Eldercare It is important to understand who pays for Eldercare programs and Services. There are some services, supplies and equipment that are paid for by Medicare however, many are not. For example, Medicare pays for up to 90 days of acute, short-term medical care and rehabilitative care otherwise called "skilled care". NOTE: Medicare can cease funding short-term care in a rehabilitation facility if the patient's condition is not improving. Long-term care (LTC) policies and hybrid annuities generally begin to fund LTC expenses after a 90 day elimination or waiting period. Some policies pay benefits by reimbursing the policy holder for eligible expenses incurred. Other policies pay benefits in an indemnity fashion in which a set amount is paid to the policy holder each month. While both types of policies can be used to pay for home health care, an indemnity policy offers more flexibility because it can be used to pay non accredited / licensed individuals such as family members for their aid and attendance. To qualify for long-term care benefits, the policy holder must have a significant cognitive impairment such as Alzheimer's or be unable to perform two activities of daily living or ADL's. ADL's refer to the basic tasks of everyday life such as feeding yourself, bathing, dressing, toileting, transferring and continence.