California Medicare Skilled Care

This web page covers California Medicare skilled care. Skilled nursing care is health care provided under a doctor's orders. This type of care can only be administered by or under the supervision of skilled health care professionals. Care that can be administered by non-professionals is not skilled nursing care. Rehabilitative care which requires skilled professional staff is also a form of skilled care. Medicare helps to pay for skilled nursing care. A person gets skilled nursing care to help improve their medical condition or to try to keep their medical condition from deteriorating.

In California Medicare and Medicare supplements only cover the costs of skilled nursing care under certain conditions. An gingival must have days left in the current benefit period. The individual must have also had a hospital stay that qualified. To qualify the stay had to have been for a minimum of three consecutive days from the time they were admitted and this does not include the day they were discharged. A person must also enter the skilled nursing facility within thirty days of having left the hospital. If you leave the skilled nursing facility and then have to reenter it with thirty days you don't have to have another three day hospital stay in order to qualify. The facility must be approved by Medicare to provide skilled nursing care. The condition for which and individual requires skilled care must have been the same one that was being treated during the qualifying 3 day hospital stay. A physician must have ordered the skilled nursing care.

Medicare breaks down periods of time that it will pay for skilled nursing care costs into what are called benefit periods. The benefit period begins on the first day an individual starts Medicare Part A hospital or skilled nursing facility benefits. There are 100 covered days in a benefit period. When these days are used up there are no more benefits available for the current benefit period. The benefit period ends when an individual 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 during their lifetime. Some of the costs associated with skilled nursing facilities are meals, medical supplies, physical therapy, dietary counseling, speech therapy, skilled nursing care, semi-private room, occupational therapy, medical social services, ambulance transportation and medicine. These services have to be necessary in order for Medicare to pay for them.

Medicare will pay for the full cost of the first twenty days of skilled nursing care. The next 80 days require an individual to pay a daily co-payment with Medicare paying the balance. Medicare pays nothing for skilled nursing care care expenses after the first one hundred days. Some Medicare Supplements help cover the daily co-payment. We have helped Californians with their Medicare Supplement needs for more than 20 years now. We want to assist you with your Medigap needs. Let us answer all your Medicare questions. We can find the best coverage for your needs. If need answers regarding Medicare Supplements then call us. We can give you the information you require right now. One phone call or email to us can take the confusion and solve your problem.

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