TN 1 (10-22)
HI 00401.345 Examples of Benefit Period
Example 1:
Jones was born on 8/9/09. On 7/28/74, Jones entered a participating hospital. After
being in the hospital for 2 weeks, Jones was discharged on 8 /11/74. On doctor's orders,
Jones entered a participating SNF on 8/15 /74, and remained there until 10/27/74.
Jones had no further inpatient stays in 1974.
Jones' benefit period began on 8/1/74, the first day of the month Jones 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 the last discharge.
Example 2:
Smith over age 65, entered a participating hospital on 7/28/74, for treatment of a
heart condition. Smith was discharged on 8/11/74. On 8/20/74, Smith entered a nonparticipating nursing home, which provided primarily skilled nursing care and related services. Mr. Smith remained
in this facility until the discharge on 10/27/74. On 12/25/74, Smith was again admitted
to a participating hospital because of injuries suffered in an accident. Smith was
discharged on 1/13/75, and had no further inpatient stays in 1975.
Smith's benefit period began on 7/28/74. Smith's stay in the nursing home began less
than 60 days after the 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
discharge from the nursing home and continued the benefit period, although the condition
treated was unrelated to 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.