Inpatient rehabilitation care
Medicare Coverage Information
Overview
Medicare provides coverage for inpatient rehabilitation care when patients require intensive, specialized rehabilitation services following a serious illness, injury, or surgical procedure. Coverage is typically provided through Medicare Part A and requires meeting specific medical necessity criteria.
- Covers medically necessary rehabilitation services in a hospital or specialized rehabilitation facility
- Requires a physician's certification of medical need and potential for improvement
- Includes physical, occupational, and speech therapy during rehabilitation stay
- Limited to patients who can tolerate and benefit from intensive rehabilitation
- Requires patients to have a reasonable expectation of returning to daily living activities
- Medicare Part A beneficiaries
- Patients with qualifying medical conditions (stroke, major surgery, severe injury)
- Individuals who can participate in at least 3 hours of therapy per day
- Patients with a clear rehabilitation treatment plan
- Covered under Medicare Part A hospital insurance
- Beneficiaries are responsible for Part A deductible ($1,600 per benefit period in 2023)
- Coinsurance may apply for extended stays beyond 60 days
- No additional cost for medically necessary rehabilitation services
- Must be prescribed by a physician
- Limited to patients who can participate in and benefit from intensive rehabilitation
- Requires documented potential for functional improvement
- Coverage typically limited to specific medical conditions and recovery scenarios
- Consult with your primary care physician about rehabilitation needs
- Verify coverage details with your specific Medicare plan
- Obtain a detailed rehabilitation treatment plan from your healthcare provider
- Contact Medicare at 1-800-MEDICARE for specific coverage questions
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicareinpatient rehabilitationhospital rehabilitationMedicare rehab coveragemedical recovery
Related Coverage Topics
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