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Esteemed Contributor
Posts: 7,475
Registered: ‎07-26-2019

Re: Explain admitted for observation versus admitted as a patient please

[ Edited ]

@Mindy D 

 

I do know from family  going to a local ED with chest pain that they were placed in a 23 hrs observation  to which Medicare part B paid, then  it was found the family member required  regular hospital admission   because the 23 hrs observation  revealed a cardiac issue that required further cardiac monitoring and care  which was covered under Medicare part A.  No problem with any  payment for services  by Medicare .

 

Years earlier the same family member who had private insurance who  did not have Medicare at the time  due to age  had gone to the ED  and  was on 23 hrs observation which then required a regular admission  after 23 hrs and  their  private insurance did pay  minus deductible .

Honored Contributor
Posts: 21,015
Registered: ‎10-04-2010

Re: Explain admitted for observation versus admitted as a patient please

I do recommend, you look through that handbook Medicare puts out.
Valued Contributor
Posts: 515
Registered: ‎07-09-2014

Re: Explain admitted for observation versus admitted as a patient please

My husband went to the ER , he was diagnosed with pneumonia . He was admitted into the observation thing !  He had an antibiotic IV running all night . They still call it observation !  Obviously he needed the IV , how else could it be administered if he wasn't in the hospital ?  Makes no sense to me !