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[quote=Anonymous]If she was in the hospital and declined there and it is within the 30 day window, you could call rehabs to see if she could do a stay there (max 20 days for 100% Medicare coverage) to regain what she lost in the hospital. To do the full 20 days, she has to be maintaining/responsive to stay. Can she follow directions and participate in OT/PT/speech?

She MUST be disenrolled from hospice before entering rehab, because as others have mentioned, you can't be on hospice and rehab at the same time. But hospice isn't a one way street. Patients can go off/on it.

Rehabs aren't designed for supervision/safety like a memory care place might be so keep that in mind. You might need to be there or hire a nurse to keep her safe. Also hospices allow a bit more restriction than rehabs (no restrictions), so I would ask for a bed alarm/rails to keep her safe. Rehab would just be a way to buy time to plan next steps, and if the rehab place has memory care then you can transition there after. Rehabs with memory care are more open to taking more severe patients than a strict rehab who won't take anyone with advanced dementia. Once she gets in memory care, you can renroll in hospice again or not. FYI memory care would be private pay if she has assets.

If she was a federal worker, check to see if she has a long term care policy with Federal Long Term Care Insurance. That would really help you!

What other insurance does she have? If she has Tricare for Life it can extend coverage once Medicare stops paying. But it won't cover unskilled nursing, either (help with activities of daily living).[/quote]

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