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Reply to "Medicare and Rehab stay"
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[quote=Anonymous]I just went through this really recently. Here's what I have learned: - The 3 day rule has been relaxed because of Covid and hospitals wanting people out sooner but you may want to double check that - I *think* after a hospital discharge you have 30 days to enter rehab. It does not need to be directly from the hospital AFAIK. Loved one actually did not go directly to rehab following hospital. - Medicare would pay for 20 days of rehab at 100% for my loved one. Not sure how you get 100 days -- maybe they are paying less than 100%? - Tricare for Life if you have it will pay for days 21+ (not sure how long it will cover, I think up to day 60 at 100%) - Do your research on rehab places and pick one that works for you and has good reviews. You then ask the social worker to make the referral. Don't let them decide. You want one with good reviews that is convenient to you. There are really bad places. You can also delay his discharge a bit for a bed to open where you need it if you're at a nice hospital. - The best places in Northern Virginia are Goodwin House and Arleigh Burke from what I have heard (Arleigh Burke has 10 private Medicare covered beds, not sure about Goodwin House) - Call to see if the rehab place is only private beds. If they only do private beds then Medicare will cover that since there is not another option. They also will cover a private bed if it is medically necessary. You can say that he has weakened in the hospital and needs to get rehab to recover from a hospital stay. But in my experience if he isn't making progress they will try to push him along someplace else like Assisted Living and that would be private pay unless he is on Medicaid. It isn't necessarily just PT, it could be progress with OT, too. If you know of a Medicare paid skilled nursing place I would love to know which one and how long you can stay under Medicare.[/quote]
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