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View all items in: Medical Benefits
Medicare Retirees
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Question/Topic
What is the limit for skilled nursing facility services for Medicare retirees?
Answer/Article

Medicare limits treatment in a skilled nursing facility to 100 days per year. If Medicare is your primary coverage, this plan covers your first 100 days in a skilled nursing facility as your secondary insurer. Those 100 days count against the 150-day maximum allowed by the plan.

After you have reached your Medicare maximum of 100 days, this plan covers an additional 50 days only if services are preauthorized, medically necessary, and meet Medicare criteria for skilled nursing facility coverage.


Related Items
How does UMP cover services provided at a skilled nursing facility?
KBID 556
Date Modified 1/11/2010
Date Created 10/4/2006

The Certificate of Coverage (COC) is the source of coverage provisions offered under UMP. If information given here is inconsistent with the UMP COC, the rules in the COC will apply. Also, the COC may have additional information on this subject.

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