• If you have Medicare Part A, your coverage for these services is the same as if you were in another Skilled Nursing setting.  If you meet the criteria and have not used any Skilled Nursing coverage in the last 60 days, the first 20 days of your care will be covered in its entirety.  Care after the 20^th day and up to 100 days will be covered but will require you or your secondary insurance to pay the co-insurance.  To meet the criteria, you must:
  • Have stayed overnight as an inpatient in a hospital for three consecutive nights within the last 30 days.
  • Have a determination by a doctor or other healthcare provider that you need ongoing care for a condition that was also treated while you were in the hospital and that must be given by or under the supervision of skilled nursing or rehabilitation staff.

• If you have a Medicare Advantage plan, the criteria for Swing Bed coverage will be the same as with Medicare Part A.  However, these plans may not require an inpatient stay, but will need to be pre-authorized by your insurance.  Your individual plan may have a copay during the first 20 days.
• Non-Medicare insurance plans that cover Skilled Nursing care generally also follow Medicare guidelines and cover Swing Bed, but your coverage and benefits will be specific to your plan.

More information on Medicare coverage for Swing Bed services can be found at: https://www.medicare.gov/coverage/skilled-nursing-facility-care.

If you need help understanding your coverage for Swing Bed services specific to your insurance, please contact our Swing Bed Coordinator at (254) 559-2241, ext. 1345.