Medicare Benefit Period definition

Medicare Benefit Period means the way that original Medicare measures your use of Hospital and Skilled Nursing Facility (SNF) services. A benefit period begins the day you're admitted as an inpatient in a Hospital or SNF. The benefit period ends when you haven't gotten any Inpatient Hospital Care (or skilled care in a SNF) for 60 days in a row. If you go into a Hospital or a SNF after one benefit period has ended, a new benefit period begins. There's no limit to the number of benefit periods.
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Medicare Benefit Period means the unit of time used in the Medicare Program to measure use of services
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Examples of Medicare Benefit Period in a sentence

  • We provide Benefits for Medicare Part A-eligible expenses for hospitalization to the extent not covered by Medicare from the 61st day through the 90th day in any Medicare Benefit Period.

  • Part A Medicare Eligible Expenses for hospitalization are covered to the extent they are not covered by Medicare from the 61st day through the 90th day in any Medicare Benefit Period.

  • Skilled Nursing Facility Care Co-insuranceWe provide Benefits for your co-insurance share from the 21st day through the 100th day in a Medicare Benefit Period for post-hospital care in a Medicare-eligible skilled nursing facility.

  • Covered Benefits will be provided for charges incurred for the Continuous Loss until the earlier of: (1) the end of the Medicare Benefit Period as defined in Section 1.15 of this Policy; or (2) the exhaustion of Covered Benefits.

  • Your first Medicare Benefit Period starts the first time You enter a Hospital, or Skilled Nursing Facility, after Your Medicare Part A insurance begins.

  • Skilled Nursing Facility Care: Coverage for the actual billed charges up to the coinsurance amount from the 21st day through the 100th day in a Medicare Benefit Period for post- hospital Skilled Nursing Facility care, includ- ing subacute care, eligible under Medicare Part A.

  • Skilled Nursing Facility Care: Coverage for the actual billed charges up to the coinsurance amount from the 21st day through the 100th day in a Medicare Benefit Period for post-hos- pital Skilled Nursing Facility care, including subacute care, eligible under Medicare Part A.

  • Coverage for the actual billed charges up to the coinsurance amount from the twenty-first (21st) day through the one hundredth (100th) day in a Medicare Benefit Period for post-hospital skilled nursing facility care eligible under Medicare Part A.

  • Hospital Inpatient ServicesMedicare Part A requires you to pay certain Medicare Coinsurance amounts during your Hospital stay beginning on the 61st day and ending after the 90th day in any Medicare Benefit Period.

  • Days during a Denial of Payment for New Admissions (DOPNA) period do not count towards the Medicaid or Medicare Benefit Period.

Related to Medicare Benefit Period

  • Extended benefit period means a period which:

  • Retiree means any person who has begun accruing a retirement

  • Health benefit plan means a policy, contract, certificate or agreement offered or issued by a health carrier to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services.