At Paul Revere, the leading issuer of individual disability policies, shorter benefit periods are planned with new limits on disability claims for mental or nervous conditions or alcohol or drug use, and new limits on replacing income.
22.
If a beneficiary uses some portion of their Part A benefit and then goes at least 60 days without receiving facility-based skilled services, the 90-day hospital clock and 100-day nursing home clock are reset and the person qualifies for new benefit periods.
23.
MSP provides for a coordination of benefits period between Medicare and private health insurance plans for individuals entitled to Medicare solely on the basis of ESRD . If an individual is entitled to Medicare because of ESRD and is covered by an Employer Group Health Plan ( EGHP ), the EGHP is the first payer ( primary ) for the first thirty months.
