Reply
Respected Contributor
Posts: 4,936
Registered: ‎07-02-2015

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

[ Edited ]

@Kachina624 

 

The Medicare/hospital observation rule applies all over, not just in Florida.

 

We found you really have to be watchful and aware of it.


Came up against it in Virginia with my Dad ten years ago. Sis and I raised hell in the hospital administrative office to get things straightened out..  There  had been a mix-up due to a lazy and distracted "social worker" who was quitting that very day.

I did NOT appreciate her explanation that my 90-plus-year-old Dad had been "informed that Medicare would not cover his bill and that he could file an appeal with Medicare."

She had overlooked that his doctor had indeed formally admitted him.........plus............

He was way too old to understand much of anything about rules,which supposedly were told to him while he was in a hospital bed and sick. He should have been informed in the presence of his legal trustees (Sis and me), who had power-of-attorney over his health care and all other affairs.

 

In other words, he was not officially 'informed", by any stretch of imagination.

 

We need to find out whether we are under observation or receiving actual treatment as an inpatient.