AHIP Practice Exam

How should Mr. Rainey be informed about the duration of his psychiatric care coverage by Medicare?

1. He should be told it is covered for one year.

2. Advised it is limited to 60 days per hospitalization.

3. Informed Medicare covers it for 190 days over a lifetime.

4. Noted that only emergency stays are covered.

The correct answer is: Informed Medicare covers it for 190 days over a lifetime.

Mr. Rainey should be informed that Medicare covers psychiatric care for a total of 190 days over a lifetime. This is a crucial detail for beneficiaries, as it provides an understanding of the limits imposed on inpatient psychiatric hospital care. Under Medicare Part A, patients can receive inpatient care in a psychiatric facility for up to 190 days during their lifetime. This limitation is specifically designed to manage costs and ensure appropriate use of resources. Understanding this provision is vital for patients like Mr. Rainey, as it influences his planning for future healthcare needs and potential treatments. Unlike general hospital stays, which have specified limitations involving deductibles and coinsurance, psychiatric care is distinctly bound by this 190-day lifetime limit, informing patients of the maximum support they can expect from Medicare in managing their mental health needs. This knowledge enables patients to make more informed decisions regarding their healthcare choices and potential out-of-pocket costs related to their psychiatric care.