Skilled Nursing Facilities (SNF)

Overview

Inpatient SNF care (up to 100 days per benefit period) includes room and board, skilled nursing care and other customarily provided services in a Medicare plan.

       

Original Medicare requires a three (3) consecutive day inpatient hospital stay in order to qualify for skilled nursing facility benefits. This requirement is waived for MediGold members.

 

SNF must notify MediGold of member's discharge from the facility within two business days of discharge.

Benefit Period

Coverage Factors

Principles for Determining Skilled Services

Supporting documentation

Reimbursement

Notifications to Members

Updated 01/2018