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Does Medicare pay for nursing homes? - Healthcare Quality Improvement Campaign
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Does medicare pay for Nursing Home care?

Medicare will pay for 100 days of nursing home care after a qualified event and it must meet a very strict set of qualifications.

Looking for Medicare Supplemental Insurance call 1-800-MEDIGAP
What are the qualifications to get medicare to pay for a nursing home stay?

First: The first hurdle is you must enter the nursing home with-in 30 days of a hospital stay covered by medicare that lasted 3 full days or more.
Second: You must get a note from the doctor and it has to be for the same reason you had the hospital stay.
Third: It must be an Acute condition, one that is believed to be cured in the near future.

Does medicare cover custodial care?

Dressing, bathings and those types of things are typically under custodial care which are not typical a direct reason for medicare to pay.

Ideas: You can work with local and state organizations who may provide this type of benefit at the state level. In Texas my father received it because he was a veteran.

Medicaid may also be an option.

Long term care insurance will probably pay for it, if your family member purchased it in advance.

Does Medigap cover nursing home?

Depending on the plan your Medigap plan may provide coordinated benefits in conjunction with approved medicare expenses based on the policy specifications.

HINT: Your loved one has been approved for nursing home care and is in their 100 day window but gets sick and needs to go to the hospital. IF THEY STAY FOR 3 days, this could potentially restart the 100 days. Check with you nursing home advocate or medical provider.

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Does Medicare pay for nursing homes?

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This site is a non-government resource , providing information in a simple and straightforward way. Nothing on this website should ever be used as a substitute for professional medical advice. You should always consult with your medical provider regarding diagnosis or treatment for a health condition, including decisions about the correct medication for your condition, as well as prior to undertaking any specific exercise or dietary routine. The purpose of any insurance communication is the solicitation of insurance. Contact will be made by a licensed insurance agent/producer or insurance company. Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. Our advertisers sell insurance offered from a number of different Medicare Supplement insurance companies. The trademarks or service marks sold or described herein, or in blogs or advertisements, are owned by the respective trademark owners and nothing herein should be construed as a representation by this site owner or team members.