Short-term care insurance explained: recovery coverage
Short-term care insurance pays a daily benefit for up to a year of home health care, assisted living or nursing home care, the custodial care Medicare does not cover.
Short-term care insurance pays toward care in a nursing facility, assisted living or at home for a limited period, usually up to a year. It is built for the recoveries Medicare does not fully cover: the weeks after a fall, a hip replacement or a stroke, when you need help but not a hospital.
Dental, vision, hearing, critical illness, hospital indemnity, cancer, short-term care and travel policies are limited benefit coverage. They pay fixed or scheduled benefits, are not major medical insurance or a substitute for it, and do not satisfy the Affordable Care Act coverage requirement. Benefits, exclusions, waiting periods and premiums are set by each policy and are subject to underwriting and carrier approval.
Medicare covers skilled nursing facility care only in limited situations: after a qualifying inpatient hospital stay, for skilled care, for up to 100 days per benefit period. Days 1 to 20 are covered in full, and from day 21 to day 100 you pay $217 a day in 2026 (CMS). Medicare does not cover custodial care, the help with bathing, dressing and eating that many people need most (Medicare.gov).
A worked example, as an illustration. If you needed all 80 of days 21 to 100 in a skilled nursing facility in 2026, the Medicare coinsurance alone would be 80 times $217, or $17,360. After day 100, or if your care is custodial rather than skilled, Medicare pays nothing. A Medigap plan covers the skilled nursing coinsurance, but not custodial care.
A short-term care policy pays a daily benefit for covered care for a set number of days, up to about a year depending on the policy, after a short elimination period. Many cover home health care as well as facility care. Approval usually relies on a short health questionnaire rather than a medical exam.
It is not long-term care insurance. It will not pay for years of care, and it is priced to match. For many people in their sixties and seventies, it is an affordable way to protect savings from the most common kind of care need: a recovery measured in weeks or months.
Your needs and situation are unique, and I am committed to spending the time to get to know you so you get coverage and support that fits your lifestyle.
Assisted living and home care costs along the Front Range are paid privately by most families unless they qualify for Health First Colorado long-term services. A short-term care benefit can bridge a recovery without drawing down savings.
Policies sold here are regulated by the Colorado Division of Insurance. Ask me for the outline of coverage, which lists exactly what is paid.
You are in your sixties or older, want to protect savings from the cost of a recovery after surgery, a fall or an illness, and either do not qualify for or do not want to pay for full long-term care insurance.
Only in limited cases. After a qualifying hospital stay, Medicare covers skilled nursing care for up to 100 days per benefit period: days 1 to 20 in full and days 21 to 100 with a $217 daily coinsurance in 2026. It does not cover custodial care. Short-term care insurance helps with what is left.
Sources: Medicare.gov: Skilled nursing facility care (Centers for Medicare & Medicaid Services, 2026) ; 2026 Medicare Parts A and B Premiums and Deductibles (Centers for Medicare & Medicaid Services, 2026) . Reviewed 2026-10-14.
Short-term care insurance pays a daily benefit for up to a year of home health care, assisted living or nursing home care, the custodial care Medicare does not cover.
Every 2026 Medicare cost in one place from CMS: Part A, the $202.90 Part B premium and $283 deductible, IRMAA, late penalties, Part D limits for 2026 and 2027, and a worked yearly total near Brighton.
Hospital indemnity pays you set cash amounts for a hospital stay, which can help with Medicare Advantage inpatient copays or an ACA deductible. How it works and what to check.
Only in limited cases. After a qualifying hospital stay, Medicare covers skilled nursing care for up to 100 days per benefit period: days 1 to 20 in full and days 21 to 100 with a $217 daily coinsurance in 2026. It does not cover custodial care. Short-term care insurance helps with what is left.
Short-term care pays for up to about a year of care, usually with simpler health questions and lower premiums. Long-term care insurance is designed for care lasting years and has stricter underwriting.
Medicare covers part-time skilled home health care when you are homebound and a doctor orders it. It does not cover custodial care such as help with bathing or dressing when that is the only care you need.
Many policies cover care in a nursing facility, assisted living or at home, but definitions vary. The outline of coverage lists exactly which settings are paid.
The number of days of care you pay for before the policy starts paying. A shorter elimination period costs more but pays sooner, which matters for short recoveries.
Short-Term Care Insurance in Brighton, the northeast Denver metro and across Colorado: no pressure, plain answers, and a review every year.
992 South Fourth Avenue, Brighton, CO 80601 · (303) 887-8584
Content reviewed by Lisa Asmussen, Medicare Broker and Licensed Insurance Agent at Headwaters Health and Wealth in Brighton, Colorado, certified to sell Medicare plans since 2018 (8 years). Last updated .