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Medicare Payment for Nursing Home Care

Last Updated July 2005

To qualify for Medicare payment of nursing home costs under the traditional Medicare rules:

-Must have a three day hospital stay within 30 days of your nursing home admission and be admitted to the nursing home for the same reason for which you were hospitalized.

-Must require skilled care.

-Medicare pays 100% of the costs for the first 20 days.

-From days 21-100, there is a daily co-payment of $114.00 (for 2005).

-The maximum benefit period is 100 days per spell of illness.


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