care you get in an inpatient rehabilitation facility or unit (sometimes called an inpatient “rehab” facility, IRF, acute care rehabilitation center, or rehabilitation hospital). Your doctor must certify that you have a medical condition that requires intensive rehabilitation, continued medical supervision, and coordinated care that comes from your doctors and therapists working together.
You pay this for each
- Days 1-60: $1,364 deductible.*
- Days 61-90: $341 coinsurance each day.
- Days 91 and beyond: $682 coinsurance per each “lifetime reserve day” after day 90 for each benefit period (up to 60 days over your lifetime).
- Each day after the lifetime reserve days: All costs.
*You don’t have to pay a deductible for care you get in the inpatient rehabilitation facility if you were already charged a deductible for care you got in a prior hospitalization within the same benefit period. This is because your benefit period starts on day one of your prior hospital stay, and that stay counts towards your deductible. For example:
- You’re transferred to an inpatient rehabilitation facility directly from an acute care hospital.
- You’re admitted to an inpatient rehabilitation facility within 60 days of being discharged from a hospital.
Inpatient rehabilitation can help if you’re recovering from a serious surgery, illness, or injury and need an intensive rehabilitation therapy program, physician supervision, and your doctors and therapists working together to give you coordinated care.
- Rehabilitation services, including physical therapy, occupational therapy, and speech-language pathology
- A semi-private room
- Nursing services
- Other hospital services and supplies
Medicare doesn’t cover:
- Private duty nursing
- A phone or television in your room
- Personal items, like toothpaste, socks, or razors (except when a hospital provides them as part of your hospital admission pack).
- A private room, unless medically necessary
During the COVID-19 pandemic, inpatient rehabilitation facilities may accept you from an acute-care hospitals experiencing a surge, even if you don’t require rehabilitation care.
covers doctors’ services you get while you’re in an inpatient rehabilitation facility.