(a)Inpatient hospital or inpatient CAH services - (1)Regular benefit days. Up to 90 days are available in each benefit period, subject to the limitations on days for psychiatric hospital services set forth in §§ 409.62 and 409.63 . (i) For the first 60 days (referred to in this subpart as full benefit days), Medicare pays the hospital or CAH for all covered services furnished the beneficiary, except for a deductible which is the beneficiary's responsibility. (Section 409.82 specifies the requirements
(a)Hospital insurance without premiums. Hospital insurance is available to most individuals without payment of a premium if they: (1) Are age 65 or over, or (2) Have received social security or railroad retirement disability benefits for 25 months; or (3) Have end-stage renal disease. Subpart B of this part explains the requirements such individuals must meet to obtain hospital insurance without premiums. (b)Premium hospital insurance. Many individuals who are age 65 or over, but do not meet the
A hospital's Medicare payment for the costs of an approved residency program is calculated as follows: (a)Step one. The hospital's updated per resident amount (as determined under § 413.77 ) is multiplied by the actual number of FTE residents (as determined under § 413.79 ). This result is the aggregate approved amount for the cost reporting period. (b)Step two. The product derived in step one is multiplied by the hospital's Medicare patient load. (c)Step three. For portions of cost reporting periods
We determine whether the special SSI eligibility status applies to you by verifying that you continue to be blind or have a disabling impairment by applying the rules in subpart I of this part, and by following the rules in this subpart to determine whether you meet the requirements in § 416.265(b) . If you do not meet these requirements we determine that the special eligibility status does not apply. If you meet these requirements, then we apply special rules to determine if you meet the requirements
The special SSI eligibility status applies for the purposes of establishing or maintaining your eligibility for Medicaid. For these purposes we continue to consider you to be a blind or disabled individual receiving benefits even though you are in fact no longer receiving regular SSI benefits or special SSI cash benefits. You must meet the eligibility requirements in § 416.265 in order to qualify for the special SSI eligibility status. Special SSI eligibility status also applies for purposes of reacquiring
(a)What we determine. We must determine whether your earnings are too low to provide you with benefits and services comparable to the benefits and services you would receive if you did not have those earnings (see § 416.265(d) ). (b)How the determination is made. In determining whether your earnings are too low to provide you with benefits and services comparable to the benefits and services you would receive if you did not have those earnings, we compare your anticipated gross earnings (or a combination