HI 00401.345 Examples of Benefit Period
Mr. Jones was born on 8/9/09. On 7/28/74, he entered a participating hospital. After
he had been in the hospital for 2 weeks, he was discharged on 8 /11/74. On his doctor's
orders, Jones entered a participating SNF on 8/15 /74, and remained there until 10/27/74.
He had no further inpatient stays in 1974.
Mr. Jones' benefit period began on 8/1/74, the first day of the month he attained
age 65 and was entitled to hospital insurance. The benefit period ended 12/25/74,
the end of the 60-day period beginning with the date of his last discharge.
Mr. Smith over age 65, entered a participating hospital on 7/28/74, for treatment
of a heart condition. He was discharged on 8/11/74. On 8/20/ 74, he entered a nonparticipating nursing home, which provided primarily skilled nursing care and related services. Mr. Smith remained
in this facility until his discharge on 10/27/74. On 12/25/74, he was again admitted
to a participating hospital because of injuries suffered in an accident. He was discharged
on 1/13/75, and had no further inpatient stays in 1975.
Mr. Smith's benefit period began on 7/28/74. His stay in the nursing home began less
than 60 days after his hospital stay and the benefit period was continued even though
the stay was not covered. The subsequent hospital stay began less than 60 days after
his discharge from the nursing home and continued the benefit period, although the
condition treated was unrelated to his prior stays. The benefit period ended on 3/13/75,
the end of the 60-day period beginning with the day of the last discharge.