benefit period the coverage can end if the recipient is no longer meeting criteria established by the insurance company. Prior to Managed Care / Insurance coverage ending, the resident and/or his agent will be notified in advance to allow time to transfer to another payment source.

PRIVATE PAY

We gladly receive private payment for services rendered. Click for more info.
  • Payment is due on the 1st and considered late on the 11th of the month.
  • We accept all major credit cards except American Express.
  • We accept cashier checks, money orders and cash as payment.
  • We are unable to process payment through debit cards at this time.

It is the policy of Villa of Tyler to admit and to treat all residents without regard to race, color, sex, national origin, handicap or age in compliance with the 45 CFR Parts 80, 84 and 91 respectively. The same requirements for admission are applied to all patients whose needs are reasonable for the facility to meet, and residents are assigned within this care center without regard to race, color, sex, national origin, handicap or age. Each resident must be admitted to the facility on the recommendation of a licensed physician. It is the policy of the facility not to retain a resident who required services beyond those for which the facility is licensed or has the functional ability to provide. This determination is made by the facility admissions committee. There is no distinction in the eligibility for, or in the manner of providing any resident service provided by the care center or by others in or outside of the care center. The services of this care center are available without distinction to all residents and visitors regardless of race, color, sex, national origin, handicap or age. All persons and organizations having occasion either to refer residents for admission or to recommend to the care center are advised to do so without regard to the resident's race, color, sex, national origin, handicap or age.