Skilled Nursing Medicare

Medicare does NOT cover Long term care but will cover skilled Nursing or Rehab however, the federal government has some strict regulations to determine eligibility for Medicare coverage.

Medicare generally offers coverage for up to 100 days of treatment in a skilled nursing facility. The first 20 days are covered at 100% then copays apply.

Eligibility Requirements for Admission to a Skilled Nursing Facility

According to the requirements, Medicare will assist with skilled nursing facility admission if:

• The individual has Medicare Part A (hospital insurance) with a valid benefit period. The benefit period will start from the date of admission to a hospital or skilled nursing facility and last for up to 60 days after the end of the stay.
• The individual has a qualifying hospital stay for at least three in-patient days.
• The doctor has recommended skilled nursing care to the individual daily. The care must be provided by skilled nurses and therapists or under their supervision and should be related to the condition that was attended to during the qualifying hospital stay.
• The individual is admitted to a skilled nursing facility that meets the strict criteria of Medicare to maintain its certification. Glen Rose Nursing and Rehab qualifies and meets these requirements.