Original Medicare (Parts A & B): Long-Term Care Hospital Services
Covers care in a Medicare-certified long-term care hospital (LTAC), typically providing care to those with more than one serious condition.
How To Receive
Details on how to apply
Obtain a provider order for admission to a Medicare-certified long-term care hospital.
Find long-term care hospitals near me
For more information on Medicare benefits and coverage, call 1-800-MEDICARE (1-800-633-4227) or visit the Medicare Benefits Website. TTY users, call 1-877-486-2048.
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What it is
Long-term care hospitals (also called long-term acute care hospital are LTAC) typically provide care to patients with more than one serious medical condition. Patients may improve with time and care, and eventually return home. Long-term care hospitals may offer services like:
Respiratory therapy
Head trauma treatment
Pain management
Things to know
After being discharged from the long-term care hospital, many people go on to receive care in a skilled nursing facility (SNF) or custodial care in a long-term care facility. Custodial care refers to services ordinarily provided by personnel like certified nursing aides (CNAs).
Costs
For each benefit period*, the member is responsible to pay:
$1,600 deductible for Days 1 - 60*
$400 copayment each day for Days 61-90
$800 copayment per each "lifetime reserve day" after Day 90 (up to 60 days in a lifetime)
All costs for each day after the 60 lifetime reserve days
*A deductible is not required for care in the long-term care hospital if the deductible was already charged for care received in a prior hospitalization within the same benefit period. This is because the benefit period starts on Day 1 of the prior hospital stay, and that stay counts towards the deductible. For example, the member won’t have to pay a deductible for long-term care hospital care if:
They're transferred there directly from an acute care hospital
They're admitted to a long-term care hospital within 60 days of being discharged from a hospital
Note that lifetime reserve days do not reset; once they are spent, they are deducted from the 60 days total until gone.
