Skilled nursing facility (SNF) care

Medicare Part A (Hospital Insurance)

 covers 

skilled nursing care

 in certain conditions for a limited time (on a short-term basis) if all of these conditions are met:

  • You have Part A and have days left in your benefit period to use.
  • You have a qualifying hospital stay
    Note
    • During the COVID-19 pandemic, some people may be able to get renewed SNF coverage without first having to start a new benefit period. 
    • If you’re not able to be in your home during the COVID-19 pandemic or are otherwise affected by the pandemic, you can get SNF care without a qualifying hospital stay.
  • Your doctor has decided that you need daily skilled care. It must be given by, or under the supervision of, skilled nursing or therapy staff.
  • You get these skilled services in a SNF that’s certified by Medicare.
  • You need these skilled services for a medical condition that’s either:
    • A hospital-related medical condition treated during your qualifying 3-day inpatient hospital stay, even if it wasn't the reason you were admitted to the hospital. 
    • A condition that started while you were getting care in the SNF for a hospital-related medical condition (for example, if you develop an infection that requires IV antibiotics while you're getting SNF care)
      .
Your costs in Original Medicare

You pay: 

  • Days 1–20: $0 for each benefit period .  
  • Days 21–100: $185.50 coinsurance per day of each benefit period.
  • Days 101 and beyond: All costs.

note:

Your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.

What it is

Skilled care is nursing and therapy care that can only be safely and effectively performed by, or under the supervision of, professionals or technical personnel. It’s health care given when you need skilled nursing or skilled therapy to treat, manage, and observe your condition, and evaluate your care.

Medicare-covered services include, but aren't limited to:

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