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What is a Medicare Summary Notice?

SUN Columnist

The Medicare Summary Notice, also called an MSN, is a quarterly report of Medicare services received by beneficiaries. The MSN lists detailed information about the beneficiary’s Medicare claims. MSNs are mailed to beneficiaries enrolled in Medicare Part A and/or Part B.

The Medicare Summary Notice (MSN) is not a bill.

Using your MSN to detect errors, fraud and waste:

• Protecting your personal information is the first line of defense against fraud. Although you should save your Medicare Summary Notices and related statements, make sure to shred them when they are no longer useful, there is a shredder available at your local SMP office at the Senior Center.

• Reviewing your MSN is one of the best ways that you can help detect potential errors and fraud. It is important to immediately open and read your MSN to make sure that you have received all of the services listed.

• Use the Personal Health Care Journal, which you can obtain from your local Senior Medicare Patrol office at the Senior Center. These journals come in handy for keeping a record of medical visits, test, receipts for services, and equipment you have received.

• Be aware that although Medicare only mails MSNs every three months, you can view your MSNs 24 hours a day by visiting www.mymedicare.gov. Registering for Medicare’s free, secure service allows you to review all claims processed within the past 15 months.

• Review your MSN and compare it to your receipts, records and Personal Health Care Journal. If you notice any mistakes, or have questions report them immediately! Call your provider or health plan with your questions. If you still have unanswered questions, call your local SMP located at the senior Center, 264-2167.

What information should you look for on your MSN and related statements?

Medicare Part A (hospital, skilled nursing facility, home health and hospice care).

• Dates of service.

• Benefit days used.

• Amount charged.

• Amount you may be billed.

• Non-covered charges.

• Deductible and Coinsurance amounts you may be billed.

• Additional notes about your claim.

• Deductible information.

Medicare Part B (outpatient services — doctor visits, lab tests, medical equipment, ambulance, immunizations, screenings).

• Dates of service.

• Services provided.

• Amount charged.

• Amount Medicare Approved.

• Amount Medicare Paid Provider.

• Amount you may be billed.

• Additional notes about your claim.

• Deductible information.

• Appeals information.

Medicare Part D (prescription drugs).

• Year-to-date costs in the drug plan.

• Total out-of-pocket and drug costs.

• Current coverage information (deductible, coverage gap, etc.).

• Summary of claims since last EOB.

• Any updates to plan’s formulary.

Supplement Insurance (Medigap).

• Total charges.

• What Medicare paid.

• What Medigap paid.

Happenings at The Den

We are pleased to present stretch and breathe yoga every Wednesday at 10:45 a.m. Thank you to Margaret Burkesmith for her generosity in offering this free half-hour class. Register by calling 264-2167, Ext. 28.

United Way helps seniors

Awesome news — United Way dining gift certificates are available again, and $20 will get you a gift certificate for one of many participating restaurants.

Why should you choose to use one of the gift certificates?  Because, if you go out to eat, why not use one instead of cash, since $4 will be donated by the restaurant to United Way at no cost to you, just for using the gift certificate. (Now, how easy is that?) The Senior Center receives funding from United Way.  And, hey, the certificates don’t expire until March 31, 2013.

For more information, call Musetta at 264-2167.

Thank you

Thank you to John Graves for adding extra cheer to our holiday party, to Archuleta Seniors Inc. for their added tummy treasures and to Pagosa Peak 4-H Club for their service during our holiday luncheon. You all rock!

Old Man Winter Sleigh Ride 

What are you waiting for, get out in the community and let us do the driving. Get to where you need to go; door-to-door bus service available Monday, Tuesday, Wednesday, Friday and the second and fourth Thursdays of the month for seniors age 60-plus. Suggested donation is $2 per day. Come hang out with us and enjoy our company. Call for details, 264-2167.

Cafe Fox special delivery

Are you struggling to get meals prepared because you are homebound, recovering from surgery or an illness? If so, let us do the cooking. Enjoy Cafe Fox meals delivered to your door. Our hot meal, home-delivery program is available to those living closer to town four days per week, with frozen meals for Thursdays and weekends. Those living farther out of town may be eligible for the frozen meal program. Meals are available to people age 60-plus for a suggested donation of $4 per meal. Give us a call at 264-2167 for further information. Donations are appreciated.

Activities at The Den

Friday, Jan. 4 — 9 a.m. Geezers; 10 a.m. Stitchin in the Kitchen; 10:30 a.m. brain injury support group; 12:30 p.m. gym walk.

Monday, Jan. 7 — 12:30 p.m. Gym Walk, 1 p.m. Canasta.

Tuesday, Jan. 8 — Closed.

Wednesday, Jan. 9 — 10:45 a.m. Stretch and Breathe Yoga.

Thursday, Jan. 10 — Lunch only.

Friday, Jan. 11 — 9 a.m. Geezers; 10 a.m. Stitchin in the kitchen; 12:30 p.m. gym walk.

Cafe Fox menu

All meals include our great salad bar.

Friday, Jan. 4 — Baked cod, oven browned potatoes, peas and carrots, tossed salad, whole wheat roll, ice cream with bananas and strawberries.

Monday, Jan. 7 — Beef stew, homemade biscuit, winter fruit salad.

Tuesday, Jan. 8 — Chicken parmesan, whole wheat spaghetti, salad, whole wheat roll, tropical fruit.

Wednesday, Jan. 9 — Meatloaf with gravy, mashed potatoes, peas and carrots, whole wheat roll, salad, fruited gelatin.

Thursday, Jan. 10 — Roast pork with gravy, baked apple, mashed potatoes, California vegetables, whole wheat roll, raisin-nut cup, orange wedge.

Friday, Jan. 11 — Ground beef tacos, refried beans, fiesta corn, winter fruit salad.

Reservations are required by 9 a.m. the morning of the day you would like to dine at Cafe Fox. Call 264-2167 for reservations.

Suggested donation for older adults age 60 plus is $4, guests $6. Our meal program is partially funded through the Older Americans Act via the San Juan Basin Area Agency on Aging, United Way, Archuleta County, Town of Pagosa Springs and other donations and grants. These funds help support the cost of the meal which is approximately $10.50. Please note our menu is subject to change. The salad bar opens at 11:30 a.m. with lunch served from noon to 12:30 p.m.

This story was posted on January 3, 2013.