Medicare Benefits
Contact Info
Medicare Claims Analysts
252-522-7812
252-522-7805
252-522-7076
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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 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.
Carolina Regional Arthritis & Rheumatology, PA
Lenoir Memorial welcomes Carolina Regional Arthritis & Rheumatology, PA to the local medical community -
Geeta Katwa, M.D. FACP, has served as a Clinical Associate Professor for the last 10 years at the Brody School of Medicine in Greenville, NC. Her vast clinical experience includes the diagnosis and treatment of diseases dealing with the muscles, tendons, and joints including: Gout • Fibromyalgia • Polymyalgia • rheumatica • Osteoarthritis • Lupus • Scleroderma • Myopathy • Vasculitis • Osteoporosis • Rheumatoid • arthritis
Office hours: Monday through Friday • 8 am - 5 pm • Call today for an appointment. 252-686-0932
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Safe Kids invites you to “be our guest”
Safe Kids/Safe Communities serves Lenoir, Greene, and Jones Counties. Bi-monthly meetings are held at Lenoir Memorial Hospital the lead organization for the coalition. Safe Kids’ mission is to reduce the number of children killed or injured from preventable injuries. If anyone is interested in attending a Safe Kids/Safe Communities meeting, please contact Velvet Tyndall at 252-522-7471 or Joy Brock 252-747-8183.
LEARN MORENutrition Counseling
What do Dietitians do?
Lenoir Memorial Hospital offers one-on-one nutrition counseling services with a registered dietitian who will work with you to create a custom-tailored plan to meet your personal needs, desires and goals.Our professional nutrition experts can develop an individualized eating plan that will help you reach your personal health goals and meet required nutrition adaptations necessary in some complex medical conditions.
Dietitians are Clinical Experts
Outpatient nutrition counseling on a variety of subjects such as diabetes, weight loss, and high cholesterol is available one-on-one to our community.
LEARN MOREWellness Lending Library
Need an interesting presentation for your ladies group, civic organization, or church group? We can help you fill Through special grant funding, thirty-minute videos and user-friendly discussion guides are available for groups to borrow to facilitate dialogue among participants. Each video is 15-20 minutes long. Call 252-522-7014 to reserve a video at no fee.those chairs!
LEARN MOREREACH for Good Nutrition
A series on the importance of good nutrition for all age groups to achieve healthier life-styles. Healthier eating habits lead to reduced occurrences of obesity, heart disease, diabetes, and many other health conditions. Call 252-5227287 for additional information.
LEARN MOREHeart Failure Support Group
Join us for "The top ten things every person with heart failure needs to know" on the third Tuesday of each month. This support group is for individuals and family members dealing with the difficulties of heart failure. The group will focus on support and education. The facilitator is Darlene Houston RN 252-522-7000 ext. 3576.
LEARN MOREInfant CPR
Parents, grandparents and other infant care-givers will benefit from attending one of these free instructional classes. Call 252-522-7014 to sign-up.
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