What Does Medicare Cover for Stroke Patients?
Fair Square Medicare

What Does Medicare Cover for Stroke Patients?

Female physiotherapist helping elderly man in wheelchair do exercises with dumbbells at health center stock photo

By Daniel Petkevich

Jan 20, 2023

A stroke can cost thousands of dollars. Do you have coverage?

Nearly 800,000 Americans have a stroke each year. And if it happens to you or a loved one, the after-effects can be devastating. With Medicare, you are covered in the event of a stroke. And further, there are some Medicare Advantage plans with more specialized coverage for those with special needs. Read on to find out more about what Medicare covers for stroke patients.

Stay up to date on Medicare

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

What's covered in Medicare?

Treatments available to stroke patients may also change over time, so it's important to stay up-to-date on what is included in Medicare coverage. Also, everyone's healthcare needs following a stroke can vary. Here are some examples of different treatment options that might be covered for you:

Examples of inpatient care covered by Part A

Medicare Part A is also known as Hospital Insurance. For stroke recovery, you may have the following covered:

  • Hospital stays

  • Inpatient rehab

  • 20 days of care in a skilled nursing facility

Examples of outpatient care covered by Part B

Medicare Part B is also known as Medical Insurance and may include the following:

  • Home health services, including physical therapy, occupational therapy, speech-language pathology

  • Durable medical equipment such as wheelchairs, walkers, hospital beds

  • Certain preventive services that may reduce the risk of a stroke happening in the first place (see more below).

  • Diagnostic tests such as MRI and CT scans

  • Certain prescription drugs to help manage stroke symptoms (some drugs will fall under Part D prescription drug coverage)

It's important to remember that what is covered may vary depending on what type of Medicare coverage you have, so check with your doctor or health plan provider for specific information about what is covered.

Preventive services to reduce the risk of future strokes

Medicare Part B also covers certain preventive services to help reduce the risk of a stroke happening in the first place.

These include:

  • Blood pressure screenings

  • Diabetes screenings and education

  • Vaccinations such as flu shots or shingles vaccines

  • Lifestyle counseling and smoking cessation programs

  • Low-dose aspirin therapy

  • Nutritional counseling

These services are covered once a year, so take advantage of them and talk with your doctor about what is best for you.

The average cost of stroke rehabilitation

The cost of stroke rehabilitation can vary greatly depending on what type of care is needed. That being said, some estimates put the average cost of the first year after having a stroke at over $17,000. Medicare Part B typically covers 80% of the cost of approved services such as physical and occupational therapy. The remaining 20% may be covered by supplemental insurance plans or out-of-pocket costs. If you are looking for the best way to combat steep out-of-pocket costs, look no further than Medicare Supplement Plan G.

What isn't covered by Medicare?

Medicare has some gaps when it comes to treating people recovering from strokes. Long-term care is currently not covered by Medicare. However, if you also have Medicaid, you might get coverage for long-term care. Speak with your plan provider for information specific to your unique situation.

What about Medicare Advantage?

There are plans available specifically for those who have survived strokes called Special Needs Plans (SNPs). Stroke is one of the chronic conditions that qualify a beneficiary for these plans. You just need to meet the following criteria:

Tips for getting the most out of your coverage

  • Know what type of coverage you have

  • Ask your doctor what is covered

  • Take advantage of preventive services

  • Consider supplemental insurance plans

  • Keep up with changes in Medicare coverage.

Keeping up with what is and what isn't covered by Medicare can be a challenge, so it's important to stay informed and speak with your doctor about what's right for you.

Conclusion

Medicare covers a variety of treatments and services for stroke patients, from inpatient care to preventive screenings. Be sure to check what is covered by your specific plan and talk to your doctor about what is best for you. Taking advantage of what Medicare does cover can help ensure that you get the care and support you need after a stroke. If you have questions about what is covered by Medicare or whether your plan is the right fit for you, speak with an expert at Fair Square Medicare.

Stay up to date on Medicare

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.


Learn More About Medicare

heart surgery stock image

How Much Does Open Heart Surgery Cost with Medicare?

2023-01-27

senior african american man feeling pain in his knees from arthritis while on a couch stock photo

How Much Does Xeljanz Cost with Medicare?

2023-01-25

Doctor talking to patients are explaining the treatment of a patient's illness stock photo

How Much Does Rexulti Cost with Medicare?

2023-01-24

Human hands holding healthy lung shape made from paper on light blue background. stock photo

How Much Does Trelegy Cost with Medicare?

2023-01-24

Female physiotherapist helping elderly man in wheelchair do exercises with dumbbells at health center stock photo

What Does Medicare Cover for Stroke Patients?

2023-01-20

Doctor demonstrating upper cervical spine anatomy stock photo

Does Medicare Cover Cervical Disc Replacement?

2023-01-20

Medicare Set Aside funds stock image

What Happens to Unused Medicare Set-Aside Funds?

2023-01-20

older man suffering from stomach pain due to IBS stock photo

Does Medicare Cover Xiafaxan?

2023-01-19

senior woman doing botox stock photo

Is Botox Covered by Medicare?

2023-01-19

Health insurance form on a table with pen, calculator and glasses stock image

What You Need to Know About Creditable Coverage

2023-01-18

Acute psoriasis on elbows is an autoimmune incurable dermatological skin disease stock photo

Does Medicare Cover Light Therapy for Psoriasis?

2023-01-17

wart on the sole of a white man's foot stock photo

Does Medicare Cover Wart Removal?

2023-01-17

woman sitting on sofa feeling pain in her foot at home stock photo

Does Medicare Cover Qutenza?

2023-01-13

Nasal spray stock image

Can Medicare Help with the Cost of Tyrvaya?

2023-01-12

Gloved hands with a scalpel begin a knee replacement surgery

Does Medicare Cover Iovera Treatment?

2023-01-11

A doctor with a clipboard consults a female patient with cancer

Does Medicare Cover Inqovi?

2023-01-11

Physiotherapist showing workout record on exercise bike

Does Medicare Cover Exercise Physiology?

2023-01-11

A women's restroom sign that has been modified to show the stick figure woman needing to use the toilet

Does Medicare Cover Bladder Sling Surgery?

2023-01-11

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap.

100% free.

Fair Square Medicare

LEGAL

Privacy Policy

CONTACT

1-888-454-2383

MORE


Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2022 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

MULTIPLAN_FairSquareMedicare_01062022_M