December is a time of holidays, celebrations and school vacations. Nursing home residents often want to join in family festivities and visit with children and grandchildren but may be under the impression that they will lose Medicare coverage if they leave the facility to do so. According to the Center for Medicare Advocacy, Inc. (CMA) this is not true.
The Medicare Benefit Policy Manual recognizes that although most beneficiaries are unable to leave their facility, “an outside pass or short leave of absence for the purpose of attending a special religious service, holiday meal, family occasion, going on a car ride, or for a trial visit home, is not, by itself evidence that the individual no longer needs to be in a SNF for the receipt of required skilled care.
for more information, go to www.medicareadvocacy.org/infobytopic/skillednursingfacility/snf_youcanleavethe snf.htm