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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.

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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. Indiana's 2025 CareScout medians: $5,639/month assisted living, $8,943-$10,326/month nursing home. No metro-specific or memory-care figure exists. Read the full explanation →

Questions families ask

What does a long-term care ombudsman actually do?

An ombudsman advocates for a resident free of charge, and only with the resident's consent. They can attend a care conference with a family but do not license, inspect, or fine a facility -- that is the state health department's job, not the ombudsman's.

Can an ombudsman file a complaint even if my parent doesn't want to?

No. Consent matters: if a parent has capacity and does not want a complaint pursued, that decision stands, even where family disagrees with it. The ombudsman represents the resident's wishes, not the family's.

Is the ombudsman the same as filing a state licensing complaint?

No, they're two different systems. The ombudsman advocates for an individual resident; the Indiana Department of Health investigates regulatory complaints and can take enforcement action against a facility's license. Using one does not preclude using the other.

How do I report suspected abuse or neglect in Indiana?

Call Indiana's statewide Adult Protective Services line at 1-800-992-6978, or file online. Indiana APS is state-run through five regional field teams under FSSA, not county-run, so there is no separate Marion County number to look up.

Is there a different number for a facility-specific licensing complaint versus abuse?

Yes. Adult Protective Services (1-800-992-6978) investigates suspected abuse, neglect or exploitation of an individual. A facility licensing complaint -- about conditions, staffing, or care quality broadly -- goes to the Indiana Department of Health at 1-800-246-8909 or through its online complaint form.

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