Medicare.gov

Long-term care hospital services

Medicare Part A (Hospital Insurance) covers care in a long-term hospital

  • Covered by Part A
  • Costs vary depending on your situation

Description

Long-term care hospitals typically provide care to patients with more than one serious medical condition. The patients may improve with time and care, and eventually return home. Long-term care hospitals may offer services like:

  • Respiratory therapy
  • Head trauma treatment
  • Pain management

After being discharged from the long-term care hospital, many people get one of these:

Costs

What you pay each  benefit period in 2026 depends on how long you're getting care:

  • Days 1-60: After you pay the $1,736   deductible you pay $0 each day
  • Days 61-90: You pay $434 each day.
  • Days 91-150: You pay $868 each day while using your 60  lifetime reserve days . These are additional days that Medicare will pay for when you're in a hospital for more than 90 days. You have a total of 60 reserve days that can be used once during your lifetime.
  • After Day 150: You pay all costs.

You don’t have to pay the Part A deductible for care you get in the long-term care hospital if you were already charged a deductible for care you got in a prior authorization 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 your long-term care hospital care if:

  • You’re transferred to a long-term hospital directly from an acute care hospital.
  • You’re admitted to a long-term care hospital within 60 days of being discharged from a hospital.

Ask your doctor or healthcare provider how much your test, item, or service will cost.

Your doctor may recommend services that Medicare does not cover or offers too frequently. This could end up in additional costs for you. Make sure to ask your doctor about the reasons for these recommendations and what Medicare will actually cover.

Specific amounts you could owe depend on:

  • Other insurance you may have

  • How much your doctor charges

  • If your doctor accepts assignment

  • The type of facility

  • Where you get your test, item, or service