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Medicare Benefits

Contact Info

Medicare Claims Analysts
252-522-7805
252-522-7165

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

New Weight Loss Program Offers Bariatric Surgery Option

UNC Lenoir Health Care has launched a new Weight Loss Management Program offering medical and surgical weight loss options which are administered by our experienced multidisciplinary weight loss management tea, and offer an individualized approach to weight loss. Medical options include the Optifast program which consists of full meal replacements with a transition to partial meal replacements. Within our surgical program, led by our highly skilled bariatric trained surgeons, we offer the gastric sleeve surgery and gastric bypass, both through a minimally-invasive approach allowing for a shorter recovery period. The program incorporates exercise, health coaching, and support groups into both sides of the program to provide patients with all the tools they need for success. Call 252-522-7168 for more information.

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Wound Care Now Available at UNC Lenoir

Wound Care services are now available on the 5th floor at UNC Lenoir Health Care. The center, managed by a Healogics, a leader in wound care services, recently installed 2 hyperbaric chambers to aid in the wound healing process. Some wounds require specialists to optimize the potential for healing and those services are now available at UNC Lenoir Health Care.  Chronic and non-healing wounds are defined as wounds that have not significantly improved with traditional therapies.  When wounds persist a specialized approach is often called for and the UNC Lenoir Health Care Would Care Center offers those services.  Physician referrals as well as self-referrals are welcome.

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Lung Cancer Screenings available at UNC Lenoir Health Care

Do you have a history of smoking? If so you may qualify for a lung cancer screening.  Qualified candidates have a history of heavy cigarette smoking; smoked now or have quit in the last 15 years; are between 55-77 and show no symptoms of lung cancer. A physician referral is required.  Ask you physician if a low dose computer tomography lung cancer screening is right for you. For more information visit our wellness website at www.lenoirwellness.org

 

 

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HealthLink - Fall 2016

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

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Be Informed About Mental Health Crisis Resources in Lenoir County

Mental Health Crisis:

24/7 Crisis Services for Lenoir County are available by calling Eastpointe Access Center at 1-800-913-6109 or for TTY-888-819-5112.  Customer Service  Specialists will assist you in finding a crisis provider.

Mobile Crisis Teams are available 24 hours a day.  Professional counselors will speak with you and your family during a visit.  They have an average response time of 2 hours.  This service is provided by Easter Seals - UCP 800-913-6109.

The crisis center in Lenoir County is provided by, PORT Human Services, located at 2901 N. Heritage Street in Kinston.  252-233-2383.  Appointments are not needed for crisis assessment and referral services, Monday - Friday 8 a.m. to 5 p.m.

Suicide:

To be connected to a skilled, trained counselor at a crisis center in your area 24/7 call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255)

The 24/7 National Suicide Prevention Lifeline Network for Lenoir County is provided by REAL Crisis Intervention by calling 252-758-4357 for free couseling and extensive referral services.

Call 911 if there is a medical or life threatening emergency.

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UNC Lenoir Health Care Cancer Center Open House

The UNC Lenoir Health Care Cancer Center recently installed a new TrueBeam Linear Accelerator, the most sophisticated technology east of Duke University, and additionally made some facility improvements.  The public is invited to attend an open house to showcase the facilities changes and to celebrate the advanced technology now available for treating cancer in our community.  Refreshments will be served.

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HealthyLife Weigh - November 2017

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 at a stage of readiness where lifestyle changes can be made.  Nutrition education is delivered in a 4 week program led by registered dietitian 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.  Each series consists of 4 classes and attendance at all 4 classes is necessary for full benefit.

  • Class #1: Get the Ball Rolling - portion distortion, meal plans, tracking
  • Class #2: More or Less - nutrients to increase & decrease
  • Class #3: Smart Choices - grocery shopping, recipe makeovers
  • Class #4: Mind over Matter - emotional eating, slips & staying on track

Participants will receive two months membership in the Minges Wellness Center with an individual exercise plan developed with an exercise specialist.  Required registration for each session may be completed by calling the Minges Wellness Center at 252-522-7014.  Cost $150 due at registration.

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HealthyLife Weigh - October 2017

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 at a state of readiness where lifestyle changes can be made.  Nutrition education is delivered in a 4 week program led by a registered dietitian 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. Each series consists of 4 classes, and attendance at all 4 classes is necessary for full benefit.

  • Class #1: Get the Ball Rolling - portion distortion, meal plans, tracking
  • Class #2: More or Less - nutrients to increase and decrease
  • Class #3: Smart Choices - grocery shopping, recipe makeovers
  • Class #4: Mind over Matter - emotional eating, slips & staying on track

Participants will receive two months membership in the Minges Wellness Center with an individual exercise paln developed with an exercise specialist.  Required registration for each session may be completed by calling 252-522-7014.  Cost $150 at registration.

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HealthyLife Weigh - September 2017

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 1-40 pounds, and at a stage of readiness where lifestyle changes can be made.  Nutrition education is delivered in a 4 week program led by a registered dietitian 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.  Each series consists of 4 classes, and attendance at all 4 classes is necessary for full benefit.

  • Class #1: Get the ball rolling - portion distortion, meal plans, tracking
  • Class #2: More or Less - nutrients to increase and decrease
  • Class #3: Smart Choices - grocery shopping, recipe makeovers, eating out
  • Class #4: Mind over Matter - emotional eating, slips and staying on track

Participants will receive two months membership in the Minges Wellness Center with an individual exercise plan developed with an exercise specialist.  Required registration for each session may be completed by calling 252-522-7014.  Cost is $150 at registration.

LEARN MORE

HealthyLife Weigh - August 2017

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 at a state of readiness where lifestyle changes can be made.  Nutrition education is delivered in a 4 week program led my registered dietitian 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 weight.  This is not a diet but a new way of incorporating positive eating and activity habits. Each series consists of 4 classes and attendance at all 4 classes in necessary for complete benefit.

  • Class #1: Get the ball rolling - portion distortion, meal plans, tracking
  • Class #2: More or Less - nutrients to increase & decrease
  • Class #3: Smart Choices - grocery shopping, recipe makeovers
  • Class #4: Mind over Matter - emotional eating, slips & staying on track

Participants will receive two months membership in the Minges Wellness Center with an individual exercise plan developed with an exercise specialist.  Required registration for each session may be completed by calling the Minges Wellness Center at 252-522-7014.  Cost is $150 at registration.

LEARN MORE