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Rights of Medicare Beneficiaries
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Your Medicare Hospitalization Rights
As a Medicare beneficiary, you have the following rights:
- To receive a document called “An Important Message from Medicare” when you are admitted to the hospital. This document explains your Medicare rights in a hospital setting.
- To receive all hospital care necessary for the proper diagnosis and treatment of your illness or injury. According to federal law, your discharge date must be determined by your medical needs, not by the payment the hospital or other health care professional receives for your care.
- To be fully informed about decisions affecting your Medicare coverage and payment for your hospital stay and any post hospital services.
- To receive a notice of discharge within two days of being discharged from the hospital. This notice gives you your discharge appeal rights (you think you are being discharged too soon) and the number to call to request an appeal.
- To file a beneficiary complaint with the QIO concerning the quality of care you received.
SDFMC, a physician organization, serves as the Quality Improvement Organization (QIO) for Medicare in South Dakota. SDFMC has worked to improve the quality of care received by Medicare beneficiaries since 1973. Call our toll-free Medicare information line at (800) 658-2285 or call 1-800-MEDICARe for help and assistance if:
- You receive a written “Notice of Discharge” from the hospital and you disagree with the decision to discharge you.
- You receive a "Notice of Provider Non-Coverage" from a skilled nursing facility (Nursing Home, Home Health Agency, Hospital Swing bed, Hospice) and you disagree with the decision to discharge you.
- You are concerned about the quality of care you received.
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All information on this site is provided as a public service only and should not be relied upon as medical or legal advice. Some of the information included in this site was obtained through work performed under a contract with the Centers for Medicare & Medicaid Services, Department of Health and Human Services. SDFMC shall not be held liable for any damages arising from the use of or reliance upon information supplied herein. Any links to other organizations contained on this site are for informational purposes only and do not imply endorsement by SDFMC.
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© 2012 South Dakota Foundation for Medical Care, All Rights Reserved |
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