Figure 4.2 provides coverage details for covered inpatient services. Note: This chart is not intended to be all-inclusive.
Inpatient Services: Coverage Details
Figure 4.2
Service
Description
Hospitalization
Semiprivate room (and when medically necessary, special care units), general nursing, and hospital service. Includes inpatient physical and surgical services; meals (including special diets); drugs and medications while an inpatient; operating and recovery room; anesthesia; laboratory tests; Xrays and other radiology services; necessary medical supplies and appliances; and blood and blood products.
Skilled Nursing Facility Care
Semiprivate room; regular nursing services; meals, including special diets; physical, occupational, and speech therapy; drugs furnished by the facility; and necessary medical supplies and appliances. Unlike Medicare, unlimited number of days as medically necessary.
