Transitional care management services
Medicare Part B (Medical Insurance) may cover transitional care management services if you’re eligible
Description
Transitional care management services help you return to your community after an inpatient stay at certain facilities, like a hospital or skilled nursing facility .
Coverage details
The health care provider who’s managing your transition back into the community will work with you, your family, caregivers, and other providers to coordinate and manage your care for the first 30 days after you return home. The health care provider may also:
- Review information on the care you got in the facility
- Provide information to help you transition back to living in the community
- Get referrals or make arrangements for follow-up care or community resources
- Schedule appointments
- Manage your medications
You’ll also be able to get an in-person office visit within 2 weeks of your return home.
Who's eligible
You’re returning to your community after an inpatient stay at certain facilities, like a hospital or skilled nursing facility.
Costs
After you meet the Part B deductible , you pay coinsurance for these services.
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