B. Beneficiary has not entered an SNF
If a beneficiary asks whether a contemplated SNF stay will be covered, supply the information in A. above. In addition, explain that Medicare coverage is determined by the intermediary and depends upon the level of care needed and received by the beneficiary. The coverage determination can be made only after the beneficiary has been admitted to the SNF and the intermediary has received a claim for services and medical data furnished by the SNF concerning the care required by the beneficiary.