Reply
Highlighted
QVC Customer Care
Posts: 2,753
Registered: ‎06-14-2015

Re: Medicare won’t cover you if you’re hospitalized for observation.

Highlighted
Esteemed Contributor
Posts: 5,752
Registered: ‎05-23-2010

Re: Medicare won’t cover you if you’re hospitalized for observation.

9F67F7E3-36A6-44A1-BD59-A2413934F3CF.png

Highlighted
Esteemed Contributor
Posts: 5,752
Registered: ‎05-23-2010

Re: Medicare won’t cover you if you’re hospitalized for observation.


@millieshops wrote:

A few years back -  maybe as long as since 2012, there have been warnings we should make sure we are "ADMITTED" to the hospital, but I don't remember thetiming  details.  I should know that -  can't imagine anyone else in my life would be thinking about that!

 

 


I’ve read this too. 

Highlighted
Esteemed Contributor
Posts: 5,752
Registered: ‎05-23-2010

Re: Medicare won’t cover you if you’re hospitalized for observation.


@software wrote:

Part B should cover some of the charges.   Part D will cover the meds

 

Also depending on the situation, he could have qualified for swing bed.

 

More red tape.

 

Why would you not admit a patient?

When my doctor thought I was having a heart attack, he admitted me.

Probably didn't need to.   Ultimately it was determined I did not have a heart attack.

 

You can do observation in the Emergency Dept and it's covered if it's less than 24 hours..

 

What's the point of the article?


If the doctor writes that the patient is in for “OBSERVATION” instead of the word “ADMITTED” for a patient, the hospital stay is not cover under Medicare Part A. This failure to formally admit a patient is not an isolated incident. 

Highlighted
Valued Contributor
Posts: 895
Registered: ‎05-30-2012

Re: Medicare won’t cover you if you’re hospitalized for observation.

Anytime I have anything done that involves a medication, any kind of test or procedure my first question for my Dr is does my insurance cover it. Be responsible ask questions.

Highlighted
Esteemed Contributor
Posts: 5,752
Registered: ‎05-23-2010

Re: Medicare won’t cover you if you’re hospitalized for observation.

29AC8B9E-ABA2-47D9-BB22-E26104E56C20.png

Highlighted
Frequent Contributor
Posts: 84
Registered: ‎03-10-2010

Re: Medicare won’t cover you if you’re hospitalized for observation.

Does anyone know how your Medicare supplement fits into this scenario? I have Plan G . Hopefully your Medigap plan will pick up some of the costs.

Highlighted
Honored Contributor
Posts: 11,756
Registered: ‎03-09-2010

Re: Medicare won’t cover you if you’re hospitalized for observation.

@Kachina624It's a Medicare rule, not necessarily limited to Florida.  I know it exists in NY, too.  Can't speak for other states.

 

 

Highlighted
Esteemed Contributor
Posts: 5,752
Registered: ‎05-23-2010

Re: Medicare won’t cover you if you’re hospitalized for observation.

More about this including why hospitals are putting patients in under observation versus admitting them. Kaiser Health News link

https://khn.org/news/observation-care-faq/

Highlighted
Honored Contributor
Posts: 9,387
Registered: ‎03-14-2010

Re: Medicare won’t cover you if you’re hospitalized for observation.

My hospital has a section where I was sent when I went to ER due to having a hard time breathing... It was a new area with ten beds all in one room and flimsy curtains between them,...looked like it was from an old war movie...I called it purgatory...found out it was where they put ER patients when they weren’t sure where to put them....regular floor or ICU. They could keep you there up to two days. I finally went to a regular floor, but wasn’t officially admitted until the third day. Was just in purgatory😎