What makes a resident eligible for Medicare Part A in a skilled nursing facility?
• The resident must have a Medicare card that reads “Hospital Insurance.” • The resident’s physician must certify that the resident needs skilled care on a continuing basis. • A minimum of three consecutive days (not counting the day of discharge) must have been spent in a hospital no longer than 30 days before entering the skilled nursing center. • The need for skilled care must relate to the reason for hospitalization. • All Medicare residents will be verified by our pre-admission process to confirm Medicare eligibility. back to top What is paid for under Medicare Part A while in a skilled nursing center? Semi-private rooms, meals, rehabilitation services, medication, supplies and medical equipment are all paid for. back to top What are the Medicare rates if the qualifying criteria are met? 1-20 Days: The resident pays nothing. Medicare pays in full. 21-100 Days: The daily co-insurance rate is $124 and is determined by Medicare and paid by private resources, insurance or Medicaid. 10
Related Questions
- How must the Skilled Nursing Facility (SNF) notify a beneficiary that the beneficiary no longer needs a Medicare skilled level of care?
- When must the Skilled Nursing Facility (SNF) notify a beneficiary that he/she no longer needs a Medicare skilled level of care?
- What makes a resident eligible for Medicare Part A in a skilled nursing facility?
