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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

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.

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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 - Winter 2015

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

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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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Diabetes Alert Day! - FREE risk assessment

The American Diabetes Association Alert Day is a one-day "wake-up call" asking the American public to take the Diabetes Risk Test to find out if they are at risk for developing type 2 diabetes. Come by Lenoir Memorial for your free diabetes risk assessment on March 24.  For more information contact Sandra Midyette, RN, CDE, Diabetes Wellness Program Coordinator at 252-522-7616.

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Let’s Go to the Grocery Store - Bite into a healthy lifestyle!

What better place to learn how to make wise food choices than the grocery store?  Come stroll the aisles with our registered dietitians as they focus on "Biting into a healthy lifestyle" for National Nutrition Month. You will learn how to read food labels, how to compare products for nutritional and financial value, and ways to venture out and try new foods and recipes.  For more information or to register, please call Angie Doncaster, RD, LDN, CDE at 252-522-7471.  Registration is required - group size is limited.

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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.

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Get Your Rear In Gear - Sept 10

This free colorectal cancer screening clinic is free for men and women age 40 and up who have never been screened for or had colorectal cancer.  The clinic will be led by members of the WellAware 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 the required registration.

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Get Your Rear in Gear! - June 4

This free colorectal cancer screening clinic is for men & women age 40 and up who have never been screen for or had colorectal cancer. The clinic will be led by members of the WellAware 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 the required registration.  Lenoir Memorial Neuse Room is located on the lower level of the hospital and easily accessible through the Minges Wellness  Center entrance.

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