Posts Tagged ‘skilled nursing care’

Medicare Part A (2010)

Friday, May 21st, 2010

Part A is Hospital Insurance and covers cost associated with confinement in a hospital or skilled nursing facility.

When you are hospitalized for: Medicare Covers You Pay
1-60 Days Most confinement costs after the required Medicare Deductible $1,100 Part A Deductible
61-90 Days All eligible expenses, after the patient pays a per-day copayment. $275/Day
91-150 Days All eligible expenses, after patient pays per-day copayment.


(These Are Liftetime Reserve Days Which may never be used again.)

$550/Day
151 days or more Nothing You Pay All Cost
Skilled Nursing
Confinement:
When you are hospitalized for at least 3 days and enter a Medicare Approved skilled nursing facility within 30 days after a hospital discharge and are receiving skilled nursing care.
All eligible expenses for the first 20 days; then all eligible expenses, (if you qualify), for days 21-100, after patient pays a per day copayment. After 20 days


$137.50/Day

Glossary

Friday, May 21st, 2010

Medicare Terms Defined

For Complete Glossary click here

Lifetime Reserve Days

are limited to 60 days during your life. After these reserve days are used, Medicare provides no hospital coverage after 90 days of a benefit period.

Medicare Eligible Expenses

are expenses which are recognized as reasonable and medically necessary by Medicare. Physicians under Medicare may accept Medicare’s Eligible Expense as their fee amount. Your physician may also charge you more.

Skilled Nursing Facility

provides skilled nursing care and is approved for payment by Medicare or may qualify to receive such approval. Custodial care is not an eligible expense.

Excess Charges

is the difference between the actual charge as billed, and the Medicare approved Part B charge.

Medicare (Part A)

Hospital Services for semiprivate room and board, general nursing and miscellaneous services and supplies. Benefit period applies.

Medicare (Part B)

Medical services in or out of the hospital and outpatient hospital treatment, such as physician services, inpatient and outpatient medical and surgical services and supplies, physical and speech therapy, diagnostic tests, and durable medical equipment.

Benefit Period

defines the limit of a stay at a hospital or nursing facility and what benefits you receive for that stay.

Special Notes:

The sale of duplicate Medicare Supplement coverage is prohibited.
Your coverage can never be canceled because of your age, your health, or the number of claims you make as long as you make payments when due.
Consult your local insurance professional for specific information.