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 eachbenefit period
- Days 1-60: $1,556 deductible.*
- Days 61-90: $389 coinsurance each day.
- Days 91 and beyond: $778 coinsurance per each “lifetime reserve day” after day 90 for each benefit period (up to a maximum of 60 reserve days over your lifetime).
- Each day after the lifetime reserve days: All costs.
*You don’t have to pay a deductible for inpatient rehabilitation care 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 won’t have to pay a deductible for inpatient rehabilitation care if:
- 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 coordinated care from your doctors and therapists.
Medicare-covered inpatient rehabilitation care includes:
- Rehabilitation services, including physical therapy, occupational therapy, and speech-language pathology
- A semi-private room
- Nursing services
- Prescription drugs
- Other hospital services and supplies
Medicare doesn’t cover:
- Private duty nursing
- A phone or television in your room (if there’s a separate charge for these items)
- Personal items, like toothpaste, socks, or razors (except when a hospital gives 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.