Medicare Coverage: What does Medicare Cover? (cont.)

Skilled Nursing Facility Care

After a three-day related hospital stay:

Skilled nursing facility care is not the same as long-term nursing home care. Medicare Part A does not cover long-term nursing home care.

What You Pay
Days in Skilled Nursing Facility You Pay
1-20 Nothing
21-100 Up to $114
101 + All costs

Home Health Care

Home health care benefits include:

  • Part-time or intermittent skilled nursing care
  • Home health aide services
  • Physical and occupational therapy
  • Speech therapy
  • Medical social services
  • Durable medical equipment (wheelchairs, walkers, etc.)
  • Medical supplies
What You Pay
Nothing for Medicare-approved home health care services
20% of the Medicare-approved cost for durable medical equipment

All providers of Part A services must be certified by Medicare. If you go to a provider who is not Medicare certified, Medicare will not pay for the service. All Medicare certified providers accept Medicare and your share of costs as full payment.

Hospice Care

Hospice care is for people with a terminal illness. It covers:

  • Doctors' services
  • Nursing care
  • Durable medical equipment (wheelchairs, walkers, etc.)
  • Medical supplies (bandages, catheters, etc.)
  • Drugs to control symptoms
  • Drugs for pain relief
  • Short-term hospital care
  • Short-term respite care (although this requires a small co-payment)
  • Home health aide services
  • Homemaker services
  • Physical and occupational therapy
  • Speech therapy
  • Social worker services
  • Dietary counseling
  • Grief and loss counseling for you and your family

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