US · guidance
CMS Pub. 100-02, ch. 3, § 10
Benefit Period (Spell of Illness)
A3-3035, HO-215
A “Benefit period” is a period of consecutive days during which medical benefits for
covered services, with certain specified maximum limitations, are available to the
beneficiary. Under Part A, 60 full days of hospitalization plus 30 coinsurance days
represent the maximum benefit period. The benefit period is renewed when the
beneficiary has not been an inpatient of a hospital or of a SNF (see §20.B) for 60
consecutive days. Refer to Pub.100-01, Medicare General Information, Eligibility, and
Entitlement Manual, Chapter 3, “Deductible, Coinsurance Amounts, and Payment
Limitations” for additional information on benefit periods.
History
(Rev. 261, Issued_10-04-19, Effective: 11-05-19, Implementation: 11-05-19)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
65f93bf603c206eb55979f97d45a33726d9e49dba761a9d508c3d8e5b02d72dc
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