The benefit period ends when you haven't received any type of hospital care (or up to 100 days of specialized care in an SNF) for 60 consecutive days. If you go to a hospital near Saint Pauls NC, Alignment Health is a private insurance company that offers Medicare Advantage plans. Part A limits SNF coverage to 100 days in each benefit period. Your doctor or other healthcare provider may recommend that you get Home Care near Saint Pauls NC services more often than what Medicare covers. Or they may recommend services that Medicare doesn't cover.
If this happens, you may have to pay some or all of the costs. Ask questions to understand why your doctor recommends certain services and whether or how much Medicare will pay for them. For each benefit period, Medicare Part A covers up to 90 days of hospital care. This can include time spent in a hospital as well as time in an inpatient rehabilitation center.
Inpatient rehabilitation can help if you are recovering from serious surgery, illness or injury and need an intensive rehabilitation therapy program, the supervision of a doctor and the coordinated care of your doctors, other health professionals and therapists. Medicare Part A (hospital insurance) covers medically necessary care you receive at an inpatient rehabilitation facility or unit (sometimes referred to as a “rehabilitation center,” IRF), intensive care rehabilitation center, or patient rehabilitation hospital hospitalized). Your doctor must certify that you have a medical condition that requires intensive rehabilitation, ongoing medical supervision, and coordinated care from your doctors, other health care providers, and therapists. Your doctor must certify that you have a condition that requires ongoing medical supervision, intensive rehabilitation, and coordinated care so that Medicare can cover inpatient rehabilitation.
You don't have to pay a deductible for inpatient rehabilitation care if Medicare already charged you a deductible for care you received in a previous hospitalization within the same benefit period. You don't have to pay a deductible for inpatient rehabilitation if Medicare already charged you a deductible for the care you received in a hospital during the same benefit period. You may not need a minimum 3-day hospital stay if your doctor is involved in a responsible care organization or other type of Medicare initiative approved for an exemption from the 3-day rule in a “skilled nursing facility.” A person doesn't have to pay a deductible for inpatient rehabilitation if Medicare already charged a deductible for care they received in a hospital during the same benefit period.
