Medicare Part A was designed to cover an individual's need for short-term rehabilitation, medical care and treatment. It does not cover long-term custodial care.
Certain criteria must be met to be eligible for Medicare Part A benefit. One important factor is a three-day qualifying hospital admission. When all criteria have been met, the benefit may be provided for up to 100 days. The first 20 days of the Medicare A stay are fully covered. The following 80 days are considered coinsurance days and the resident, or supplemental insurance is responsible for $148 per day. Medicare will pay the remaining balance.
To maintain Medicare coverage for rehab or skilled nursing services, the resident must show continued improvement. Once their goals have been reached, the benefit will cease. Therefore, it is possible that the full 100 days may not be used.
Ancillary charges like transportation and beautician services are not covered by Medicare.
Please contact the Social Services or Business Office for more information on Medicare and insurance coverage at Maplewood of Sauk Prairie, located in Sauk City, WI.