Page 45 - July 2021 Issue.indd

then have them explain it orally as well. You have the right to mymedicare.gov. If possible, create your account on this website
know where you stand, which is the point of the MOON. to eliminate paper buildup and enjoy ease of access to your
medical billing information in a timely manner. Knowledge is

The notice states that inpatient status is generally appropriate
power, so as tedious and challenging as it may seem, read your
if the physician expects care to last 24 hours or at least two
MSN! It can save you, and Medicare, money in the long run!
midnights. This rule addresses the difference between a patient

being under assessment with Observational status for diagnosis Have a Safe and Happy Independence Day!
or treatment, and those with Inpatient status. Th e MOON
clarifies the diff erent type of care they’re receiving and how Caroline Medical Adult Day Care

their status as an outpatient may affect their co insurance by Carole Friend LMSW

costs and eligibility for Medicare covered skilled nursing
care. Becoming familiar with your MSN will help you monitor Happy July!
the billing from both out and inpatient care to insure you are It is worth repeating……With great joy we are so excited to
not billed for services not received, or being double billed for announce the reopening of the Caroline Medical Adult Day
procedures and care. Care. The Center welcomed the returning participants just in

time to celebrate all the favorite summer time activities. Clearly,
Outpatient status in a hospital or Critical Access Hospital
(CAH) means Medicare “B” pays 80% with the benefi ciary, as our community reopens we all continue to practice universal
or secondary/supplemental insurance picking up the tab for safety measures such a mask wearing, hand washing, and safe
the remaining 20%.Typically, beneficiaries pay more for “B” distancing. Caroline Medical Adult Day Care will assiduously

in a hospital setting, particularly since observation services continue to practice the safest of measures for our participants,

often involve an overnight stay and multiple testings. As an staff, and community.
outpatient, the beneficiary also must meet the annual one time What a year it has been since the Medical Adult Day Center

per year part “B” deductible, which is $203. for 2021. received the temporary closure order from the state on March
13, 2020. If you are interested in the services medial adult
It is important to remember that “B” does not cover your
day care offers, please contact the Center at 410-479-8065

routine medications. Therefore, since the hospital pharmacy
as we are accepting new participants. The Medical Adult
is most likely out of network with your “D” prescription Drug
Plan, you will pay far more for your regular meds through the
hospital pharmacy. Remember that should you fi nd yourself Senior Homecare by Angels

in an Outpatient situation.
Bathing Assistance • Dressing Assistance • Grooming
If one is admitted as an Inpatient under part “A” the benefi ciary
Assistance with Walking • Medication Reminders
(or secondary insurance) pays the 2021 hospital deductible of
Errands • Shopping • Light Housekeeping

$1484 per benefit period. Th is beneficiary period starts the day

Meal Preparation • Friendly Companionship
of admittance and ends when you haven’t had any inpatient
Flexible Hourly Care • Respite Care for Families
care for 60 days. Remember there are not any limits on benefi t
periods per year, so if you are admitted on day 61 you will be
responsible for the $1484 again. The Most Recognized and Respected Name in Senior Home Care
Please note that if you stay in the hospital for up to 60 days America’s Choice in Homecare
there is not a co-payment. However, for an uninterrupted stay,
starting on day 61 and through day 90, there is a daily copay
of $371. Should your hospital stay be prolonged for 91- 150
days, the copays are $742 per day. These amounts are why it

is absolutely necessary to buy Supplemental insurance when
you turn 65 or retire from employer insurance, folks. If one
does not have supplemental insurance, stays of this length can
be staggeringly expensive. Hospital Social Workers can assist
with applications to the billing department for assistance with We’re here for YOU!
the bill. Available 24 hours a day,
7 days a week
Knowing the difference between Outpatient Status and
Inpatient Status will help you read your Medicare Summary 2
Notice. If you do not receive health care services during any Locations
particular quarter you will not receive a paper statement.
It is important to keep this meat and potatoes part of your 221 Glenwood Ave, Easton • 443-746-0494
2
2
G
1
statements in case the provider’s billing department made a
106B Williamsport Circle, Salisbury • 443-210-2007
mistake or if you used the information to claim a medical visitingangels.com/mideasternshore
dedication on your taxes. You can access your MSN at www.
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