Inpatient rehabilitation care

Medicare Part A (Hospital Insurance)
covers
medically necessary
care you get in an inpatient rehabilitation facility or unit (sometimes called an inpatient “rehab” facility, IRF, acute care rehabilitation center, or rehabilitation hospital). Your doctor must certify that you have a medical condition requiring intensive rehabilitation, continued medical supervision, and coordinated care from your doctors, other health care providers, and therapists.

Your costs in Original Medicare

You pay this for each

benefit period
:

  • Days 1-60: $0 after you meet your Part A
    deductible
    ($1,676).
  • Days 61-90: $419 each day.
  • Days 91 and beyond: $838 each day for each lifetime reserve day (up to a maximum of 60 reserve days over your lifetime).
  • Each day after you use all of your lifetime reserve days: You pay all costs.

You don’t have to pay a deductible for inpatient rehabilitation care if Medicare already charged you a deductible for care you got in a prior hospitalization within the same benefit period. This is because your benefit period starts on day one of your prior hospital stay, and that stay counts towards your deductible. For example, you won’t have to pay a deductible for inpatient rehabilitation care if:

  • You’re transferred to an inpatient rehabilitation facility directly from an acute care hospital.
  • You’re admitted to an inpatient rehabilitation facility within 60 days of being discharged from a hospital.

What it is

Inpatient rehabilitation can help if you’re recovering from a serious surgery, illness, or injury and need an intensive rehabilitation therapy program, physician supervision, and coordinated care from your doctors, other health care providers, and therapists.

Medicare-covered inpatient rehabilitation care includes:

Medicare doesn’t cover:

  • Private duty nursing
  • A phone or television in your room (if there’s a separate charge for these items)
  • Personal items, like toothpaste, socks, or razors (except when a hospital gives them as part of your hospital admission pack)
  • A private room, unless medically necessary

Things to know

Medicare Part B (Medical Insurance)
covers doctors’ services you get while you’re in an inpatient rehabilitation facility.

Is my test, item, or service covered?

Inpatient rehabilitation care