Anyone who has suffered an injury, illness, or acute medical event that required hospitalization is a candidate for post-acute rehabilitation care. For Medicare Part A to cover a patient's post-acute rehabilitation care, the medicare beneficiary must have had a qualifying hospital stay before being admitted to the post-acute rehabilitation facility. In most circumstances, that means a three night or more hospital stay. Medicare beneficiaries also need an order from their physician certifying that they require daily skilled care. For patients covered by private insurance, the eligibility requirements for a post-acute rehabilitation stay vary by insurance provider. If you have questions about what post-acute rehabilitation services are covered by your insurance company, please give us a call at 1-866-330-0609.
Medicare: For a Medicare eligible beneficiaries, Medicare Part A coverage pays for a room, meals, nursing services, rehabilitation services, medications, supplies and durable medical equipment for up to 100 days. For the first 20 days in a post-acute rehabilitation facility, Medicare covers 100 percent of skilled care. From Day 21 through Day 100, the resident must pay a daily co-insurance rate.
Insurance: Coverage for post-acute rehabilitation care varies by insurance company. Most commercial insurance companies cover post-acute rehabilitation, but some require co-pays. If you have questions about what post-acute rehabilitation services are covered by your insurance company, please give us a call at 1-866-330-0609.