Frequently Asked Questions
Common Questions about Eligibility and Coverage
Questions about short-term rehabilitation
What is short-term rehabilitation?
Short-term rehabilitation is also known as skilled rehabilitation or post-acute care. It's designed to help you recover faster after a hospital stay so you won’t require a repeat hospital stay. Typically, you would go to the onsite therapy gym one or more times a day for physical, occupational or speech therapy, depending on what your personal doctor prescribes. Our team will be in regular contact with you, your family and doctor(s) throughout your stay.
How long will I be in short-term rehabilitation?
It all depends on why you’re receiving rehabilitation care. Many people recovering from a knee replacement may need only a week or so of therapy, while someone recovering from a stroke may need a longer time to rebuild their strength. On average, most WesleyLife short-term rehabilitation clients are home in less than three weeks. New federal regulations mean that organizations like WesleyLife will do their utmost to make sure medical care is provided no longer than needed to ensure a good outcome for you.
Is short-term rehabilitation covered by Medicare?
Federal rules are changing, so it is important to ask your hospital discharge planner if your short-term rehabilitation stay will qualify for Medicare. Typically, Medicare coverage is provided for rehabilitation following an eligible hospital stay. Those without Medicare may find their stays are covered by managed are or private insurance. You may wish to contact your insurance company to see if WesleyLife is part of your provider network.
How do I qualify for short-term rehabilitation?
For a short-term rehabilitation stay to be covered by Medicare, you must have been admitted as an inpatient for a qualified hospital stay. Typically, Medicare provides coverage if you were admitted as an in-patient for three consecutive nights in a hospital. Most of our clients come directly from the hospital, but people may be eligible for a short-term rehabilitation stay within the first 30 days of a hospital discharge, even if they go home first. Your doctor will determine if you have a short-term rehabilitation need. (Please note: Hospital stays for “observation” do not qualify for reimbursement.)
What documents should I bring?
All pertinent medical records will be transferred to us by your doctor. Please bring the following documents on your first day with us:
- Your cards for Medicare, supplemental insurance, private insurance, Veterans Administration and/or Medicare Part D coverage
- Long-term care insurance information
- Medical and financial powers of attorney
- Advance directives or living will documents.
Is there a limit on how long I can receive short-term rehabilitation services?
If Medicare is your primary payer source, you may qualify for up to 100 days of rehabilitation, if medically necessary. You must show steady improvement and be a willing participant in your rehabilitation for Medicare to continue your coverage.
What if I ever need short-term rehabilitation for a different health issue?
You can qualify for another short-term rehabilitation stay once you have a 60-day "spell of wellness." This means you have no hospitalizations within the last day of your last short-term rehabilitation and your next qualifying hospital stay.