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What is Medicare's 3-day rule for skilled nursing?

Short answer: Medicare covers skilled nursing facility care only after a "qualifying inpatient hospital stay": at least 3 days in a row as an inpatient, not counting the day you leave. Time under observation doesn't count as inpatient.

The other conditions

  • You have Part A with days left in your benefit period
  • You enter the SNF within a short time (generally 30 days) of leaving the hospital
  • Your doctor says you need daily skilled care
  • The SNF is Medicare-certified

Source: Medicare.gov. Tip: ask the hospital directly whether your loved one is admitted as an inpatient or held "under observation."

General information, not medical, legal or financial advice. Rules and amounts change; confirm with the official source.

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