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Mainstreet Financial Education · Medicare · 2026

Medicare & skilled nursing facility care, explained.

A skilled nursing facility (SNF, said like "sniff") provides short-term care after a hospital stay. It can be a standalone facility or part of a nursing home or hospital. Here is who qualifies, what is covered, and what it costs in 2026.

Who is eligible

1

You were admitted to a hospital as an inpatient for at least three consecutive days.

2

You enter a Medicare-certified SNF within 30 days of leaving the hospital.

3

Your SNF care is for the same condition treated during your hospital stay.

4

You need skilled nursing or therapy at least five days a week.

What Medicare covers in a SNF

A semi-private room and meals
Medical social services and dietary counseling
Skilled nursing care by the nursing staff
Medications
Physical, speech, and occupational therapy
Medical equipment and supplies
Ambulance transport to the nearest provider, in some cases

What it costs in 2026

Days 1–20
$0 per day. Medicare Part A covers the full cost after your hospital benefit-period deductible.
Days 21–100
You pay a daily coinsurance of $217/day in 2026. Part A covers the rest.
Day 101+
You pay all costs. Part A SNF coverage is limited to 100 days per benefit period.

What is a benefit period?

It begins the day you are admitted to a hospital or SNF as an inpatient, and ends once you have been out for 60 days in a row. The 2026 Part A hospital deductible is $1,736 per benefit period. Stay out 60 days and a new benefit period can begin, allowing up to 100 fresh SNF days after another qualifying three-day inpatient stay.

SNF coverage runs out faster than most recoveries from a stroke, fall, or hip replacement. If you have long-term care insurance, it may cover your stay after Medicare ends, so check your policy. If your income is low, Medicaid may help; contact your state Medicaid office to check eligibility in Georgia.

The gap is the planning opportunity

Knowing where Medicare stops is the first step to covering what comes next.

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