Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 3 § 10.4.3.1
Hospital Stay and End of Benefit Period
10.4.3.1 - Hospital Stay and End of Benefit Period
(Rev. 1, 09-11-02)
In order to end a benefit period, for at least 60 consecutive days, a beneficiary cannot
have been in a hospital which meets the initial requirement in the definitions in Chapter
5, §20.1 through §20.7 of this publication. That is, the beneficiary cannot have been in a
facility that is primarily engaged in providing, by or under the supervision of a
physician(s), to inpatients:
•
Diagnostic and therapeutic services for medical diagnosis, treatment, and care of
injured, disabled, or sick persons or rehabilitation services for injured, disabled, or
sick persons; or
•
Psychiatric services for the diagnosis and treatment of mentally ill persons. A
stay in a hospital outside the United States prolongs a benefit period. It may be
assumed, in the absence of evidence to the contrary, that:
•
A foreign hospital in which a beneficiary spent one or more days meets the
requirement of the definition in Chapter 5, §20 of this manual; and
•
The beneficiary's statement about length and place of stay is correct.