Hospital observation status can be confusing to understand, but luckily, we're here with all the information you need. Here's what it means and how your doctor will determine if they will have to admit for inpatient treatment or just for observation.
Inpatient Status VS Observation Status
Inpatient status seems to be what we usually think of when we picture somebody being hospitalized. Outpatient status is a form of observation status. However, although they are considered an outpatient, anybody in-hospital observation status might spend countless nights and days in the hospital. They could be in the same kind of hospital bed as somebody who's deemed an inpatient.
Observation is done to keep patients in the hospital for a short period as healthcare practitioners determine through tests if they're ill enough to require inpatient care. Observation patients are also occasionally housed in the ward for days on observation status.
Why Does the Difference Between Inpatient and Observation Status Matter?
Although sometimes complicated and confusing, there are regulations, or at the very least standards, that your healthcare professional and hospital must observe when evaluating whether to admit you to the hospital for monitoring or as an inpatient.
It is important to note that your health insurance provider will not cover your hospitalization as an observation patient in the same way it would cover an inpatient stay. Rather, they'll compensate for your hospital stay through your health insurance's outpatient services premium.
The differentiation between inpatient and observation status is critical for persons with insurance. It is not just in consideration of out-of-pocket payments for that treatment but also for care coverage in a nursing facility following the hospital stay.
Some hospitals openly discuss with their patients their status when patients are brought in. It is important to note whether you are under observation status to review your insurance coverage and prepare financially for the possibility of spending out of your pocket.
At Roper Insurance Services, we do our best in making sure that our clients are well-protected with affordable and comprehensive policies. We make sure to go the extra mile to help you with your needs. To learn more about how we can help you, please contact our agency at (828) 697-6709 or Click Here to request a free quote. The coverage discussed is not guaranteed. Please contact our agents to make sure you have adequate coverage and your needs are being met. We are happy to help!