Skilled nursing facility care
Medicare Coverage Information
Overview
Medicare provides coverage for skilled nursing facility care after a qualifying hospital stay, helping patients receive specialized medical care and rehabilitation services. Coverage is typically limited to a specific number of days and requires meeting certain medical necessity criteria.
- Requires a qualifying 3-day inpatient hospital stay before admission
- Covered under Medicare Part A
- Limited to 100 days of care per benefit period
- Must be medically necessary skilled care
- First 20 days are covered at 100%, days 21-100 require coinsurance
- Medicare Part A beneficiaries
- Patients with a qualifying 3-day hospital inpatient stay
- Those requiring skilled nursing or rehabilitation services
- $0 copay for first 20 days
- $204.50 daily coinsurance for days 21-100 (2024 rates)
- Patient responsible for full cost after 100 days
- Must follow a qualifying hospital stay within 30 days of discharge
- Care must be deemed medically necessary
- Limited to 100 days per benefit period
- Requires ongoing skilled nursing or rehabilitation services
- Confirm coverage with your specific Medicare plan
- Obtain a referral from your hospital discharge planner
- Verify the skilled nursing facility accepts Medicare
- Contact 1-800-MEDICARE for detailed coverage information
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare skilled nursing facilitySNF coverageMedicare post-hospital carenursing home benefitsMedicare Part A skilled nursing
Related Coverage Topics
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