SUMMARY OF BENEFITS
If you have any questions about this plan’s benefits or costs, please contact Providence Health Plan.
Benefit Category INPATIENT CARE (continued) 5 - Skilled Nursing Facility In 2010 the amounts for each Original Medicare
(in a Medicare-certified skilled nursing facility)
benefit period after at least a 3-day covered hospital stay were:
Providence Medicare Extra + RX
General Authorization rules may apply.
Days 1 - 20: $0 per day Days 21 - 100: $137.50 per day
In-Network Plan covers up to 100 days each benefit period.
These amounts will change for 2011.
No prior hospital stay is required.
100 days for each benefit period.
$0 copay for SNF services.
A "benefit period" starts the day you go into a hospital or SNF. It ends when you go for 60 days in a row without hospital or skilled nursing care. If you go into the hospital after one benefit period has ended, a new benefit period begins. You must pay the inpatient hospital deductible for each benefit period. There is no limit to the number of benefit periods you can have.
$0 copay for Medicare-covered home health visits.
6 - Home Health Care
(includes medically necessary intermittent skilled nursing care, home health aide services, and rehabilitation services, etc)