Medicare Terms Defined
Lifetime Reserve Days
are limited to 60 days during your life. After these reserve
days are used, Medicare provides no hospital coverage after 90
days of a benefit period.
Medicare Eligible Expenses
are expenses which are recognized as reasonable and medically
necessary by Medicare. Physicians under Medicare may accept
Medicare's Eligible Expense as their fee amount. Your physician
may also charge you more.
Skilled Nursing Facility
provides skilled nursing care and is approved for payment by
Medicare or may qualify to receive such approval. Custodial care
is not an eligible expense.
is the difference between the actual charge as billed, and the
Medicare approved Part B charge.
Medicare (Part A)
Hospital Services for semiprivate room and board, general
nursing and miscellaneous services and supplies. Benefit period
Medicare (Part B)
Medical services in or out of the hospital and outpatient
hospital treatment, such as physician services, inpatient and
outpatient medical and surgical services and supplies, physical
and speech therapy, diagnostic tests, and durable medical
defines the limit of a stay at a hospital or nursing facility
and what benefits you receive for that stay.
- The sale of duplicate Medicare Supplement coverage is
- Your coverage can never be canceled because of your age,
your health, or the number of claims you make as long as you
make payments when due.
- Consult your local insurance professional for specific