Inpatient Benefit Days

20 - Inpatient Benefit Days (Rev. 261, Issued_10-04-19, Effective: 11-05-19, Implementation: 11-05-19) A3-3103, A3-3135, HO-216, SNF-242 A. Inpatient Hospital Benefit Days A patient having hospital insurance coverage is entitled, subject to the inpatient deductible and coinsurance requirements, to have payment made on his/her behalf for up to 90 days of covered inpatient hospital services in each benefit period. Also, the patient has a lifetime reserve of 60 additional days (see Chapter 5, §10). B. Posthospital Extended Care Days A patient having hospital insurance coverage is entitled (subject to the coinsurance requirements described in detail in Pub. 100-01, Medicare General Information, Eligibility, and Entitlement Manual, Chapter 3, “Deductibles, Coinsurance Amounts, and Payment Limitations”) to have payment made on his/her behalf for up to 100 days of covered inpatient extended care services in each benefit period. Refer to Pub. 100-01, Medicare General Information, Eligibility, and Entitlement Manual, Chapter 3, §10.4.4 for the definition of SNF inpatient for benefit period purposes.