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Patient and Family Advisory Council

Members of the Patient and Family Advisory Council (PAFC) work with representatives of Calvert Health System (CHS) to provide valuable feedback and personal insights about the patient care experience.

Putting Patients and Families First
The PFAC serves a vital role by offering suggestions for putting patients and families first when planning new programs and services. Participation in the council gives members a voice in the decision-making process.

The council is composed of patients, family members of patients, hospital staff and other employees of the health system. Members are selected to reflect the diversity of our community. This includes individuals of different ages, gender, ethnicity and socio-economic status. All members must be 18 years or older.

Members are required to:

  • Actively support the purpose of the PFAC and its objectives.
  • Regularly attend PFAC meetings (1½ to 2 hours each and minimum of six annually).
  • Take the immunizations required by CHS to protect the health of patients, staff and visitors.
  • Agree not to disclose confidential information given to you as a PFAC member.
  • Participate in PFAC projects, committees or working groups (that require a varied number of hours).
By sharing your perspective you can help CHS to continually improve the quality, safety and efficiency of the services it offers the patients and families who seek care here.

If you wish to be a member of this dynamic team, please download the application below:


You may fax the completed application to: 410-535-8397 or

Mail the application to:
CalvertHealth
Attn: Public Relations
100 Hospital Road
Prince Frederick, MD 20678

Affordable Care Act Information

Community Outreach Key to Educating, Enrolling Uninsured

Calvert Memorial Hospital wants the community to understand what resources are available to them under the Affordable Care Act. That is why CMH is helping to get the word out to the nearly 31,000 residents in Southern Maryland who have no health insurance.

“Our mission has always been to do all that we can to make sure that everyone in our community has access to quality health care that is affordable,” said CMH President Dean Teague. “The new exchange will give many residents who have not been able to obtain health insurance in the past new options.”

Calvert Healthcare Solutions is heading up outreach efforts focused on educating and enrolling those without health coverage in the tri-county region. CHS is one of six organizations chosen in Maryland to help consumers navigate the state-based insurance exchange set up as a result of the Affordable Care Act.

“Naturally, people will have a lot questions about what’s out there,” said Michael Shaw, executive director of Calvert Healthcare Solutions. “Our role is to connect them with the resources available to assist them.”

He went on to add, ““To do that, we are hiring additional staff to provide in-person assistance to those who need help determining their eligibility and comparing coverage options.”

Shaw said raising public awareness will be a critical factor. That’s why Calvert Healthcare Solutions is teaming up with Walden Sierra in St. Mary’s and Health Partners, Inc. and Greater Baden Medical Services in Charles to make education and enrollment services more accessible to the residents in those areas.

“The key to the success of this program,” said Shaw, “will be providing community members access to enrollment opportunities whether they are at the health department, social services or elsewhere in the community.”

Frequently Asked Questions

Who is eligible to enroll?
Anyone up to age 64 who is not in a government health insurance program, such as Medicaid or Medicare, and does not have access to an affordable plan at work, can enroll in a commercial plan offered through the Maryland State Benefit Exchange. Additionally, there are federal subsidies available to individuals and families who make up to four times the federal poverty level to help pay the cost.

When is it time to sign up?
Open enrollment begins October 1, 2013 and lasts through March 30, 2014.

Where can I go to find out more?
In Calvert:
Calvert Healthcare Solutions
234 Merrimac Court
Prince Frederick, MD 20678

Mailing address: PO Box 1743, Lusby, MD 20657
Phone: 443-404-5761
www.calverthealthcare.org

In Charles:
Health Partners, Inc.
3070 Crain Hwy, Waldorf, MD 20601
Phone: 301-645-3556
www.healthpartnersinc.org

Greater Baden Medical Services
7450 Albert Road
Brandywine, MD 20613

Phone: 301-888-2233
www.gbms.org

In St. Mary’s:
Walden Sierra
(Has multiple offices in St. Mary’s & Charles counties)
30007 Business Center Drive
Charlotte Hall, MD 20622

Phone: 301-997-1300 x 807
www.waldensierra.org

What if I still have questions?
Call Calvert Healthcare Solutions toll-free at 1-855-339-3007 to learn more about in-person resources and assistance.

Why is this important?
There are a huge number of people who can get coverage this way and can get significant help. Call today to find out more about the options available to you.

Medicare Waiver/Advance Beneficiary Notice (ABN)


Printable version.

What is a Medicare Waiver/Advance Beneficiary Notice (ABN)?

An Advance Beneficiary Notice (ABN) is a written notice from Medicare (standard government form CMS-R-131) given to you before receiving certain items or services, notifying you:
  • Medicare may deny payment for that specific procedure or treatment
  • You will be personally responsible for full payment if Medicare denies payment

An ABN gives you the opportunity to accept or refuse the items or services and protects you from unexpected financial liability in cases where Medicare denies payment. It also offers you the right to appeal Medicare's decision.

