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Frequently Asked Questions

What is the Medicare benefit policy manual?

The Medicare Benefit Policy Manual is one of several internet-only manuals published by the U.S. Centers for Medicare & Medicaid Services, or CMS. Health care providers, contractors, Medicare Advantage companies and state survey agencies use the Benefit Policy Manual and other publications as a guide to administer Medicare coverage .

What is Medicare Part B policy?

Medicare Part B (medical insurance) is part of Original Medicare and covers medical services and supplies that are medically necessary to treat your health condition. This can include outpatient care, preventive services, ambulance services, and durable medical equipment.

What is benefit policy?

A linked benefit policy has three components: An income tax free benefit that pays for long-term care expenses that could include home care, adult day care, assisted living and/or skilled nursing care. The policy is issued with a monthly benefit that is paid for a specific number of years, based on the policy design and riders purchased.

What are skilled services for Medicare?

Medicare Part A covers these services while you’re in a skilled nursing facility: A semi-private room. Meals. Skilled nursing care. Physical therapy, occupational therapy, and speech-language pathology (covered if medically necessary to meet your health goals) Medical social services.

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