Medicare Part A covers skilled nursing and/or rehabilitative services for qualified Beneficiaries for a limited time period. All the following eligibility requirements must be met:
1. A patient requires one or more of the following daily:
Rehabilitative services (physical, occupational or speech therapy)
Respiratory therapy
Direct skilled nursing services
Nursing/rehabilitative teaching and training activities
Nursing observation and assessment
Nursing management and evaluation
2. The services are proceeded by an inpatient hospital stay of at least three consecutive days, not including the day of discharge.
3. Admission to a skilled Nursing center is within 30 days of the hospital discharge.
4. Physician certifies that the patient requires skilled care.
Medicare Part B covers various medical supplies (e.g. parenteral, enteral and urologial supplies) and rehabilitative services including physical, occupational or speech therapy.
Medicare Part B has no time limit. Part B coverage may be used whether or not Part A coverage has been utilized.
Medicare, private insurance or private funds must cover the first $100.00 of Medicare Part B services received in the year, plus 20% of the balance of reasonable charges. Medicare pays the remaining balance.  |