Many people will be discharged to a rehabilitation unit following a hospitalization due to surgery or an illness. Today, Medicare will pay for a rehab stay for up to 100 days in a benefit period if the person has stayed three days or more in the hospital and the health coordination team feels it would be beneficial for recovery*. Many nursing homes today have dedicated wings for rehabilitation and hospitals have gotten on the bandwagon too having offsite buildings or transitional care floors in the hospital itself.
Once physical therapy and occupational therapy feel you have progressed enough or they do not think you will progress further you will be discharged. Usually just 2 days notice is given and it will be recommended that they have 24 hour care at least initially.
This can be an extremely emotional time riddled with anxiety as you try to prepare your home for the eminent return of your loved one. You will be rushing to the stores that sell home health supplies like shower chairs, grab bars and raised toilet seats. Now you are wondering how will you work and care for your loved one 24 hours a day?
Strategies to help:
- Have a calendar that you can write on. You will probably have nurses, physical and occupational therapists and maybe a bath aide coming to the house for up to the first 6 weeks. Sometimes you get a couple days notice and other times they call that day to see if they can stop by.
- Talk to the rest of the family and see if they can take a shift or so to help reduce the burden on you. Even if they only agree to do some of the shopping or meal prep this will help.
- Have Meals on Wheels deliver some of the meals so you do not have to prepare all the meals.
- Get help from a home care company with experienced home health aides. Home care companies can assist your loved on with personal care. (i.e. bathing, dressing, toileting) Other services performed are light housekeeping, meal prep, cooking, companionship, laundry, making beds and transportation.
Rather Be Home, in Stark County and surrounding areas, can help. Please call us (330-327-8831) for a free care consultation. We are happy to meet you at the rehabilitation center at your convenience to make sure when your loved one comes home life is less stressful.
*Medicare Part A covers care in a hospital rehab unit. Medicare may pay for rehab in a skilled nursing facility in some cases.After you have been in a hospital for at least 3 days, Medicare will pay for inpatient rehab for up to 100 days in a benefit period. A benefit period starts when you go into the hospital. It ends when you have not received any hospital care or skilled nursing care for 60 days.Medicare pays for the first 20 days at 100%. For the next 80 days, you must pay a daily co-payment. Medicare does not pay for rehab after 100 days.If you go into the hospital for at least 3 days after one benefit period has ended, a new benefit period starts. You can have as many benefit periods as you need.
- For more information, call Medicare toll-free at 1-800-638-6833.
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