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The Medicare Part A benefit period contains 100 days. Patients must meet Medicare's skilled care requirements for each day to continue receiving benefits. If requirements are not met, benefits will cease regardless of days left in the benefit period.
DAY 1-20
Medicare will pay 100% of covered items listed above.
DAYS 21-100
Medicare requires a $95.50/day co-payment to be paid by Medicaid, private insurance or Private funds.
The Medicare Part B has no time constraints. Part B coverage may be used whether or not Part A coverage has been utilized.
Medicare, private insurance or private funds must cover the first $100.00 of Medicare Part B services received in the year, plus 20% of the balance of reasonable charges. Medicare pays the remaining balance.  |
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