benefit period

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benefit period

A period of hospital or skilled nursing use by the beneficiary of an insurance policy, which begins on the day of admission and ends when the recipient has not received hospital or skilled nursing care for 60 consecutive days. The beneficiary must pay the inpatient hospital deductible for each benefit period; there is no limit on the number of benefit.

Medicare
The period during which a Medicare beneficiary is eligible for Part-A benefits. A typical benefit period is 90 days, which begins the day the patient is admitted to a hospital and ends when a person has not been hospitalised for a period of 60 consecutive days.

ben·e·fit pe·ri·od

(benĕ-fit pērē-ŏd)

Classification used by Medicare to define the period starting with the first day of hospitalization and ending when the patient has been out of the hospital for 60 consecutive days.

Medical Dictionary for the Health Professions and Nursing © Farlex 2012

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References in periodicals archive ?

The Part A deductible ($1,288 as of 2016) is charged at the beginning of each "benefit period." A benefit period starts when a beneficiary is admitted to the hospital and ends when a beneficiary has been home from the hospital or a postacute skilled nursing facility for at least 60 days (Center for Medicare and Medicaid Services 2014).

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However, coinsurance kicks in after 60 days and patients will have to pay $315 per day during the benefit period. After 90 days, when patients begin drawing on their lifetime reserve, coinsurance increases to $630 per day.

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Accumulation Benefit--For any month during total disability that your covered overhead expenses do not equal the maximum monthly benefit, the difference may be carried forward to the following months when actual expenses are less than the maximum monthly benefit, while total disability continues and you have not reached the end of the maximum benefit period.

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The premium for the two policies would remain as originally scheduled for the balance of the policy term, but the remaining benefit would be significantly less for the aggregate policy while the non-aggregate policy would have a fresh 60-month benefit period for any new disability.

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The definitions of elimination period (EP) and benefit period (BP) are examples.

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So Plan A would illustrate that amount for the longest benefit period available.

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Extension of the benefit period allows unused benefits to be received beyond the original benefit period.

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However, if Bob had chosen a less expensive policy (such as a four-year policy benefit period), Bob's long-term care costs for the first four years of nursing home stay (about $240,000) would have been covered by his long-term care policy; depending on how long Bob lived, he may or may not have exhausted his policy limits.

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Post-hospital extended care in a skilled nursing facility for up to 100 days in each "benefit period." The patient pays nothing for the first 20 days.