Health & Medical Health & Medical Insurance

What Does Medicare Cover for Nursing Homes?

    Medicare

    • Medicare provides health insurance coverage to individuals age 65 or older or individuals who have specific disabilities. Medicare defines a nursing home as a place where the care provided helps a patient with daily activities like bathing, dressing and eating.



    Skilled Nursing Facility

    • A skilled nursing facility provides care for a patient in need of rehabilitation services for a short period of time. The types of services provided are physical therapy, observation and evaluation of a patient's care. To have the services paid for, placement must be in a Medicare-certified facility and the patient must have been in the hospital for 3 days prior to being placed in the facility. There is a 100-day limit for a stay in a skilled nursing facility.

    Additional Options

    • A patient can be eligible for Medicaid to pay for care in a nursing home. He can also use long-term care insurance, Medigap and managed care plans to pay for nursing home services.

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