If I receive an ABN form, what are my options?

You have the option to receive the items or services or to refuse them. In either case, you should choose one option on the form by checking the box provided, and then signing and dating it in the space provided.

If you choose to receive the items or services:

You must check "OPTION 1"

  • Sign and date the form
  • The claim will be sent to Medicare. You may be billed while Medicare is making its decision
  • If Medicare does pay, you will be refunded any payments that are due to you
  • If Medicare denies payment, you will be personally responsible for full payment
  • You will have the right to appeal Medicare's decision
If you choose NOT to receive the items or services:

You must check "OPTION 3"

  • Sign and date the form
  • Your claim will not be sent to Medicare
Although Medicare may not pay for your items or services, there may be a good reason for your physician recommending them. You should notify your doctor of your refusal.

What if I refuse to sign an ABN, but I want the items or services anyway?

If you refuse to sign, one of two actions will take place:
  • Calvert Health System may decide not to provide the items or services
  • A second person will witness your refusal to sign the agreement, and you will receive the items or services. However, you may be held liable because you have been notified of the likelihood of a Medicare denial.

When I am liable for payment because I signed an ABN, how much can I be charged?

When you sign an ABN and become liable for payment, you will have to pay for the item or service yourself, either out of pocket or by some other insurance coverage that you may have in additionto Medicare. Medicare fee schedule amounts and balance billing limits do not apply. The amount of the bill is a matter between you and Calvert Memorial Hospital. A cost estimate is included in box of the ABN. However, please keep in mind that this is just an estimate and may or may not reflectthe exact cost of the service being performed.

Why do I routinely receive an ABN for certain items or services?

Certain items or services that are covered by Medicare are only covered up to a certain number of times within a specified amount of time. Examples of these "frequency limited" services include laboratory tests, some preventive screening tests and vaccinations. If you receive an ABN that gives a frequency limit as its reason, it means that Medicare will not pay if you exceed that limit on the service.

Do ABNs mean that Medicare is reducing coverage?

No. ABNs do not operate to reduce coverage at all. Only if and when Medicare does deny the claim do you become liable for paying personally for the service or item. If Medicare decides to pay the claim, you have lost nothing by signing the ABN.

Who do I contact if I have more questions about my Medicare coverage?


For more information about your Medicare coverage, please contact Medicare directly:

Phone: 800-633-4227 (toll-free)

Website: www.medicare.gov

Substance Abuse Resources

OUTPATIENT SERVICES
Alcoholics Anonymous
Meetings run throughout the county at various locations.
For an up-to-date listing, go to www.calvertaa.org

1-800-492-0209

Anne Arundel County Health Department
Glen Burnie, MD
410-222-0100

Calvert Substance Abuse
Individual and group counseling, assessments and drug testing
Prince Frederick, MD
410-535-3079

Charles County Health Department
White Plains, MD
301-609-6600

Project Phoenix
Substance Abuse and Mental Health Liaison for Calvert Behavioral Health
410-474-9964

StepN2 Recovery
Addiction medications (suboxone, subutex, methadone and Vivatrol), groups and individual counseling
Prince Frederick, MD
443-607-6207
INPATIENT SERVICES
American Addiction Centers
Gina Carey, Treatment Consultant
703-403 1675
703-373-2631

Carol Porto
Individual and group treatment, intensive outpatient services, suboxone/subutex programs
Prince Frederick, MD
410 535-8930

Chrysalis House
(For mothers and children)
Crownsville, MD
410-974-6829

Genesis House
Nicole Barker, Research and Program Development
Cell 561-699-7733

Hope House
Crownsville, MD
410-923-6700

Pathways
Annapolis, MD
443-481-5400

The Jude House
Bel Alton, MD
301-932-0700

Turning Point Hospital
Moultrie, GA
229-985 4815
(For Medicare Parts A and B)

Warwick Manor
East New Market, MD
410-943-8108
OUTPATIENT & INPATIENT SERVICES
Walden Sierra
Groups, individual counseling, detox bed, inpatient treatment
Charlotte Hall, MD
301-997-1300
Walk-in assessments available:
Call for hours
OTHER SERVICES
Bayside Recovery
(Methadone maintenance program)
Prince Frederick, MD
443- 486-5680

Courage to Change
(Individual, group and family treatment)
Prince Frederick, MD
410-414-9050

Open Arms, Inc.
(Methadone maintenance program)
Waldorf, MD
301 645-5538

Outlook Recovery
(Individual and group treatment, methadone and suboxone, screening and assessment)
Callaway, MD
240-237-8325