My husband has dementia and broke his hip for the second time, will Medicare cover his rehab facility?

It doesn't matter what facility he is in, Medicare only pays 100% for 20days. 21 to 100 days is 50%. It depends on what ur supplimental covers but $178 a day sounds about right.

You don't say when ur husband broke his hip before. There has to be a certain amount of days between the last rehab stay and this rehab before Medicare will start the "clock".

The finance department at the rehab should be able to help u with this.

Joyce you’re fortunate you haven’t had to learn the ins and outs of Medicare up to now! The million dollar question is do you have a Medicare Supplement Plan, or are you on a Medicare Advantage Plan, or do you only have Medicare? If you’re unfamiliar with all the terms, do you have other medical cards in your wallet besides your blue and white Medicare card?

If you don’t have a Medicare supplement then yes after 20 days in rehab, there would be a daily out of pocket cost. It has nothing to do with the facility. It’s what Medicare pays for and they pay for 20 days at 100% of the cost. After that, the patient or their supplemental insurance has to pay a daily amount. If you don’t have a supplement or it won’t cover rehab, maybe he can go on Medicaid? Medicaid would pay whatever Medicare doesn’t.

Joyce, do you have coverage through a secondary, or supplemental insurance, such as Blue Cross Medigap? 

Also, do you get the free Medicare and You annual publication?  It's not completely and exhaustively thorough, but it is helpful.   And you can always check the Medicare website:  

https://www.medicare.gov/index

In facility rehab coverage:   https://www.medicare.gov/coverage/skilled-nursing-facility-snf-care. ;  This site addresses the 20 day limit on full Medicare coverage.

Arizona list of entities for consultations:

https://www.medicare.gov/contacts/#findsomeone&stateCode=AZ|Arizona

As to whether or not other facilities cover more than 20 days, I'm not sure how that could be determined w/o extensive research, but if they rely on basic Medicare, 20 days is the limit.    That's not to say that your husband couldn't stay longer, but it would be private pay, unless as I wrote, you have secondary coverage.   

Caveat:   I've been segueing out of this aspect since it no longer applies to my family, so there might be other issues raised by other posters, issues of which I'm not knowledgeable.

Something to consider, and it's not too soon to start researching, is post discharge in home care.  It's not extensive, but it is helpful, and it's covered by Medicare.    

More information:  https://www.medicare.gov/coverage/home-health-services

You have a choice of home health care agencies, and it's best to interview and search before selecting one.    A rehab facility often recommends specific agencies, so I pretended to be interested but did my own review.    Some are okay, some are good, and I've even encountered one which was so bad I terminated their services in less than 2 weeks.

Joyce I've been a grateful member of this forum for more years than I want to think about, but Medicare (not to mention Medicaid!) still makes my head spin :(

I hope the program will be able to give you useful, practical advice.

I don't know if this might be helpful?

https://des.az.gov/services/older-adults/medicare-assistance

It's a link to (I quote from the website)...

The State Health Insurance Assistance Program (SHIP) is a free health benefits counseling service for Medicare beneficiaries. Our mission is to empower, educate, and assist Medicare-eligible individuals, their families, and caregivers through objective outreach, counseling and training, to help individuals make informed health insurance decisions that optimize access to care and benefits.

SHIP is an independent program federally funded by the Administration for Community Living and is not affiliated with the insurance industry.
If you have Medicare and have limited income and resources, you may be able to get help paying for your Medicare monthly payment. You may also qualify for assistance with Medicare prescription drug costs, doctor and hospital visits.