Inpatient skilled nursing facility stays must be preauthorized and all of the following standards must be met.

• Member must meet Medicare guidelines for skilled level nursing care.
• The facility is licensed by the state where it is located and is certified by Medicare.
• The medical care required from skilled medical or rehabilitation professionals cannot be provided on an outpatient basis.

This benefit covers skilled nursing facility charges for services, supplies, and room and board, including charges for services such as general nursing care made in connection with room occupancy. UMP covers up to 150 days per calendar year. For Medicare retirees, see "What is the limit for skilled nursing facility services for Medicare retirees?"

Skilled nursing facility confinement that is primarily convalescent or custodial in nature is not covered.