TRADITIONAL MEDICARE WILL COVER SKILLED CARE ONLY IF ALL OF THE FOLLOWING ARE TRUE:

  • You have Medicare Part A and have days left in your benefit period for skilled nursing.
  • You have had a qualifying inpatient hospital stay for three consecutive days, not including the day you leave. Observation stays do not qualify.
  • You need the skilled service to continue care that you received during your three-day qualifying stay.

Even if you go home, you can be admitted to a skilled nursing facility within 30 days of leaving the hospital. Medicare does not cover custodial care (care that helps with usual daily activities like walking, eating or bathing) without the presence of a skilled need. This care may be given by long-term care facilities.

NOTE: Your Transitional Care & Physical Rehabilitation Unit bill will be separate from any hospital bills.

OTHER INSURANCE COVERAGE

  • If you have a Medicare Advantage plan, the coverage may vary.
  • Insurance plans may require preauthorization for your Transitional Care & Physical Rehabilitation Unit stay.
  • You may request financial arrangements.
  • If you have questions, please contact a social worker.

 NOTE: The Transitional Care & Rehabilitation Unit is not a Medicaid provider.