When I moved mom from Kentucky to Florida, she had been in a rehab post acute facility for about a month. So, Medicare paid for the first 20 days.
Four days ago mom fell and broke her leg, so she is in the hospital now, and had surgery this morning. I am guessing that she will be released in a few days to a rehab facility.
Can someone tell me if my memory serves me correct, and that Medicare will not pay for the first 20 days of rehab, because mom was in rehab about seven weeks ago? I thought that I remembered that Medicare will not pay for rehab, if they have previously paid the first 20 days of rehab, within 90 days.
I hope that I am wrong, because I feel like I’m in such a pickle right now. If mom has to be in rehab for one week to four weeks, and her long-term care insurance is paying for the assisted living facility, then that means I’m gonna have to pay what is due at the rehab facility daily. Ugh. :-(
https://www.elderlawanswers.com/does-going-into-a-hospital-from-rehab-restart-medicares-100-day-payment-period-15753
Does Going into a Hospital from Rehab Restart Medicare's 100-Day Payment Period?
The hospitalization may extend the resident’s skilled nursing facility (SNF) coverage by a few days because the time spent in the hospital should not count towards the 100 days. However, The resident will not receive a new 100-day allotment until he has been out of the hospital and the SNF (in other words, not receiving any Rehab PT or OT) for at least 60 days.
Beginning on day 21 of the SNF/Rehab PT & OT stay, there is a significant copayment equal to one-eighth of the initial hospital deductible ($170.50 a day in 2019). This copayment is usually be covered by a Medigap insurance policy, provided the patient/resident has one.
If Mom does not have the money to pay the 50%, tell them. You r not responsible for it.
Have you talked to the social workers at the hospital? They should know the answers, or be able to find out.
MOM may need to pay for rehab. Not you.