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noebro Asked July 2018

When does Medicare as secondary coverage kick in for rehab services? How much $ and for how long?

My wife is about to exhaust her benefits under my primary hospitalization insurer for her stay at an acute rehab facility. If it is determined she needs more rehab, how do I go about bringing in Medicare to offset the costs?

noebro Jul 2018
Thank you for your response. Maybe you can answer this: what is it that I read about that Medicare charges a co-insurance amount of $1380 for up to 60 days. Do you know what this refers to?

JoAnn29 Jul 2018
She has Medicare as secondary? The primary has paid everything? If so, then the facility should revert to Medicare. Call and talk to them. Be aware that Medicare only pays 100% the first 20 days. 21-100 only 50%. After that its private pay. If you hit your limit with primary than u will owe the other 50%.

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noebro Jul 2018
Yes, Medicare is her secondary. But does Medicare start a new benefit period when she is discharged to a sub-acute facility after her primary stay benefits are exhausted?

Ahmijoy Jul 2018
I’m confused. Does she already have Medicare? If so, wouldn’t your insurance be her Medigap or supplemental insurance? You need to discuss this with the social services department at the rehab. When my husband was in rehab, they handled all the insurance stuff for us.

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