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Pegshere Asked October 2018

MIL was in hospital for a UTI. Now she's in rehab to strengthen her legs. Will Medicare take care of the biIlls?

My MIL was in the hospital for a UTI. She was taken from the hospital to rehab to strengthen her legs. We were told she might be there for about 21 days or possibly longer. No LTC yet just hospital stay and rehab. Social worker is leading us to believed she is fully covered for 100 days a year but now I'm reading only 100% for first 20 days then they pay only 50%. Is that true is the social worker giving us the wrong information? Anyone?

JoAnn29 Oct 2018
Medicare pays 100% for the first 20 days. 50% from day 21 to 100 days. After 100 its private pay. If Mom is just going to get her strength back, for everyday she was in the hospital its 3 days of rehab. After 20 days my Mom was expected to pay $150 a day. I told the NH they needed to do what they had to in 20 days because there was no money beyond that. She was discharged in 18 days.

97yroldmom Oct 2018
From the web

Medicare Part A covers care in a hospital rehab unit. Medicare may pay for rehab in a skilled nursing facility in some cases.
After you have been in a hospital for at least 3 days, Medicare will pay for inpatient rehab for up to 100 days in a benefit period. A benefit period starts when you go into the hospital. It ends when you have not received any hospital care or skilled nursing care for 60 days.
Medicare pays for the first 20 days at 100%. For the next 80 days, you must pay a daily co-payment. Medicare does not pay for rehab after 100 days.
If you go into the hospital for at least 3 days after one benefit period has ended, a new benefit period starts. You can have as many benefit periods as you need.
For more information, call Medicare toll-free at 1-800-638-6833.

Does your MIL have a supplement plan to her Medicare? Check to see if they pay the copay after the first 20 days. My mother’s did.

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