Staying overnight in a hospital does not automatically mean that you have been admitted as an inpatient.
You may instead be receiving observation services, which are generally considered outpatient hospital care under Original Medicare. The distinction can affect how Medicare covers your hospital services and, in some circumstances, your costs and coverage following the hospital stay.
If you or a family member is in the hospital, ask:
“Am I admitted as an inpatient, or am I under observation?”
Do not rely on how long you have been in the hospital or whether you have been assigned a hospital room.
Hospitals have requirements for notifying certain Medicare patients about observation status. If you receive a notice about your status, read it carefully and ask questions if you do not understand it.
Your status may also have implications for certain posthospital services, although Medicare rules in this area have changed over time and can depend on your specific circumstances and coverage.
If you are confused about your hospital status or what it could mean for your Medicare coverage, contact Regional Financial Security Agency. We can help you understand the terminology and the questions you should be asking.