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If you are in an IRF more than 90 days (during one spell of illness), you can use up to 60 additional lifetime reserve days of coverage. During those days, you are responsible for a daily coinsurance payment of $592 per day, in 2013, and Medicare will pay the rest.
What's Covered. There are two different types of inpatient nursing and rehabilitation care that Medicare Part A covers, each under a different set of rules and limitations. A patient's stay must begin within 30 days of an inpatient hospital stay of at least three days. The patient must need, and have a physician's prescription for, daily skilled nursing care or physical rehabilitation. Care must be in a Medicare-certified skilled nursing or rehabilitation facility.