Payment
Skilled Nursing Medicare
Medicare does NOT cover long term care but will cover skilled nursing or rehab. 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:
- 1 The individual has Medicare Part A (hospital insurance) with a valid benefit period. The benefit period starts from the date of admission to a hospital or skilled nursing facility and lasts for up to 60 days after the end of the stay.
- 2 The individual has a qualifying hospital stay of at least three in-patient days.
- 3 The doctor has recommended daily skilled nursing care. 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.
- 4 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.
Not sure where you stand?
Our admissions director works through Medicare eligibility with families every week. Give us a call and we will walk you through it.
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