Benefit Period (Spell of Illness)

10 - Benefit Period (Spell of Illness) (Rev. 261, Issued_10-04-19, Effective: 11-05-19, Implementation: 11-05-19) A3-3035, HO-215 A “Benefit period” is a period of consecutive days during which medical benefits for covered services, with certain specified maximum limitations, are available to the beneficiary. Under Part A, 60 full days of hospitalization plus 30 coinsurance days represent the maximum benefit period. The benefit period is renewed when the beneficiary has not been an inpatient of a hospital or of a SNF (see §20.B) for 60 consecutive days. Refer to Pub.100-01, Medicare General Information, Eligibility, and Entitlement Manual, Chapter 3, “Deductible, Coinsurance Amounts, and Payment Limitations” for additional information on benefit periods.