Post-Discharge Help · Pinnie
The hospital hands you a stack of papers and sends you home. Your Pinnie advocate turns those papers into a plan: follow-ups booked, medications reconciled, home health arranged, and someone watching for the gaps that cause readmissions. Covered by Traditional Medicare.
Most patients pay nothing out of pocket.
Covered by Traditional Medicare
Joan M.
Registered Nurse, BSN · 24 yrs
Specialties
Experience
Joan has spent twenty-four years managing hospital-to-home transitions. She reads the discharge summary the same day, books every follow-up before the patient leaves, reconciles the medication list, and watches for the warning signs that send people back. She has prevented hundreds of readmissions by closing the gaps the system leaves open.
Maria V.
Registered Nurse · 18 yrs
Specialties
Experience
Maria spent twelve years on hospital floors before joining Pinnie. She knows what recovery actually looks like and when something is drifting. She arranges home health, coordinates wound care, sets up equipment delivery, and checks in regularly to make sure the plan is holding together.
Karen T.
Licensed Clinical Social Worker · 14 yrs
Specialties
Experience
Karen has spent fourteen years working with families navigating the aftermath of a hospital stay. She connects caregivers with respite services, arranges meals and transportation, and addresses the emotional toll that hospitalization takes on patients and families.
1 in 5
Most readmissions happen because the handoff failed.
Medicare patients are readmitted within 30 days, often because discharge instructions were not followed up on
How Pinnie works
Every Pinnie advocate is a registered nurse, licensed social worker, or experienced care navigator. They handle your care directly: scheduling, prior auths, appeals, and coordinating between providers. A supervising physician backs them up for clinical oversight.
Step 1
Tell us about your condition and your insurance. We pair you with an advocate whose background fits your situation. Most patients are matched within a day.
Step 2
Call your advocate directly. They know your case the moment you pick up. No phone tree, no transfers, no callbacks.
Step 3
Your advocate handles the appointments, the prior auths, the appeals, and the calls. As long as you need help, they are on it. Covered by Traditional Medicare.
Ready when you are
A licensed Pinnie advocate can be on your case today. Covered by Traditional Medicare.
What your advocate handles
Discharge instructions are written for the chart, not for you. Your advocate translates them into action: who to see, when, what to watch for, and what to do if something goes wrong.
Stories from our patients
Member stories. Some details changed for privacy.
I came home after hip surgery with a folder of papers I could not understand. My advocate had every follow-up booked, my medications sorted, and a home health aide arranged within two days.
Lawrence, 79 · Indianapolis, IN
My father was discharged on a Friday evening with no follow-up scheduled. His advocate called Monday morning, got everything booked, and caught a medication conflict his hospital team missed.
Rosa, 67 · Miami, FL
After my stroke, I had no idea what was supposed to happen next. My advocate coordinated speech therapy, physical therapy, and a neurologist follow-up. She called me twice a week to check in.
Calvin, 81 · Detroit, MI
The hospital said I needed wound care at home but never set it up. My advocate arranged a visiting nurse within 24 hours. The wound healed. I stayed out of the hospital.
Dorothy, 73 · Cleveland, OH
Your advocate is a licensed nurse, social worker, or care navigator. Covered by Traditional Medicare.
From our advocates
Your advocate reviews the discharge summary the same day you leave. Diagnosis, procedures performed, medication changes, follow-up instructions, red flags to watch for. They translate it into plain language and build a recovery timeline. Most patients leave the hospital without understanding half of what was written. Your advocate makes sure you understand all of it.
Most discharge instructions say "follow up with your primary care within 7 days" and "see cardiology within 2 weeks." Most patients do not book those appointments in time. Your advocate schedules every follow-up, confirms the provider received your records, and sends you reminders. The appointments happen on time, with the right doctor, with the right information.
Hospitals change medications. Sometimes they add new ones, stop old ones, or adjust doses. Your outpatient doctors may not know about the changes. Your advocate creates a single updated medication list, shares it with every provider, checks for interactions, and coordinates with your pharmacy to fill the new prescriptions. This is the number one thing that prevents post-discharge emergencies.
If you need home health aides, visiting nurses, physical therapy, medical equipment, wound care, or meal delivery, your advocate arranges it. Medicare covers most of these services when ordered by a doctor. Your advocate handles the referral, verifies coverage, schedules the service, and follows up to make sure it actually shows up. Recovery at home only works when the support is in place.
Common situations
Frequently asked
Ideally, call us before you leave the hospital. Your advocate can start coordinating while you are still there. If you are already home, call as soon as possible. The first 48 hours after discharge are when the most things fall through the cracks.
Get matched with a Pinnie advocate today.
Covered by Traditional Medicare
