What is the 21 day rule for medicare?

Check with your plan for more information. Part A limits SNF coverage to 100. Medicare will only cover the care you receive in an SNF if you first have a “qualifying hospitalization.” This means a previous hospitalization necessary for medical reasons of at least 3 consecutive days (starting on the day you were admitted as an inpatient, but not including the day you left the hospital). Are you looking for Home Care near New Tripoli PA? Part A limits SNF coverage to 100 days in each benefit period. After leaving the SNF, if you re-enter the same or another SNF within 30 days, you will not need another 3-day hospitalization that meets the requirements for additional SNF benefits.

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. If you stop receiving specialized care in the SNF or leave the SNF completely, your SNF coverage may be affected depending on the length of your interruption in the SNF. If you disagree with your withdrawal for any reason, you can appeal. If your interruption in the specialized care service lasts longer than 30 days, you will need a new 3-day hospitalization in order to receive additional care from the SNF.

The new admission to the hospital doesn't have to be for the same condition you were treated for during your previous stay. If your break in specialized care lasts at least 60 consecutive days, this ends your current benefit period and renews your SNF benefits. This means that the maximum coverage available would be up to 100 days of SNF benefits. 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. Remember that you can 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.

Alan Furner
Alan Furner

Certified pop cultureaholic. Writer. Award-winning zombie nerd. Amateur twitter geek. Proud food guru.

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