General Discussion
In reply to the discussion: Fuck Medicare for all [View all]WillowTree
(5,350 posts)But there are other considerations. After the inpatient deductible ($1,260), Medicare pays all inpatient charges in full for the first 60 days in each "benefit period". For day 61 through day 90, there is a daily copay of $315. Beyond that, the daily copay jumps to $630 if the lifetime limit of 60 "reserve" days are to be used, after which there is no further inpatient hospital coverage.
Regardless of where a patient is in that 150 day stretch, the clock gets wound back and a new benefit period begins if the patient remains unhospitalized for 60 consecutive days.
So much would depend on where she was in that process when she was last discharged. If she was pushing up close to day 60, then if she was re-admitted within 60 days, there wouldn't be a new deductible, but she'd soon be responsible for $315 per day. That may have played into the decision to wait the additional days before admitting her again. Or not.