Medicare covers inpatient rehabilitation care if your doctor certifies that you have a medical condition that requires intensive rehabilitation, ongoing medical supervision, and coordinated care from your doctors, other health care providers and therapists. If you are in need of Home Care near Bairdford PA, Medicare Part A (hospital insurance) covers care in a skilled nursing facility if you're eligible. You may not need a minimum 3-day hospital stay if your doctor is involved in a responsible care organization or other type of Medicare initiative approved for an exemption from the 3-day rule in a “skilled nursing facility.” Always ask your doctor or hospital staff if Medicare will cover your stay in the SNF. Medicare Advantage plans can also waive the 3-day minimum. Contact your plan for more information. Medicare covers inpatient rehabilitation care if your doctor certifies that you have a medical condition that requires intensive rehabilitation, ongoing medical supervision, and coordinated care from your doctors, other health care providers and therapists. If you are in need of Home Care near Bairdford PA, Medicare Part A (hospital insurance) covers care in a skilled nursing facility if you're eligible. You may not need a minimum 3-day hospital stay if your doctor is involved in a responsible care organization or other type of Medicare initiative approved for an exemption from the 3-day rule in a “skilled nursing facility.” Always ask your doctor or hospital staff if Medicare will cover your stay in the SNF. Medicare Advantage plans can also waive the 3-day minimum. Contact your plan for more information.
Your benefit period ends when you stop receiving care in a skilled nursing facility for 60 straight days. If you are re-admitted to the SNF after those 60 days, a new benefit period will begin. You must pay the Part A deductible each time a new benefit period begins. This can happen several times in a calendar year (from January to December).
Medicare covers certain daily SNF services in the short term. If the hospital you are in has its own SNF and a bed is available, you can choose to stay there. Otherwise, you may need to find a bed available at another Medicare-certified facility. Many nursing homes also offer care in skilled nursing facilities.
What happens if I am in an SNF and need to be readmitted to the hospital? Medicare plays an important role in covering short-term rehabilitation, primarily through Part A. It usually covers rehabilitation services for inpatients in skilled nursing facilities (SNF) for up to 100 days per benefit period. To qualify, patients usually need a hospital stay of at least three consecutive days, and a doctor must certify their care as medically necessary. Medicare fully covers the first 20 days of the stay, but days 21 to 100 involve a daily co-payment, which can often be offset by Medicare supplement insurance.
Beyond this, patients are responsible of all costs. Unlike a stay in an assisted living community, Medicare can cover a short-term rehabilitation stay. Your loved one is eligible for Medicare coverage if they have a qualifying hospital stay. Upon discharge from the hospital, the doctor must prescribe a short-term rehabilitation stay.
As long as you follow these steps, Medicare should pay for 100% of your stay in a short-term rehabilitation facility for up to 20 days. Starting on the 21st, Medicare must cover 80% of the cost of the stay. The remaining 20% is paid privately or is covered by coinsurance.
