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Hospitalized, but Not Admitted: Admission Status

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Medicare 101<br />

• Medicare for Inpatients:<br />

– Part A pays for inpatient services with one annual<br />

deductible ($1156 in 2012), further “coinsurance”<br />

– Part B pays for “doctor services”, some meds, DME,<br />

with an annual deductible and an episodic 20% copay<br />

– SNF benefit after 3 day prequalifying stay<br />

• Medicare for Outpatients:<br />

– No Part A benefit<br />

– Part B pays as above<br />

– No SNF benefit

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