Page 44 - July 2021 Issue.indd

billed Medicare (Note: the the part of your provider. Generally
Senior “Amount Charged” fi eld they will resubmit the bill when they
does not show your costs)
are notified of the denial. If the final

Spot • The amount Medicare paid to bill lands in your lap, you do have the

right to appeal denied charges. If you
your providers for each service.
see $0.00 it means there were no denied
MSN’s contain information on charges
billed to Medicare, the amount Medicare or excluded services. Read your MSN to
avoid surprises!
Senior Moments actually paid, and the amount you, the
by Mary Moran beneficiary, is responsible for. Note On another note, if one goes to the
410-829-2535/ 410-490-3078 that if you paid a bill before it was emergency room, let’s say with chest
pain, and is there for more than 24 hours,
processed through Medicare, and are
We are pleased to welcome Pam Keating you should receive a federally mandated
later reimbursed for the amount you
to the Denton Senior Center as our new MOON notice (Medicare Outpatient
paid, you may receive additional MSNs
Activity Programing Manager! Pam Observation Notice) to inform the
refl ecting that.
is a lifelong Caroline County resident patient that they are outpatients. The
with a history of volunteering and being The amount you may need to pay patient must receive this standardized
an active member of our community. directly to providers is stated in the “You letter no later than 36 hour after
We look forward to benefiting from May Be Billed” field. Medicare forwards Observation has begun. Hospitals must

her creativity and planning abilities as your share of the bill to your secondary use the approved CMS-10611 form to
she develops an active, fun, and diverse insurance, whether it is your Medicare include the patient name, patient id #, and
program for the current and future Supplemental Insurance plan or other the reason the patient is an outpatient.
members of our Senior Center! secondary insurance, such as through an A state addendum with “Additional
employer or retirement plan. For those Information” may be attached to
Free Blood Pressure Checks will
without supplemental insurance, the it. Hospitals must provide both oral
resume at the Denton Senior Center
MSN is a heads up about the amount and written MOON notification. The
at 10 am, July 15, and will continue
you must pay your provider. Wait for beneficiary, or representative, signs and

moving forward on the 3rd Thursday
the provider’s bill and compare it to the dates the MOON to demonstrate that
of the month.
MSN to be sure those amounts are the notice was received and that the contents
July is Social Wellness Month. Make same! are understood. (It is best to have the
that social connection with other seniors patient sign the forms if they are able.

and come out and try our new Yoga and The MSN also shows any non-covered Agreements to pay could be in the pile
SAIL Group Fitness classes. Classes start charges. This field shows charges that of paperwork shoved at the patient and
in July so call now to register! Please are denied or excluded (never covered) family, and a wife or family member
contact the Denton Senior Center for by Medicare. Chiropractor services could end up with legal liability for the

more information on classes’ dates and may show up in this field. A charge in stay if some of the charges are denied.)
times. 410-479-2535. this area means you are responsible Since frequently it is served up with the
for paying it. Charges that are denied
barrage of other paperwork, be sure to
Your Medicare Summary Notice could be the result of coding errors on
ask if the MOON notice is included,
(MSN) is a statement of health care
services and DME (Durable Medical
Equipment) you have received. If you TURNING 65?
receive paper notices the MSN will
reflect your Medicare activities over the Confused about all the Medicare Terms & Options?

last three months. If you are enrolled in Let Me Help You!
“mymedicare.gov” you will receive your
reports monthly. The MSN is not a bill.

Rather, it is a record of what Medicare has Anthony Insurance Services
been billed for in your name. Note that
sometimes the contractor that processes Ann M. Anthony
your medical claim information through
snail mail will have the name of a private
company on it so be sure not to toss it! Specializing in Medicare Supplemental Plans,

The MSN should show: Medicare Advantage Plans, Medicare Part-D Plans,
Dental and Vision, Long Term Care, and Life Insurance
• The health care services

Call Ann Today for an Appointment 410-708-0899 • anthonyins17@gmail.com
you received
22850 Fleming Road, Denton, MD 21629
• The amount providers

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