Certified Senior Advisor (CSA) Practice Test

Question: 1 / 400

How long does Medicare cover stays in a skilled nursing facility?

Everything except co-insurance until discharge

100 days with no additional coverage

Medicare covers stays in a skilled nursing facility for up to 100 days, provided certain criteria are met. This coverage typically begins after a three-day inpatient hospital stay for a related condition. During this period, Medicare will cover the costs associated with skilled nursing care, therapy services, and other related medical needs.

It’s important to note that after the first 20 days of care, there may be a daily co-insurance amount that the patient is responsible for, which is why it wouldn’t be accurate to say that there’s “no additional coverage” beyond the 100-day limit. Hence, saying Medicare provides coverage strictly for 100 days with no additional coverage doesn't account for potential out-of-pocket expenses after the initial period.

This understanding highlights that while up to 100 days of skilled nursing care is available under Medicare, the full extent of coverage can depend on specific patient circumstances and the facility's billing practices. This makes the answer about the 100 days a clear reflection of Medicare's general provisions.

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100% of charges for the first 100 days

No coverage if admitted from home

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