Long Term Care Certification Practice Test

How many days will a medicare recipient be responsible for the full cost of care in a skilled facility after 114 days of confinement?

1. 14 days

2. 30 days

3. 60 days

4. 90 days

The correct answer is: 14 days

After 114 days of confinement in a skilled nursing facility, a Medicare recipient is responsible for the full cost of care for an additional 14 days. This is because Medicare covers skilled nursing facility care for up to 100 days under certain conditions, with the first 20 days fully covered, and the remaining 80 days requiring a copayment. Once the recipient reaches the 100-day mark, they begin to incur costs on their own. Given that the scenario involves a recipient who is already 114 days into their confinement, they have surpassed the 100-day limit and will therefore have to pay for their care for the next 14 days before they experience any further coverage changes. This indicates that the recipient is at a point where they must individually cover the cost of their care, which aligns with the conclusion that they are responsible for 14 more days of costs after their initial 100-day coverage period has ended.