Saving Your Future - Understanding The X-Curve

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What is covered under Medicare for skilled nursing facility care?

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Medicare covers skilled nursing facility (SNF) care under specific conditions. Here's a detailed overview of what is covered:    1. Eligibility Requirements: - Hospital Stay: You must have had a qualifying hospital stay of at least three consecutive days (not counting the day of discharge) before you can receive Medicare coverage for SNF care. - Medically Necessary: The SNF care must be medically necessary and prescribed by a doctor. It should be related to a condition you were treated for during your hospital stay. - Skilled Care: The care provided must be skilled nursing care or rehabilitation therapy that requires the expertise of a registered nurse (RN) or a licensed therapist.    2. Coverage Details: - First 20 Days: Medicare covers all costs for skilled nursing facility care for the first 20 days in a benefit period. - Days 21-100: For days 21 through 100, you pay a daily coinsurance amount. In 2024, the coinsurance amount is $200 per day. - ...
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How does Medicare work with employer health insurance?

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Medicare can work alongside employer health insurance, depending on the size of your employer and whether you are still actively working. Here’s how the coordination typically works:    1. If You Work for a Large Employer (20 or More Employees): - Employer Health Insurance: If you have health insurance through an employer with 20 or more employees, your employer’s insurance is usually the primary payer, meaning it pays first. - Medicare: Medicare is secondary, meaning it pays after your employer insurance has paid its share. You can choose to delay enrolling in Medicare Part B without penalty as long as you have coverage through your employer.    2. If You Work for a Small Employer (Fewer than 20 Employees): - Medicare: In this case, Medicare is typically the primary payer, and your employer’s insurance is secondary. You should enroll in Medicare Part A and Part B when you’re first eligible to avoid late enrollment penalties. - Employer Health Insuran...
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