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Caring Senior Service of El Paso Blog

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When will Medicare Cover Skilled Rehabilitation for a Senior?

Posted by Ruby Cemental on Sep 12, 2017 5:30:00 PM

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When a senior gets sick or injured, they may need rehabilitation services. Skilled Nursing Facilities (SNF) often provide such services and can help a senior regain and strengthen abilities. Many seniors in need of such services will have Medicare. There are special requirements for when a senior can receive Medicare coverage for care in an SNF.

One requirement is that a patient has Medicare Part A and coverage for enough time remaining to pay for the care. They must also have been in the hospital for three inpatient days. Inpatient days do not include time in the ER when under observation or on the day of discharge.

After the patient leaves the hospital, they must have a doctor determine they need daily rehabilitation in an SNF. The patient then must enter the SNF within 30 days of discharge from the hospital. Furthermore, the facility they go to needs to have Medicare certification.

Additionally, for Medicare to cover the stay in the SNF, they need to receive treatment for a condition that was also treated during their previous time in the hospital. This includes conditions besides the main one they received treatment for in the hospital. Also, conditions that develop when in the hospital, such as infections, are eligible for treatment in an SNF if necessary.

Rehabilitation care in an SNF is an essential part of recovery for some seniors. Knowing when Medicare will cover this treatment for a senior will help make sure they get the care they need. 

As you are learning to deal with the changes that aging can bring, be patient with yourself, patient with your loved one, seek advice and answers to questions, and remember you are not in this alone. Contact a Caring Senior Service team member today!

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Topics: Medicare

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