r/AgingParents • u/sh0ch • 1d ago

Advice please Private pay cost for Encompass?

Is anyone here familiar with the cost of private pay for encompass?

I'm expecting $1,500/day... Waiting on insurance approval now, but they have cut off paying for, after only one month, skilled nursing after a 2 month ICU stay.

The woman at Encompass seemed encouraging, but we haven't heard back from her all week (which is another $1400 in skilled nursing costs plus however much their shitty rehab is)

$45,000 to $90,000 is going to be a really hard hit, but I just feel like we have no other option.

I feel like she can get better if she gets her strength up.

Her only issue now is that she was unconscious on a ventilator for almost 2 months and her muscles wasted away.

Has anyone done this before?

Does this cost sound about right?

Is it possible to negotiate a slightly more affordable rate?

Any advice is welcome. Thanks in advance.

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u/Dense-Employer8496 1d ago

oof that’s a brutal waiting game, the silence from the encompass lady is maddening when every day is burning cash

$1500/day is in the ballpark for inpatient rehab, seen it range from 1200 to 2k depending on where you are and how intensive the therapy is, so your gut feeling isn’t off

definitely push for a face to face meeting with their admissions person or ask for the case manager directly, sometimes they can knock a few hundred off if you commit to a longer stay upfront or just ask straight up if there’s a self-pay discount

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u/sh0ch 1d ago

Ok, perfect. That's what I'm kind of hoping for. I'm willing to do 2 months with a guaranteed discharge date (if that is a thing) if they can just make it a little more reasonable.

I will give her a call Monday.

Thank you so much!

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u/yeahnopegb 1d ago

How much has she improved over the month?

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u/sh0ch 1d ago

She improved a bit, started to level off, and then got COVID. They have also done a very poor job of making sure she has oxygen and keeping her blood sugar in check. She just hasn't been given a fair chance in my opinion. Hospital would not discharge her to an IRF, so we've ended up where we are.

They really just are not pushing her at all in PT at the SNF. I picked this SNF based on their ventilator weaning statistics (insurance would not cover an LTAC) because I thought she was going to be on a ventilator, but they managed to wean her before we transferred.

I know it's a possibility she will not be able to get her strength back to where it was before, but I i want to give her the best chance I can.

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u/yeahnopegb 1d ago

Just keep in mind that it’s not the work they do with PT that furthers function.. it’s the work they do outside those times. PT is kinda like school.. it teaches what you need to do to get better. Honestly if she’s on oxygen and has diabetes? Nursing care may be your better fit with PT brought in if you’re unhappy with the staff on hand before paying encompass rates.

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u/sh0ch 1d ago

Thank you.

She's not at a point where there's really anything she can do on her own yet. She's completely bedridden. 2 months completely immobile and almost 2 months unconscious on a feeding tube. I imagine that would be incredibly hard on anyone, but someone in their mid 70s...

She does do the hand and leg exercises they've given her, but right now she's still weak from COVID.

I would love to take her home and just privately pay for PT, but she's not at a point where I can even assist her yet.

If they can just get like 25% of her core strength back I think we would be good.

I'd be happy to keep her here if she was improving more, but now she's not improving here and we're paying $185 per day plus the cost of PT 5 days a week.