December 29, 2025 | Dear Marci

What happens if I leave SNF and then return?

Dear Marci,

While recovering from a stroke I spent three weeks in a skilled nursing facility (SNF). I chose to go home early, but I later realized I need more therapy. Will Medicare still cover another SNF stay? Are there time limits or special rules for readmission? 

– Sam (Helena, MT)

Dear Sam, 

Great question! If you leave a skilled nursing facility (SNF) and return Medicare will cover your stay as long as you meet certain requirements.  

Medicare covers a SNF stay if you enter a Medicare-certified SNF within 30 days of leaving the hospital. If you return to that SNF or another one within 30 days of leaving, you can be readmitted without completing the three-day qualifying hospital stay, and you will still be in the same benefit period. But if you return after 30 days have passed, Medicare won’t cover your stay unless you have been in the hospital for another three-day qualifying stay in the 30 days before you enter the SNF. 

Also keep in mind that Medicare will only cover your care in a SNF while you are there. If you need to leave the SNF for any reason, including going to the hospital, Medicare will not pay to hold your bed at the SNF. Though you may qualify for Medicare-covered SNF care after you leave the hospital, you might not be able to return to the same SNF, for instance if the SNF no longer has space for you. 

In some cases, you may be able to save a bed at a SNF if you need to leave the SNF for a short period. The SNF can charge for this service, and you will be responsible for paying the full cost of the charge out of pocket. In some states, Medicaid may pay for the bed-hold. If you have Medicaid, contact your local Medicaid office for more information. 

Hope this is helpful!  

-Marci 

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