Medicare covers up to 100 days of SNF care per benefit period. Learn what happens when your coverage runs out, how to qualify for a new benefit period, and alternative options for continuing care. If you don't have Original Medicare but opted for an Advantage plan, coverage for nursing Home Care near Lake Mary FLHome Care near Lake Mary FL may be available. To qualify for SNF care, you must meet the criteria established by the Centers for Medicare and Medicaid Services (CMS).
Medicare will only pay for short-term stays of 100 days or less, for example, for rehabilitation after injury or illness. 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. In a case like that, Medicare won't continue to pay for a nursing home stay if the person doesn't improve. In all cases, you may wonder what happens once Medicare benefits are no longer available for needed care. 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.
Your Medicare benefits may no longer apply, but there are other strategies that can help you cover the costs of the skilled nursing services or nursing home care you need. When Medicare coverage ends for any of your health needs, it's critical to have a plan in place to ensure that you can continue to receive the support you need for your health and well-being. While Medicare doesn't cover long-term care in nursing homes, it does provide coverage for care in skilled nursing facilities (SNF). You can appeal the denial of Medicare, explore alternative payment options, such as Medicaid, private payment or long-term care insurance, or consider moving your loved one to a lower level of care or home.
If you need more than 100 days of SNF care in a benefit period, the benefit period is the amount of time that Medicare pays for the services of a hospital and a skilled nursing facility (SNF). If you meet the criteria for receiving SNF care, Medicare will cover all costs for the first 20 days of the benefit period. When Medicare stops covering your loved one's stay in a nursing home or skilled nursing facility, you have three options to take the next step. If they were discharged from the nursing home with occupational or physical therapy orders, Medicare will cover the cost of these medically necessary services.
Some people who have reached the maximum limit of skilled nursing services required by Medicare may be eligible for Medicaid, a state program that helps cover the financial costs of health care for people who may not be able to cover those costs. by themselves.
