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Skilled Nursing Facility Benefits Last updated апр. 01 2022 -->A skilled nursing facility (SNF) provides skilled nursing, rehabilitation, or other care, including medication administration. SNFs are not nursing homes or intermediate facilities. Because TRICARE For Life beneficiaries may need to use an SNF, coverage for those services is available.
Care from a skilled nursing facility is not the same as custodial care, long-term care, or nursing homes. TFL and Medicare do not cover custodial care, long-term care, or nursing homes.
You can learn more about skilled nursing care here. Our goal is to help you better understand the TFL program and provide you the highest level of customer service. If you have any questions, please contact us.
If your provider needs more information about TRICARE For Life’s SNF guidelines, we have details on our provider page.
Coverage:
Medicare pays 100% for the first 20 days of a benefit period. For days 21 to 100, Medicare covers all costs except for the required Medicare copayment; TRICARE For Life covers the copayment. After day 100, TFL becomes the primary payer for covered skilled care. The patient must pay the TFL cost-share. Once a patient has not had any inpatient hospital or SNF care for 60 consecutive days, a new Medicare benefit period begins.
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