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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


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


HealthLink - Fall 2014

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


I Can Cope - Caring for the Caregiver

Please join speaker and host, Janet Scism, medical social worker, for an evening of talk about caregivers; who they are, and what they do. Refreshments will be served. Free to the public but registration is required by calling Janet at 252-522-7600.


Gentle Yoga

This 30 minute class will include a number of simple standing as well as mat poses.  Class will focus on correct posture, form, and safe yoga movements.  Connect with your inner self through breathing techniques and meditation.  Enhance your balance and overall strength and peace.  A great way to escape a stresful day! Beginner's level.  Must be a member to participate. 


Healthy at Every Size

Sometimes its not just about the weight loss! Learn about making healthy habits for real benefits of a healthy lifestyle --- that matter. Learn about the benefits of establishing an active lifestyle and a good diet and how even small changes can make a genuine impact. Get your new year off to a good start and join us to create non weight related goals for the new year. Even if you aren't seeing the weight loss, don't get discouraged, there are other measures of improvement that are real and can positively impact your health every day.  Join us for a Silver and Fit social immediately following this program.


Increase Your Fitness IQ

Whether you are new to exercise or you've been participating for years, a good combination of motivation with the correct information makes for the most beneficial workout.  Join Brittney to learn what common exercise mistakes you should avoid in order to stay safe.  This talk is fee and open to the public.  


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.