Yes, Medicare has limits of coverage. Medicare covers many medical and hospital costs, but not 100%. There are limits to how much and how often Medicare will pay for certain services! That is a little uneasy to think about unless you take the time to do the research!
One key factor of WC Insurance Solutions mission statement is to educate people on all types of Medicare coverage options. So, let's take a couple minutes to learn!
As a Medicare beneficiary, you should be aware of the services that exceed Medicare-approved usage limits.
Extended hospitalization: Medicare Part A covers hospital stays for any single illness or injury up to a benefit period of 90 days. If you need to stay in the hospital more than 90 days, you have the option of using your lifetime reserve days, of which the Medicare lifetime limit is 60 days.
Psychiatric hospital stays: Medicare only covers 190 days of inpatient care in a psychiatric hospital throughout your lifetime. If you require more than the Medicare-approved stay length at a psychiatric hospital, there’s no lifetime limit for mental health treatment you receive as an inpatient at a general hospital.
Skilled nursing facility care: For Medicare to cover skilled nursing facility care, you must be formally admitted to the hospital with a doctor's order. Even so, there are limits to the coverage your Medicare benefits provide.
Up to 20 days: Medicare pays the full cost.
From day 21-100: you pay a share of the cost.
Beyond 100 days: you pay all costs.
Medicare Supplement Insurance (Medigap) policies are private health care plans designed to supplement your Original Medicare benefits and help pay for some of the out-of-pocket costs that Original Medicare doesn’t cover. Reach out to Karinsa, our licensed agent, to learn more about secondary coverage.
Below you will find a Medicare Supplement Insurance (Medigap) Plan G Outline of Coverage. Click to download to see a chart of Medicare deductibles, copays, and coinsurance and how Medigap policies can benefit you.
Source: medicaresupplement.com
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