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“Medical Necessity” is a term that has been used in recent years by Medicare and may not be familiar to you. “Medical Necessity” means that there are procedures and services physicians may prescribe for you that they may feel are necessary to manage your health. However, Medicare may not pay for certain services based up on their policies.

In the past, Medicare has covered most procedures. With the emergence of MRI, CT Scan, and other sophisticated and costly services  and procedures as the diagnostic methods of choice, it is important for you to know what procedures and services will be covered by asking your physicians and or Medicare. We also encourage you to discuss with your physicians other treatment options available to you that may give them the information that they need to treat you. If your physician orders a procedure or service that Medicare may not cover, you may be asked to sign an Advance Beneficiary Notice (ABN). The ABN informs you in advance that Medicare is not likely to pay for the procedure or service, and that you will be responsible for payment. By signing the ABN, you are indicating that you understand and agree to be personally and fully responsible for payment.

Medicare beneficiaries are responsible for deductibles and co-insurance. If you receive services as an outpatient or in outpatient observation, you will be billed for non-covered oral drugs and some injectable drugs that fall under the category of Self-Administered. Please refer to the online version of National Medicare Handbook at or call 1-800-633-4227 if you need more information.

Do You Have Any Options?

You can agree to be financially responsible for the procedure by signing the ABN form, or you can refuse the test or services. If you refuse the test or services, you will also be asked to sign a form indicating you’ve elected not to have the service. If you request the services and will not sign the ABN, you will still be responsible for payment. If you need services that are not covered by Medicare, you will be responsible for payment. You have the right to appeal a Medicare decision not in your favor. If you would like to appeal a Medicare decision, or have other Medicare questions, please contact the Medicare beneficiary hotline at 800-633-4227.


2016 Open Enrollment

Open enrollment for Affordable Care Act coverage begins November 1, 2015, and ends January 31, 2016.  If you don't enroll in a 2016 plan by January 31, 2016, you cannot enroll in a health insurance plan for 2016 unless you qualify for a Special Enrollment Period. If you don't have coverage in 2016, you may have to pay a fee.  The fee is higher in 2016 than it was in 2015.  For questions related to Affordable Care Act insurance coverage, to enroll or for assistance with documentation, contact Terrence Body, case manager, at 252-522-7977, or Kinston Community Health Center at 252-522-9800.


HealthLink - Fall 2015

Check out the latest edition of the Lenoir HealthLink! Download the PDF...


HealthLink - Winter 2015

Check out the latest edition of Lenoir HealthLink! Download the pdf


Lenoir Memorial Board votes to pursue strategic partnership with Novant Health

After a yearlong selection process for a strategic partner, the Lenoir Memorial Board of Directors has unanimously voted to pursue a partnership through a management agreement with Novant Health, hospital officials announced today.  The decision follows a thorough search and exploration process led by the board to select a partner who would best position Lenoir Memorial for the future of healthcare and create a stronger health system for the Kinston community.  "For more than a century, Kinston has had a community hospital and the chapter we're beginning today will preserve that legacy of local healthcare for future generations," said Gary Black, president and CEO of Lenoir Memorial.  "Through an affiliation with Novant Health, we will further enhance the services we provide, ensuring that high-quality care remains close to home."  The Lenoir Memorial Board now enters discussions with Novant Health to structure the terms of the partnership, leading to the signing of the management agreement, which the board hopes to finalize this spring.


Affordable Care Act and Healthcare Marketplace

Lenoir Memorial plays a vital role in educating uninsured patients about their coverage options and helping them navigate the Marketplace.  There are several ways to apply for health coverage.  You can apply online using a laptop or desktop computer.  (You may not be able to complete the application using a smartphone or tablet.)  You can also fill out a paper application, apply over the telephone or apply in person at certain sites.  Find out more about the different ways to apply here.  Certified Application Counselors (CAC) are available within Lenoir Memorial to educate consumers and aid them in completing an application for coverage.   If you have questions or wish to set up an appointment, you may contact Terrence Body, social worker at 252-522-7977, a patient accounts counselor at 252-522-7000 or call 800-318-8596 at any time of day, seven days a week.  Or visit


Healthy Starts to the Day: Good Habits for a Great Day!

We have all heard the expression that "the early bird gets the worm".  When you start your morning off with good habits, you are setting yourself up for success all day long!  Join Graham as he discusses smart and efficient ways to begin your day, and different ideas of how they could fit into your daily routine.  Silver and Fit members are invited to stay after the free presentation for a Silver and Fit social in the Wellness Center.


New Support Group - Life After Stroke

Stroke survivors and caregivers, please bring your own experiences to a discussion with other survivors on life after stroke, transitioning from hospital to home, and re-entering the community.  It's free.  If you have had a stroke, or are a caregiver or a loved one who is struggling with stroke issues, and would like to come for encouragement, join us.  This new quarterly support group will be led by Lenoir Memorial Hospital Stroke Coordinator Dawn Becker, RN, who may be reached for more information at 252-522-7575. 


Get Your Rear In Gear - November 5

This free colorectal screening clinic is for men & women age 40 and up who have never been screened for or had colorectal cancer.  The clinic will be led by members of the WellAare team and the Lenoir Memorial Gastro staff.  This screening is funded in part by a grant from Get Your Rear in Gear - Kinston and the Lenoir Memorial Foundation.  Call 522-7014 to complete required registration.


Quit for Life Tobacco Cessation Program

Class sizes are limited and classes start promptly at the appointed time. Each class is one hour long. Class are available at 8:30 - 9:30 or 3:30 - 4:30 on days listed below.  Registration must be done by calling 252-522-7014. Dates for 2015 are as follows:

January 8

February 5

March 5

April 2

May 7

June 4

July 9

August 6

September 3

October 1

November 5

December 3



Infant CPR education

Take 30 minutes out of your busy day to learn infant CPR.  Saving Baby's Life ...When Every Second Counts is an instructional DVD designed to educate parents and infant caregivers on how to perform infant CPR and what to do for a choking infant.  This class does not provide a certification but will provide the knowledge needed to perform infant CPR through observing an instructional video.  This learning tool was developed by Geraldine Hickey, RN, found of Baby Zone and Beyond.  The DVD uses the newly revised 2010 American Heart Association guidelines for infant CPR.  Sign up Now!  Session times are Wednesdays at 12 noon and 4 p.m. in the Minges Wellness Center.  Call 252-522-7014 with questions.