Short-Term Rehab and Medicare

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Short-Term Rehab and Medicare

Nov 7, 2017

Many seniors are able to use Medicare to access high-quality, short-term rehab. Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with end-stage renal disease. Short-term rehab falls under Medicare Part A, and seniors can work with short-term rehab administrators to determine whether the government-provided insurance covers the services they need.

Elderly women getting a leg therapy with a nurse and an old man behind them


What to Know About Short-term Rehab and Medicare

Medicare Part A covers short-term rehab under certain conditions—and for a limited amount of time— in a skilled nursing facility.

Among the short-term rehab services allowed under Medicare are:

  • Skilled nursing care
  • Physical and occupational therapy
  • Medication
  • Speech-language pathology services
  • Meals
  • Semi-private room
  • Medical supplies and equipment used in the facility

Short-term Rehab and Medicare: How Patients Qualify

Medicare will cover short-term rehab if patients meet specific criteria—and assuming the skilled nursing facility in question is Medicare-certified. Those criteria include:

  • Patients must have Medicare Part A and have days remaining to use in their benefit period.
  • There must be a qualifying hospital stay—an inpatient stay of three consecutive days or more.
  • The services needed at a skilled nursing facility must be ordered by a physician.
  • Patients must require the care on a daily basis, and the services provided must require inpatient residence at a skilled nursing facility.
  • The care required must be for a medical condition that was treated during a qualifying three-day hospital stay—or that began while the patient was receiving skilled nursing care for a medical condition that was treated during a qualifying three-day hospital stay.
  • The services must be deemed reasonable and necessary.

Making the Most of Short-term Rehab and Medicare

Seniors should feel comfortable engaging with the staff of their short-term rehab of choice to discuss Medicare and a host of related issues such as how their care is planned and their rights and protections under the law.

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