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Medicare Benefits

Contact Info

Medicare Claims Analysts
252-522-7812
252-522-7805
252-522-7076

Email:
pfs@lenoir.org

“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 www.medicare.gov 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.

 
CAREER OPPORTUNITIES

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 HealthCare.gov.

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HealthLink - Fall 2014

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

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Health Needs Assessment

Lenoir County Health Department and Lenoir Memorial Hospital are conducting a county-wide health assessment. Your opinions about our community are important to us. Please complete the 2014 Community Health Assessment survey located at this link  https;//docs.google.com/forms/d/1aAOrM2yYy9LUs7uhbpQY8H3Ckxdizx6xL7dG02zRjw0/viewform?usp=send_form

 

 

 

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Farmers Market pre-ordered deliveries at LMH

Join Chelsea Sutton from Natures Touch Farm in LaGrange as she explains the pre-order process and describes products available from local farmers that will make access to fresh, local, and organic options easy for pick up at LMH.  Pre-order online every other week for pick up on alternate Tuesdays outside the Minges Wellness Center.  Pre-ordering online opens July 14.  Information session are on July7 and July 10 at 1 p.m. at the Minges Wellness Center in studio A.

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T.O.P.S. (Take Off Pounds Sensibly)

Take Off Pounds Sensibly (TOPS) is an effective way to manage weight control. There is a nominal fee to join TOPS.  Patricia Wyrick is the facilitator for Wednesday mornings and may be reached at 252-523-5391.  These meetings are held from 9 am - 10:30 am in the Neuse Room at Lenoir Memorial (enter through the Minges Wellness Center entrance).  Wayne Seymour is the facilitator for Monday nights and may be reached at 252-569-1681.  These meetings are held from 7 pm - 8 pm in the Lenoir Memorial auditorium which is located on the lower level.

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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

 

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HealthyLife Weigh - May

This weight management program focuses on weight loss goals supported by healthier nutrition practices and increased physicial activity.  It is ideal for the individual needing to lose 10-40 pounds, and ready to commit to lifestyle changes.  Nutrition education is delivered in a 4 week program led by a registered dietitian in the Minges Wellness Center at Lenoir Memorial.  The program is a modified form of the national program, HealthyLife Weigh, and focuses on the necessary formula for permanent weight loss: balancing calorie intake from food and calorie output through physcial activity.  We will assist you in making permanent lifestyle changes to help you get to and stay at a healthy body weight.  This is not a diet but a new way of incorporating positive eating and activity habits. The cost is $150. Participants will receive two months membership in the Minges Wellness Center with an individual exercise plan develped with an exercise specialist.

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HealthyLife Weigh - April

This weight management program focuses on weight loss goals supported by healthier nutrition practices and increased physical activity.  It is ideal for the individual needing to lose 10-40 pounds, and who is ready to make lifestyle changes.  Nutrition education is delivered in a 4 week program led by a registered dietitian in the Minges Wellness Center at Lenoir Memorial.  The program is a modified form of the national program, HealthyLife Weigh, and focuses on the necessary formula for permanent weight loss: balancing calorie intake from food and calorie output through physical activity.  We will assist you in making permanent lifestyle changes to help you get to and stay at a healthy body weight.  This is not a diet but a new way of incorporating positive eating and activity habits. The program cost is $150.

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HealthyLife Weigh -  March

This weight management program focuses on weight loss goals supported by healthier nutrition practices and increased phyiscial activity.  It is ideal for the individual needing to lose 10-40 pounds and  is ready to make the needed lifestyle changes.  Nutrition education is delivered in a 4 week program led by a registered dietitian in the Minges Wellness Center at Lenoir Memorial.  The program is a modified form of the national program, HealthyLife Weigh, and focuses on the necessary formula for permanent weight loss: balancing calories intake from food and calorie output through physical activity.  We will assist you in making permanent lifestyle changes to help you get to and stay at a healthy body weight.  This is not a diet but a new way of incorporating positive eating and activity habits. The cost is $150 at time of registration.

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Is Your Heart Engaged?

We all know that exercise and nutrition are important pieces to a healthy heart.  Join Brittney Bradshaw, HFS, to learn more about what keeps our hearts going strong.  Remember to love your heart . . . we do!

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