How Long Will Medicare Pay for ICU?

How Long Will Medicare Pay for ICU?

The intensive care unit is a specialized medical treatment for those who are critically ill and require immediate medical attention. An intensive care unit (ICU) is a section of a hospital or medical facility that offers critical care, medicine, and life support to patients who have been injured or are critically ill. To be admitted to ICU, you'll need a referral from your specialist or doctor unless it's an emergency admission.

Over the course of several weeks, Medicare pays for intensive care units to assist beneficiaries to recuperate and begin rehab following an injury, surgery, or major illness. It applies to those who have spent three or more days in the intensive care unit.


Who Is Cared for in the ICU?


You or a loved one may be admitted following surgery, as a result of a life-threatening injury or illness, or as a result of rapid and severe health decline. Intensive Care Unit (ICU) teams are multi-disciplinary, consisting of highly trained intensive care doctors, nurses, and specialists who are trained to offer critical care for patients suffering from a variety of surgical, medical, and trauma problems.


Some intensive care units (ICUs) specialize in treating specific injuries or illnesses, such as:


  • Respiratory failure
  • Cardiothoracic surgery
  • Complex spinal surgery
  • Severe burns
  • Major trauma
  • Organ transplants


Also Read Things You Should Know as a Family Caregiver



Services Covered by Medicare


The following are some of the services and care provided in an Intensive Care Unit:


  • Rehab services for your inpatient hospital stay, such as physical therapy, speech pathology, or occupational therapy.
  • Meals, which may include special diets if medically required.
  • A room with two or more beds that is semi-private.
  • Ongoing nursing care.
  • Treatment, medication, medical supplies, and other assistive devices such as splints, casts, wheelchairs, and so on.


For the first 20 days of inpatient hospital care, Medicare will cover 100 percent of your medical expenses, but you will be responsible for copays on any subsequent days.



Also Read: Does Medicare Cover Dental Implants?


Medicare does not cover certain services


Is there any service or item that Medicare does not cover? Yes, critical care is not covered, but it does not include:


  • Personal luxuries such as television, radio, and telephone.
  • Nurses on a private duty basis.


How Long Will Medicare Cover ICU Care?


Original Medicare will cover up to 90 days of inpatient hospital care each benefit period. Aside from that, you can acquire an extra 60 days of coverage through lifetime reserve days. You can only utilize these 60 days once, and each day you spend in the hospital will be subject to coinsurance. It's important to remember that you don't have to utilize all of your lifetime reserve days for the same hospital stay.

If you stay in the hospital as an inpatient for more than 90 days in a single benefit period, the hospital will begin deducting your lifetime reserve days. So, if you don't want to use these 60 days, let the hospital know; just keep in mind that after 90 days, you'll be responsible for the whole expense of your medical care.



Call Medicare Services Now!


Contact Medicare Services to speak with a professional insurance specialist about Medicare coverage for intensive care unit care.


Call (844)731-6614





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