The benefit period ends when you haven't received any type of hospital care (or up to 100 days of specialized care in an SNF) for 60 consecutive days. If you enter a hospital for each benefit period, Medicare Part A covers up to 90 days of hospital care. This can include time spent in a hospital as well as time in an inpatient rehabilitation center. If your break in specialized care lasts at least 60 consecutive days, this ends your current benefit period and renews your SNF benefits.
This means that the maximum coverage available would be up to 100 days of SNF benefits. Your doctor must certify that you have a condition that requires ongoing medical supervision, intensive rehabilitation, and coordinated care so that Medicare can cover inpatient rehabilitation. You don't have to pay a deductible for inpatient rehabilitation if Medicare has already charged you a deductible for the care you received in a hospital during same benefit period. Your doctor must certify that you have a medical condition that requires intensive rehabilitation, ongoing medical supervision, and coordinated care from your doctors, other health care providers, and therapists.
Inpatient rehabilitation can help if you are recovering from serious surgery, illness or injury and need an intensive rehabilitation therapy program, the supervision of a doctor and the coordinated care of your doctors, other health professionals and therapists. You may not need a minimum 3-day hospital stay if your doctor is participating in a responsible care organization or other type of Medicare initiative approved to exempt skilled nursing facilities from the 3-day rule. You don't have to pay a deductible for inpatient rehabilitation care if Medicare already charged you a deductible for care you received in a previous hospitalization within it. benefit period.
Medicare Part A (hospital insurance) covers medically necessary care you receive in an inpatient rehabilitation center or unit (sometimes referred to as a “rehabilitation center,” IRF, intensive care rehabilitation center, or inpatient rehabilitation hospital).
