CA Medicare Skilled Care

This page details CA Medicare skilled care. Skilled nursing care is medical care provided under a physician's orders. This form of care can only be administered by or under the supervision of skilled medical care professionals. Care that can be provided by non-professionals isn't skilled nursing care. Rehabilitative care which requires skilled professional staff is also considered a type of skilled care. Medicare can help to cover for the costs of skilled nursing care. An individual receives skilled nursing care to help improve their health condition or to attempt to keep their medical condition from deteriorating.

In California Medicare and Medicare supplements will only pay for skilled nursing care under certain conditions. An gingival must not have used all the days in the current benefit period. That individual must have also had a hospital stay that qualified. In order to qualify the stay must have been at least for 3 consecutive days from the time they were admitted and this does not include the day they were discharged. An individual must also enter the skilled nursing facility within 30 days of having left the hospital. If you leave the skilled nursing facility and then have to go back into it with thirty days you don't have to have another three day hospital stay in order to qualify. Medicare must have approved the skilled nursing facility. The condition for which and individual needs skilled care must have been the same one that had been during the qualifying three day hospital stay. A doctor must have ordered the skilled nursing care.

Medicare breaks down time periods that it will cover skilled nursing care expenses into what are called benefit periods. The benefit period begins on the first day a person begins Medicare Part A hospital or skilled nursing facility benefits. There are 100 covered days in a benefit period. Once these days are used up there are no more benefits available for the current benefit period. The benefit period ends when a person has not been in a skilled nursing facility or hospital for at least 60 consecutive days or if an individual has been in a skilled nursing facility for at least 60 consecutive days without actually having received skilled care there. There aren't any limits as to the number of benefit periods a person may have. Some of the costs associated with skilled nursing facilities are speech therapy, medicine, medical supplies, meals, occupational therapy, ambulance transportation, semi-private room, skilled nursing care, dietary counseling, physical therapy and medical social services. These services have to be necessary in order for Medicare to cover them.

Medicare will pay for the full cost of the first twenty days of skilled nursing care. The next 80 days require a person to pay a daily co-payment with Medicare paying the balance. Medicare pays nothing for skilled nursing care care costs after the first 100 days. Some Medicare Supplements help cover the daily co-payment. With over twenty years experience helping people in California with their Medicare Supplement needs we will assist you too. Let us analyze your needs, and assist you with getting coverage. Are you overwhelmed by the complexity of Medicare? With the large amount of information it is easy to have trouble finding the answers you require. Don't waste your precious time trying to find which plan is correct for you. We have the answers you need.

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