ohmeowzer Asked November 2017
My mom was in long term care she came home. When does her 60 days of good health for Medicare start again?
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She was in long term care about a month then sent to inpatient geropsych for 2 weeks then back to long term care I then signed her out AMA...when does her 60 days of good health for Medicare start again? When she was returned home or when she was in long term care? Thank you and love you all
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60 days of good health? Huh? For what?
I have never heard of this.
What is it you are trying to get for your Mom?
Please give the background to this
Wouldn't it be quickest and most certain to ring your Medicare contact and ask?
Benefit period
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. You must pay the inpatient hospital deductible for each benefit period. There's no limit to the number of benefit periods.
also from medicare.gov
Skilled nursing facility (SNF) care
How often is it covered?
Medicare Part A (Hospital Insurance) covers skilled nursing care provided in a skilled nursing facility (SNF) under certain conditions for a limited time.
Medicare-covered services include, but aren't limited to:
Semi-private room (a room you share with other patients)
Meals
Skilled nursing care
Physical and occupational therapy*
Speech-language pathology services*
Medical social services
Medications
Medical supplies and equipment used in the facility
Ambulance transportation (when other transportation endangers health) to the nearest supplier of needed services that aren’t available at the SNF
Dietary counseling
Who's eligible?
People with Medicare are covered if they meet all of these conditions:
You have Part A and have days left in your benefit period.
You have a qualifying hospital stay.
Your doctor has decided that you need daily skilled care given by, or under the direct supervision of, skilled nursing or therapy staff. If you're in the SNF for skilled rehabilitation services only, your care is considered daily care even if these therapy services are offered just 5 or 6 days a week, as long as you need and get the therapy services each day they're offered.
You get these skilled services in a SNF that's certified by Medicare.
You need these skilled services for a medical condition that was either:
A hospital-related medical condition.
A condition that started while you were getting care in the skilled nursing facility for a hospital-related medical condition.
Your doctor may order observation services to help decide whether you need to be admitted to the hospital as an inpatient or can be discharged. During the time you're getting observation services in the hospital, you're considered an outpatient—you can't count this time towards the 3-day inpatient hospital stay needed for Medicare to cover your SNF stay.
Your costs in Original Medicare: You pay:
Days 1–20: $0 for each benefit period ($0 in 2018).
Days 21–100: $164.50 coinsurance per day of each benefit period ($167.50 in 2018).
Days 101 and beyond: all costs (all costs in 2018).
Note: If you stop getting skilled care in the SNF, or leave the SNF altogether, your SNF coverage may be affected depending on how long your break in SNF care lasts.
If your break in skilled care lasts more than 30 days, you need a new 3-day hospital stay to qualify for additional SNF care. The new hospital stay doesn’t need to be for the same condition that you were treated for during your previous stay.
If your break in skilled care lasts for at least 60 days in a row, 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.
Once discharged from the rehab....the clock only starts again with another acute care hospital stat