What Does Medicare Cover?
Patients are eligible for 100 days of Medicare Part A coverage during a benefit period and as long as the patient is medically necessary. The first 20 Medicare days are paid in full (100%) by Medicare Part A for charges related to a Medicare Part A stay. The remaining 80 days are referred to as Medicare co-insurance days. This means Medicare Part A will pay for all Medicare related charges for the next 80 days except for the co-insurance amount. The 2015 co-insurance rate is $157.50 per day. This rate is set by the federal government not the skilled nursing facility. The co-insurance rate will be billed to another payor type.