Managed Care Nursing

Category - Patient Issues

Which of the following statements reflects that the patient has some understanding of how his health insurance carrier for Medicare works?
  1. The doctor told me I have to go to the nursing home to get stronger before I can go home alone. I can’t go to this nursing home because it will cost me too much per day after the 10th day if I am not better.
  2. The doctor told me I have to go to the nursing home to get stronger before I can go home alone. This will be fine as long as I get better by the time my Medicare coverage allows, which is 45 days.
  3. The doctor told me I have to go to the nursing home to get stronger before I can go home alone. This will be fine as long as I get better by the time my Medicare coverage allows, which is 21 days
  4. The doctor told me I have to go to the nursing home to get stronger before I can go home alone. This will be fine as long as I get better by the time my Medicare coverage allows, which is 14 days.
Explanation
Answer: C- The correct answer that reflects the patient understands his Medicare coverage includes the statement regarding coverage for 21 days.

Medicare will cover rehabilitation for days 1-21 as a part of the federal Medicare program. Depending on the patient’s state of residence, other benefits or supplemental plans may play a role in full or co-pay required coverage for additional timeframes.
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