Does Medicare pay for care in a rehabilitation hospital?

Question 4 of 5 (use "Last" or "Next" buttons to see more)
Last Update: October 18, 2007

Yes, if you qualify for Medicare-covered care in a rehabilitation hospital, your out-of-pocket costs will be the same as for any other hospital stay. If you enter a rehabilitation hospital after being an inpatient at a different hospital, you will still be in the same benefit period.

    To find out what you have to pay for hospital care (Medicare Part A), click on the link in the GO TO box.

Rehabilitation hospitals are specialty hospitals (or parts of acute care hospitals) that offer intensive inpatient rehabilitation therapy.

You may need inpatient care in a rehabilitation hospital if you are recovering from a serious illness, surgery or injury and require a high level of specialized care from a team or medical professionals that generally cannot be provided in another setting (such as in your home or a skilled nursing facility).

    To find out more specific requirements for coverage, click on “How do I qualify for care in a rehabilitation hospital?”

Examples of common conditions that may qualify you for care in a rehabilitation hospital include stroke, spinal cord injury or brain injury. You will be less likely to qualify for care in a rehabilitation hospital if you are recovering from hip or knee replacement and have no other complicating condition.

If you do not qualify for Medicare-covered care in an inpatient rehabilitation hospital, you may qualify for rehabilitation care from other types of providers, such as a skilled nursing facility, a home health agency or in an outpatient setting.

    To find out more about outpatient therapy and home health and skilled nursing care, click on the links in the GO TO Box.
Medicare-covered services offered by rehabilitation hospitals include:

  • Medical care and rehabilitation nursing
  • Physical, occupational or speech therapy
  • Social worker assistance
  • Psychological services
  • Orthotic and prosthetic services

Related Questions
Can my state give me more rights and protections than federal law regarding Medigap plan enrollment?

Donate Now!
State:  
If you would like to find information specific to your state, press the arrow on the drop down menu to select your state.
 
 
Go to previous question Go to next question
 
GO TO
Filling gaps in Medicare coverage and getting help with Medicare costs

What do I have to pay for services covered under Medicare Part A?

Medicare coverage of inpatient hospital care

How do I qualify for care in a rehabilitation hospital?

Comprehensive Outpatient Rehabilitation Facilities (CORFs)

Types of home health care that Medicare will pay for

Medicare coverage of outpatient physical, occupational and speech therapy

 
LINKS
RehabTrials.org (Kessler Foundation)

American Hospital Association: Quality and Patient Safety

National Directory of Medicare Regional Carriers and Intermediaries

Medicare.gov: National A/B MAC Information

 
< Last | Next >