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What Medicare Does and Does Not Pay For

Medicare covers short skilled nursing stays, home health and hospice. It does not pay for assisted living or custodial care, in any state.

HomeCosts & PayingWhat Medicare Does and Does Not Pay For
Short answer

Medicare does not pay for assisted living, memory care, or long-term custodial care anywhere in the country. It covers limited skilled nursing facility stays after a qualifying hospital admission, intermittent skilled home health, and hospice.

What Medicare covers

  • Skilled nursing facility care after a qualifying inpatient hospital stay, for a limited period, when skilled care is needed daily. This is rehabilitation, not long-term placement.
  • Home health that is intermittent and skilled — nursing visits, physical, occupational or speech therapy. Not a caregiver who stays with your parent.
  • Hospice — the hospice team, medications related to the terminal diagnosis, and equipment. Not room and board in a facility.
The observation status trap. A Medicare skilled nursing benefit requires a qualifying inpatient hospital admission. Time spent under “observation status” does not count, even if your parent slept two nights in a hospital bed. Ask the hospital directly whether your parent is admitted as an inpatient or under observation, and ask in writing.
What senior care costs. Minnesota's CareScout-cited median is roughly $6,573/month for assisted living (unverified, third-party sourced) -- no metro-specific or memory-care figure exists anywhere. Read the full explanation →

Questions families ask

How is the ombudsman different from filing a complaint with MDH?

The ombudsman (1-800-657-3591) is an independent, resident-directed advocate who works to resolve individual concerns and disputes on a resident's behalf, while MDH's Office of Health Facility Complaints (651-201-4200) is the state regulator that investigates a facility's compliance with licensing law and can issue correction orders or other enforcement action.

Can the ombudsman help with a discharge or eviction dispute at an assisted living facility?

Yes — resolving disputes over involuntary discharge, transfer, or eviction from an assisted living facility or nursing home is a core part of the Minnesota long-term care ombudsman's role, and residents or their representatives can contact OOLTC at 1-800-657-3591 for help navigating an eviction notice or appeal.

Who can advocate for a resident who has no family nearby in the Twin Cities?

The Minnesota Office of Ombudsman for Long-Term Care (1-800-657-3591) advocates for any resident of a licensed facility regardless of whether family is involved, and Trellis, the metro's Area Agency on Aging, can connect isolated seniors with care coordination and other supportive services through the Senior LinkAge Line (1-800-333-2433).

Does a resident need a lawyer to file an ombudsman complaint in Minnesota?

No. Contacting the Minnesota Office of Ombudsman for Long-Term Care at 1-800-657-3591 is free and does not require an attorney — the office exists specifically to provide free advocacy and complaint resolution for long-term care residents and their families.

How do I report abuse or neglect at a Twin Cities facility?

Call the Minnesota Adult Abuse Reporting Center (MAARC) at 1-844-880-1574, a statewide line staffed 24/7, to report suspected physical, sexual, or emotional abuse, financial exploitation, or neglect of a vulnerable adult anywhere in Minnesota, including all seven metro counties. MAARC routes the report to the correct county or Tribal agency for investigation. Call 911 first if someone is in immediate danger.

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