Inpatient rehabilitation care

Inpatient rehabilitation care

Medicare Part A (Hospital Insurance)

 covers

Medically necessary

 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.

Your costs in Original Medicare

You pay this for each

Benefit period

:

  • 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.
What it is

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.

Medicare covers:

Medicare doesn’t cover:

  • Private duty nursing
  • A phone or television in your room
  • Personal items, like toothpaste, socks, or razors (except when they’re provided as part of a hospital admission pack).
  • A private room, unless medically necessary
Things to know
Medicare Part B (Medical Insurance)

 covers doctors’ services you get while you’re in an inpatient rehabilitation facility.

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