• Printer Friendly Version

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:

Susan Stevens

Mail the application to:
Attn: Patient & Family Services Department 
100 Hospital Road
Prince Frederick, MD 20678

Affordable Care Act Information

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

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

Greater Baden Medical Services
7450 Albert Road
Brandywine, MD 20613

Phone: 301-888-2233

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

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 CalvertHealth. 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 Use Disorder Treatment Services

Calvert Behavioral Health- Located at the following Calvert Health Departments
Barstow- 410.535.3079
Prince Frederick- 410.535.5400 x 475
Chesapeake Beach- 410.286.0547
Lusby- 410.394.0681

Project Chesapeake
Prince Frederick- 443.968.8331
Leonardtown- 240.309.4015
Waldorf- 301.818.0030

Utopia Health Services
Prince Frederick, MD

Peer Recovery Support
Located at Barstow, Prince Frederick, Chesapeake Beach, and Lusby Health Departments

Beacon of Hope Recovery and Wellness Community Center
Lexington Park, MD
Jude House
Bel Alton, MD (Charles Co)

Prince Frederick, MD
Pascal Crisis Stabilization Center
Crownsville, MD, 410.571.4500
Outpatient Clinic. Annapolis, MD.

Recovery Centers of America
Waldorf, MD

Pyramid Healthcare (formerly Walden)
California & Charlotte Hall, MD
Bayside Recovery
Prince Frederick, MD

Open ARMMS- Methadone & Suboxone clinic
Waldorf, MD

Outlook Recovery- Methadone & Suboxone treatment
Callaway, MD

Outreach Recovery- Suboxone & MAT Clinic
Waldorf, MD
Alcoholics Anonymous of Calvert County (AA)
MD District 1 of Area 29

Al.Anon and Alateen

Chesapeake & Potomac Region of Narcotics Anonymous (NA)
1.800.543.4670, ext. 1

Maryland Celebrate Recovery
410.257.9188 or 301.806.6272

Southern MD Intergroup Association: St. Mary’s, Calvert, Charles Counties
Calvert Crisis Response Team

St. Mary’s County Health Hub
Mon-Fri, 8am-5pm
Lexington Park, MD

SAMHSA’s National Helpline 1.800.662.HELP (4357)
TTY: 1.800.487.4889

988 Suicide and Crisis Lifeline
Call or text 988
back to top button