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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.
After the initial Part A deductible has been paid by the beneficiary during the first 60 days, Medicare will cover all other costs associated with a room, meals, doctor and nursing services, treatment, and exams.