Lumaktaw sa pangunahing content

Medicare and Hospital Discharged Planning

Hospital discharge planning is a process that determines what kind of care you will need after you leave the hospital. This discharge plans can help prevent future readmissions, and they should make your move from the hospital to your home or another facility as safe as possible.

Medicare requires hospitals to screen inpatients and provide discharge planning for those who need it. But this is only mandatory for hospital inpatients, if you are an outpatient, possibly on observation status,  Medicare will not require screening or discharge planning. However, there are some states that provide outpatients with rights to discharge planning services. For more information on discharge planning in your state, please contact your State Health Insurance Assistance Program (SHIP).

Your discharge plan should include information about where you will be discharged to, the types of care you need, and who will provide that care. It should be written in simple language and include a complete list of your medications with dosages and usage information. To help ensure that your discharge is successful, keep the following in mind:

  1. Ask your provider for a discharge planning evaluation. Some hospitals will automatically evaluate the discharge needs of all patients, but others do not. You, your caregiver, and/or your provider can request screening for discharge planning.
  2. When developing your discharge plan, the hospital should connect with you or your representatives and should incorporate your requests. After your evaluation is completed, the hospital staff should give you the opportunity to provide feedback.
  3. The hospital’s main goal should be for you to return to the place you left before your hospital stay. This maybe your home or another facility. If this is not possible, the hospital should recommend other, more appropriate places for you.
  4. Make sure hospital staff members consider your full range of needs when creating your discharge plan. If you are returning home, hospital staff must evaluate your need for home health care, meal delivery, caregivers, durable medical equipment, and changes to your home to ensure safety. If you are returning to a facility, the hospital must make sure the facility can still manage your health care needs.
  5. Review which post-discharge services will be covered by Medicare and how much they will cost. The hospital should be aware of what Medicare does and does not cover and should tell you when costs may apply.
    1. If you have another type of insurance, such as Medicaid, check which services it covers as well. The hospital should also be familiar with Medicaid’s coverage rules for certain services, such as personal care and long-term care.
  6. Be sure the hospital will prepare you for discharge. Before you leave, the staff must educate and train you and/or your caregivers about your care needs such as;
    1. There should be a clear list of instructions for your care and information on all medications you take provided by the staff.
    2. The staff should arrange all referrals for other care, including referrals to physicians, home health, skilled nursing facilities (SNFs), hospice agencies, and DME suppliers. They should also put you in touch with community services that help with financial assistance, transportation, meal preparation, and other needs.
    3. You or your caregiver should be told what to do if problems occur, including who to call and when to seek emergency help.
  7. Follow up with your primary care provider and other providers involved in your care. Hospital staff should advise you to schedule a follow-up visit with your providers soon after your discharge. Hospital staff should send your providers information about your medical condition no later than seven days after you leave the hospital. Keep in mind that Medicare pays for your primary care provider to manage your care after you are discharged.
Mga etiketa:

Mga Komento

Mag-post ng isang Komento

Mga sikat na post sa blog na ito

Medicare & group health plan after you retire

Will my group health plan still work after I retire? It would depend on the terms of your specific plan. Other employers might not offer any health coverage after your retirement and even if you can get one, it might have different rules and might not work the same way with Medicare. When you have retiree coverage from an employer or union, they usually manage this coverage. Employers aren't required to provide retiree coverage, and if they would, they can change benefits or premiums, or even cancel coverage.  They may offer coverage that limits how much it will pay. It might only provide a stop-loss coverage that starts paying your out-of-pocket costs only when they reach of coverage that's covered. What happens to my retiree coverage when I'm eligible for Medicare? When you become eligible for Medicare, you will need to have both Medicare Part A and Medicare Part B to get full benefits from your retiree coverage. If your former employer offers retiree...
Mag-post ng isang Komento
Magbasa nang higit pa

Medicare Part D Costs for 2020

Before 2006, Medicare did not cover prescription medications. There was a limited number of medications that were offered under Medicare Part Band,  and otherwise, you had to pay for your medications out of pocket. In 2003, everything had changed when President George W. Bush passed the Medicare Prescription Drug, Improvement, and Modernization Act (MMA). This is what we now know of as  Medicare Part D , an optional part of Medicare that provides prescription drug coverage. Part D plans are run by private insurance companies and not by the government. However, the federal government sets guidelines on what basic medications are covered and how much you can be charged.  A deductible is the amount of money you spend out of pocket before your prescription drug benefits begin. Your plan may or may not have a deductible. The maximum deductible a plan can charge for 2020 is set at $435. It has increased by  $20 from 2019...
Mag-post ng isang Komento
Magbasa nang higit pa