What will Medicare cover at the nursing home?

Most people think that Medicare will pay the entire bill at the nursing home or will at least pay the entire bill for the first 90 or 100 days.

This is NOT true.

Medicare will pay the entire bill at the nursing home for the first 20 days.

During days 21-100, if you are still Medicare eligible, Medicare will pay the entire bill except for $185.50/day. You are responsible for the $185.50/day. This is called the “Medicare co-pay” but most people have a supplemental health insurance policy that pays this co-pay.

The nursing home is required to give you a written notice that your Medicare coverage will be ending, but the applicant has the right to appeal this decision.

Medicare coverage should continue if there is a "need for skilled medical care."

Related Information:

Medicare Savings Program

How My Dad's Early Discharge From Rehab Taught Me A Lesson

The One Thing You Should Know About Nursing Home Evictions

Client Reviews
“I cannot find the words to thank all of you properly for your hard work and perseverance. It is a great relief to have gotten a just and proper ruling from the court. All of you have shown great professionalism and concern for the issues I brought before you.” J.G., Greensboro, GA
“All dealings have been excellent. Very professional organization. Great explanations of our options related to preparing a will. Clear, concise, great guidance and not trying to "sell us" on something we do not need. Administrative folks were super. All of our related paperwork was clearly tagged with what we needed to provide/sign/read /etc. Made things easy. Nice work.” L.G., Berlin, CT
“We loved working with your firm and really trust the advice. You have a well-deserved reputation and it was nice to check off a number of things that had been on our To-Do list. Although it's hard to make the time to take care of some of these matters, it is a great relief when you do so. I would definitely recommend your firm to anyone in need of the services that you provide.” L.M., Simsbury, CT
Everyone at the firm were consummate professionals. We felt completely comfortable with their guidance and were impressed by their compassion and commitment to us. R.H., Canton, CT
The attorney who served us was kind, thorough, and very responsive. He pointed out some issues in my mother's documents that could have been problematic down the road. After my mother passed, everything was as seamless as possible - a true gift at a time when life and death decisions were being made and emotions were overwhelming. J.B., Cromwell, CT
Great service, was on top of everything. I'm glad they were there to help us though a tough time. J.M., Farmington, CT
Members of: