Council on Aging - Answers 2023 - 68

COUNCIL ON AGING - SOUTHERN CALIFORNIA
Steps to Choosing a Hospital
When you have a life-threatening emergency,
always go to the closest hospital. However, if
you're planning to have surgery, or if you have a
condition like heart disease and know you may
need hospital care in the future, it's important
to pick the hospital that's best for you. Research
shows that some hospitals do a better job of
taking care of patients with certain conditions
than others. Understanding your hospital
options will help you have a more informed
discussion with your doctor or other health
care provider. Use the following steps to learn
about your hospital choices.
STEP 1: Learn about the care you need and your hospital choices
Talk to your doctors or health care providers.
n Find out which hospitals they work with.
n Ask which hospitals they think give the best care for your condition (for example, have enough
staffing, coordinate care, promote medication safety, and prevent infection).
n Ask how well these hospitals check and improve their quality of care.
n Ask if the hospitals participate in Medicare or in the network of your Medicare Advantage Plan
(like an HMO or PPO) or other Medicare health plan if you have one.
STEP 2: Think about your personal and financial needs
Check your hospital insurance coverage:
n Do you need permission from your Medicare health plan (like a preauthorization or a referral)
before you're admitted for hospital care?
n If you need care that's not emergency care, do you have to use only the network of your
Medicare health plan? Do you have to use certain hospitals or see certain surgeons or specialists?
n Do you have to pay more to use a hospital (surgeon or specialist) that doesn't participate in your
Medicare health plan, if you have one?
n Do you need to meet certain requirements to get care after you leave the hospital?
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Council on Aging - Answers 2023

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