At Sandy Ridge we accept private payments, approved long term care insurance plans, and North Carolina Medicaid Supplemental Assistance. Unfortunately, Medicare does not cover Assisted Living.
All Inclusive Pricing Structure
We offer an all- inclusive pricing structure, that provides the resident with peace of mind of no hidden charges. Monthly rates are based on the room arrangements chosen by the resident. The monthly rate includes room and board, cablevision, housekeeping and laundry services, meal services, personal care services and medication management; medication cost are billed by the pharmacy to the individual resident’s insurance plan and the resident is responsible for the co-payments. Additional elected charges include, barbe and beauty services, telephone services and incontinent supplies.
Medicaid and NC Supplemental Assistance
The State/County Special Assistance Program, which is also abbreviated as SA, is a Supplemental income for Social Security Recipients who fall below the income eligibility limit, meet the age and/or disability requirements and have documented need by the resident’s physician of assisted living or memory care needs. Residents must apply for SA through their county of residence social services department prior to placement.
The State/County Special Assistance Program provides elderly and low-income North Carolina residents with financial assistance to pay for the costs of assisted living and memory care within an assisted living. This program is specifically intended to help with the cost of rent or room and board. Personal Care Services are paid by NC Medicaid for residents eligible for Supplemental Assistance.
Intended beneficiaries of this program include individuals that require personal care and supervision, but not necessarily daily medical care, as this would require full nursing home care.
This program’s policies restrict participation based on the applicant’s age, residency, functional ability and financial status.
Age – applicants must be at least 65 years of age unless they are designated as disabled by Social Security. Disabled individuals must be at least 18 years old.
Residency – applicants must be U.S. Citizens and residents (at least 90 days in a row prior to application for SA) of North Carolina. As their home address is often that of their adult care home, applicants must prove residency with a prior address in NC.
Functional Ability – applicants must have a medically documented need for the level of care provided in an adult care home. Typically, this means that the individual requires assistance with common activities, such as bathing, dressing, or getting out of a chair. An applicant’s care needs cannot be so extensive that nursing home care is required.
Financial Status –An individual can have income of up to $1,228 per month for assisted living and up to $1560 per month for memory care. (An applicant who receives SSI automatically meets the financial criteria for the SA program.) For SA, financial status is always considered a budget unit of one, which means marital status has no impact on one’s eligibility. Only the income and assets that are owned solely (or partially) by the individual applying for the program are counted. One’s countable financial assets cannot be more than $2,000, excluding a home, personal effects, and a primary vehicle.
Residents who are eligible for the SA program automatically qualify for Medicaid.
Long Term Care Insurance
Long Term Care Insurance plans are reviewed by the Business Office Manager prior to the resident being accepted at Sandy Ridge. If the plan is written to pay for Assisted Living or Memory Care the Business Office Manager will work with the resident and/or responsible party on submission of monthly claims.