Lumaktaw sa pangunahing content

Medicare and Rehabilitation Care

Rehabilitation hospitals are specialty hospitals or parts of acute care hospitals that offer intensive inpatient rehabilitation therapy. This kind of care is intended for patients recovering from a serious illness, surgery, or injury and requires a high level of specialized care that generally cannot be provided in another setting.







Common conditions which may qualify for care in a rehabilitation hospital include ;
  • stroke
  • spinal cord injury
  • brain injury. 
Hip or knee replacement is not covered by Medicare, especially if you have no other complicating condition.


Medicare-covered services offered by rehabilitation hospitals include:
  • Medical care and rehabilitation nursing
  • Physical, occupational, and speech therapy
  • Social worker assistance
  • Psychological services
  • Orthotic and prosthetic services
To qualify for a Medicare-covered stay in a rehabilitation hospital, your doctor must state that this care is medically necessary, meaning you must require all of the following services to ensure safe and effective treatment:
  • 24-hour access to a doctor which means you require frequent, direct doctor involvement, at least every 2-3 days
  • 24-hour access to a registered nurse with specialized training or experience in rehabilitation
  • Intensive therapy, which generally means at least three hours of therapy per day. You may still qualify if you are not healthy enough to withstand three hours of therapy per day)
  • And, a coordinated team of providers including, at minimum, a doctor, a rehabilitation nurse, and one therapist
Your doctor must also expect that your condition will improve. That after a rehabilitation hospital stay, you will be able to function more independently.  Such as, therapy may help you regain the ability to eat, bathe, and dress on your own, live at home, and/or live with family rather than in a living facility.
If you qualify for Medicare-covered care in a rehabilitation hospital, your out-of-pocket costs will be the same as for any other inpatient hospital stay. 

Also keep in mind that if you enter a rehabilitation hospital after being an inpatient at a different facility, you will still be in the same benefit period. If you do not qualify for a Medicare-covered stay in an inpatient rehabilitation hospital, you may still qualify for rehabilitation care from a skilled nursing facility, a home health agency, or in an outpatient setting.
Mga etiketa:

Mga Komento

Mag-post ng isang Komento

Mga sikat na post sa blog na ito

Medicare and Living Abroad

Medicare   enrollment  can be complicated if you live outside the United States. This means that you do not live inside the  50 states of the U.S, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, or the Northern Mariana Islands. Although Medicare does not typically cover medical costs you receive when you live abroad, you still need to choose whether to enroll in Medicare when you become eligible or to turn down enrollment.  This is subject to consideration as well; Whether you plan to return to the U.S. Whether you are working or volunteering outside the U.S. The potential costs of delayed enrollment If you are  65 or older and qualify for Medicare , you can enroll in Medicare Parts A and B, also known as  Original Medicare , either before or after you leave the U.S . However, you must remember that Medicare will typically not cover medical care you receive outside the U.S.  Part A coverage is the best to keep eve...
Mag-post ng isang Komento
Magbasa nang higit pa

NCOV -19 and MEDICARE 2020

Medicare Part B , which includes a variety of outpatient services cover medically necessary clinical diagnostic laboratory tests when a doctor or other practitioner orders them. Medically necessary clinical diagnostic laboratory tests are generally not subject to coinsurance or deductible. It will cover medically necessary imaging tests, such as computed tomography (CT) scans, as needed for treatment purposes for lung infections, however not for screening asymptomatic patients. For those imaging tests paid by Part B, beneficiary coinsurance and deductible would apply. If the Part B deductible ($198 in 2020) applies to the Part B services, beneficiaries must pay all costs - up to the approved amount of Medicare until the beneficiary meets the yearly Part B deductible. Once it is met, Medicare pays its share, and beneficiaries typically pay 20% of the approved amount of the service, except laboratory tests. There’s no yearly limit for what a beneficiary pays out-of-pocket tho...
Mag-post ng isang Komento
Magbasa nang higit pa

Cardiovascular Disease Risk Reduction

Cardiovascular disease generally refers to conditions that can lead to a heart attack or stroke. Cardiovascular disease risk reduction visits can help detect and prevent this disease. How to know if I am Eligible? Medicare   Part B  covers an annual cardiovascular disease risk reduction visit with your primary care  provider . You do not need to show any signs or symptoms of cardiovascular disease to qualify for screening, but you must be considered competent and alert when counseling is provided.  During the screening, your provider may; Encourage aspirin use if the benefits outweigh the risks You are a man  of age 45-79 Or a woman of age 55-79 Screen for high blood pressure if you are age 18+ Provide behavioral counseling and tips to encourage a healthy diet Note: Men under 45 and women under 55 are not encouraged to use aspirin as a tool to reduce cardiovascular disease. How much will it cost? If you are eligible,  Original Medicare  will cover yo...
Mag-post ng isang Komento
Magbasa nang higit pa