Coverage

 
 
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Important Terms

BENEFICIARY:
Person who is entitled to Medicare coverage as shown on Medicare card.

BENEFIT PERIOD:
Up to 100 days of Medicare coverage available number of days received depends upon daily needs of beneficiary. Part A patients may receive many benefit periods, depending upon need, in a lifetime.

DENIAL LETTER:
Notice to patient that further Medicare benefits for current admission have been denied.

MEDICARE ELIGIBILITY:
For skilled nursing facility care. Beneficiary has had an inpatient hospital stay of at least three consecutive days, not including the day of discharge.

MEDICARE ENTITLEMENT:
Possession of Medicare card that shows Part A and/or Part B.

SKILLED SERVICE:
Requires a licensed nurse or therapist to administer or supervise service.

THIRTY DAY WINDOW:
Thirty day period following discharge from Medicare services in hospital or skilled nursing facility.



  
 
 

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