Then, you'll be entitled to a new benefit period, including 100 new days of SNF care, after a three-day stay as a qualifying inpatient. Remember that you may once again be eligible for Medicare coverage for your SNF care, once you've been out of the hospital or SNF for 60 straight days. Your benefits will be reinstated 60 days after you don't use the coverage offered by a medical facility near Torrance CA. This question basically concerns nursing care in a skilled nursing facility or Home Care near Torrance CA.Medicare will only cover up to 100 days in a nursing home, but there are certain criteria that must be met first.
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 that has approved an exemption from the “3 days in a skilled nursing facility” rule. If you need more than 100 days of SNF care in a benefit period, the benefit period is the amount over which Medicare pays for hospital and skilled nursing facility (SNF) services. To be entitled to a new benefit period and additional days of inpatient coverage, you must stay out of the hospital or SNF for 60 consecutive days. This is also true if you stop receiving specialized care while you are in the SNF and return to receiving specialized care within 30 days.
Medicare pays for home health care benefits only if the home health agency that serves you must be certified by Medicare. If you've used your 90 days of hospital coverage but need to stay longer, Medicare covers up to 60 additional lifetime reserve days, for which you'll pay for daily coinsurance. Coinsurance is the part of the cost of care you must pay after you pay for your health insurance. Check with your provider to see if you are eligible for home treatment through the Medicare home health benefit, or if you could be treated safely as an outpatient.
An outpatient is a patient who has not been formally admitted to the hospital as an inpatient. I just want to see an answer to this question about paying private pay for 60 days and then whether Medicare will be reinstated for 100 days. If you don't have a 3-day hospital stay that meets the requirements for hospitalization and you need care after being discharged from the hospital, ask if you can receive care in other settings (such as home health care) or if there are any other programs (such as Medicaid or veterans benefits) that may cover the care you receive at the SNF. If your break in specialized care lasts longer than 30 days, you need a new 3-day hospital stay to be eligible for additional care from the SNF. When a new benefit period begins, you'll also have a new Part A (also known as hospital insurance), the part of Medicare that covers most necessary hospital care for inpatients, care in skilled nursing facilities (SNF), home health care, and care palliative.
If your break in specialized care lasts at least 60 consecutive days, this ends your current benefit period and renews your SNF benefits.
