Medicare Benefit Period Calculation:
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The Medicare 100-day benefit period refers to the maximum coverage period for skilled nursing facility care under Medicare Part A after a qualifying hospital stay. This calculator helps determine when this benefit period will end.
The calculator uses a simple date calculation:
Where:
Details: Knowing the exact end date of the 100-day benefit period helps with care planning and financial preparation for potential out-of-pocket costs that may begin after this period ends.
Tips: Enter the start date of the benefit period (typically the first day of admission to the skilled nursing facility after a qualifying hospital stay). The calculator will add exactly 100 days to this date.
Q1: What happens after the 100-day period?
A: After 100 days, Medicare stops covering skilled nursing facility care. Patients may need to pay out-of-pocket, use other insurance, or transition to different care settings.
Q2: Does the 100-day benefit renew?
A: The benefit period resets after 60 consecutive days without skilled nursing or hospital care. A new qualifying hospital stay is needed to start a new benefit period.
Q3: Are all 100 days fully covered?
A: No. Days 1-20 are fully covered, days 21-100 require a daily coinsurance payment (as of 2023, $194.50 per day).
Q4: What qualifies as a "qualifying hospital stay"?
A: Typically a hospital inpatient stay of at least 3 consecutive days (not including the day of discharge).
Q5: Does this calculator account for leap years?
A: Yes, the date calculation automatically accounts for leap years and varying month lengths.