Reply to Please help! Medicare Part A SNF facility coverage after hosp for long term care patient

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[quote=Anonymous][quote=Anonymous]a couple thoughts:

Medicare "benefit periods":

- benefit period begins the day the patient is admitted to the hospital; they must stay inpatient at the hospital at least 3 days in order for SNF care to be paid for.

- benefit period ends whet patient hasn't been in hospital or SNF for 60 days.

Once the 60 days are up, a new benfit period can be triggered by a new hospitalization of over 3 days.

I am not sure from reading your timeline, but it sounds like your dad was readmitted to the hospital while he was still in a SNF, right?   So he can't start a new benefit period so subsequent SNF won't be covered.

https://www.agingcare.com/articles/medicare-coverage-of-skilled-nursing-facility-153265.htm

A geriatric care manager might be able to help you sort this stuff out.[/quote]

You are asking for long term care.  Medicare only pays for limited care and there are limits to it.  Dad has to pay for long term or go on medicaid.  Tricare doesn't pay for long term nursing either and acts as a secondary insurance/supplement to medicare.[/quote]

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