Insurance, Medicare & Medicaid Coverage

Understanding healthcare coverage can feel overwhelming — but our admissions team is here to make the process simple and transparent.

Atlas Healthcare at Seashore Gardens accepts a wide range of insurance plans and provides clear guidance on Medicare, Medicaid, managed care, and private pay options. Our goal is to ensure every resident and family feels informed and confident before admission.

Insurances Accepted
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Insurances Accepted

Atlas Healthcare at Seashore Gardens partners with a variety of insurance providers to support skilled nursing, rehabilitation, and long-term care needs. Coverage varies by plan, but commonly includes:

  • Medicare
  • New Jersey Medicaid
  • Managed care plans
  • Commercial insurance plans
  • HMOs and PPOs (plan-dependent)

Our admissions team will verify eligibility, outline benefits, and explain any out-of-pocket responsibilities before admission.

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Medicare Coverage

As a Medicare-certified skilled nursing and rehabilitation facility, Atlas Healthcare at Seashore Gardens provides services that may be fully or partially covered under Medicare Part A following a qualifying hospital stay.

Medicare Part A May Cover:

  • Subacute rehabilitation
  • Skilled nursing care
  • Physical, Occupational, and Speech Therapy
  • Wound care
  • IV therapy and medical treatments
  • Clinical monitoring
  • Medical supplies and equipment used within the facility

Understanding Medicare Eligibility

To qualify for Medicare-covered skilled nursing care, residents typically need:

  • A qualifying hospital stay
  • A physician’s order confirming skilled care needs
  • Ongoing progress or clinical justification for the stay

Our team will review your available Medicare days and help ensure you understand deductibles, coinsurance, and coverage limits.

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Medicaid Guidance For Long-Term Care

For individuals who require long-term skilled nursing care, New Jersey Medicaid may cover all or part of the cost of care for eligible residents.

Medicaid May Cover:

  • 24/7 skilled nursing services
  • Personal care and assistance
  • Accommodation, dining, and daily living support
  • Medical monitoring and medication management
  • Participation in activities and recreational programs

If you are applying for Medicaid or transitioning from private pay, our admissions staff will guide you through the documentation process and timelines.

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Private Pay Options

Families who prefer to pay privately can work directly with our admissions team to discuss rates and available accommodations.

Private pay may be used for:

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Short-term rehabilitation

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Memory care services

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Long-term nursing care

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Respite or temporary stays

We provide transparent pricing and help families plan for both short-term and ongoing needs.

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Insurance Verification & Support

Before admission, our team will:

  • Verify insurance benefits
  • Review therapy allowances and coverage
  • Clarify deductibles and co-payments
  • Confirm authorization requirements
  • Provide written or verbal explanations of all financial aspects

Our goal is to eliminate uncertainty and ensure a smooth, informed admission experience.

Need Help Understanding Coverage?

We know how confusing insurance can be — and we’re here to help. Whether you’re unsure about eligibility, Medicare days, or Medicaid applications, our team will walk you through every detail.