Medicare only

[Guest guest]

hi folks, I have an old handout from CY03 entitled "Costs Incurred to Recipients Covered Only by Medicare for Two Years Following Transplant" It presents OOP estimates for Part A and B expenses, and breaks them down by Year 1 and Year 2. On the bottom of the page it says "CMH Confidential." I don't know where it came from! Was it produced by a TFC out there and if so, do you have an update you would be willing to share? thanks as always.

on Financial Counselor Legacy Transplant Services 1040 NW 22nd Ave Ste 480 Portland OR 97210 toll free fax lmorriso@...

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[Guest guest]

,

I am running into a lot of Medicare Advantage plans that are only covering 80% on immunosuppressive meds, and many have co-pays on office visits and other services...so it is not always an advantage to switch to a MA plan. I've found that it is usually to the patient's advantage to have regular Medicare and a Medigap.

Tyler

Transplant Financial Coord

Sacred Heart Med Ctr

Spokane, WA

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of SiosonSent: Monday, February 25, 2008 2:48 PMTo: TxFinancialCoordinators Subject: Re: Medicare only

Here at NY Presbyterian-Columbia, for as long as pt has the means to pay the 20% of the immunos and part D coverage gap, we can proceed with the transplant. As long as it's presented to each patient the potential out-of-pocket cost. SW and FC will screen each recipient to determine if the patient has the means.If questionable, we require savings statement. After a year they can enroll in the Medicare Advantage plans to minimize out-of-pocket costs.Hope this helped. wrote:

I am curious, what are other centers doing about patients with Medicare only. (A,B,D)Do you require a specific amount in a savings account for post tx care and prescriptions or do you think Medicare only patients are okay to transplant?Thanks- McCardellTransplant Financial CoordinatorUniversity of Utah Hospital Office Fax--------------------

This electronic message is intended to be for the use only of the named recipient, and may contain information that is confidential or privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or use of the contents of this message is strictly prohibited. If you have received this message in error or are not the named recipient, please notify us immediately by contacting the sender at the electronic mail address noted above, and delete and destroy all copies of this message. Thank you.

[Guest guest]

,

I am running into a lot of Medicare Advantage plans that are only covering 80% on immunosuppressive meds, and many have co-pays on office visits and other services...so it is not always an advantage to switch to a MA plan. I've found that it is usually to the patient's advantage to have regular Medicare and a Medigap.

Tyler

Transplant Financial Coord

Sacred Heart Med Ctr

Spokane, WA

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of SiosonSent: Monday, February 25, 2008 2:48 PMTo: TxFinancialCoordinators Subject: Re: Medicare only

Here at NY Presbyterian-Columbia, for as long as pt has the means to pay the 20% of the immunos and part D coverage gap, we can proceed with the transplant. As long as it's presented to each patient the potential out-of-pocket cost. SW and FC will screen each recipient to determine if the patient has the means.If questionable, we require savings statement. After a year they can enroll in the Medicare Advantage plans to minimize out-of-pocket costs.Hope this helped. wrote:

I am curious, what are other centers doing about patients with Medicare only. (A,B,D)Do you require a specific amount in a savings account for post tx care and prescriptions or do you think Medicare only patients are okay to transplant?Thanks- McCardellTransplant Financial CoordinatorUniversity of Utah Hospital Office Fax--------------------

This electronic message is intended to be for the use only of the named recipient, and may contain information that is confidential or privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or use of the contents of this message is strictly prohibited. If you have received this message in error or are not the named recipient, please notify us immediately by contacting the sender at the electronic mail address noted above, and delete and destroy all copies of this message. Thank you.

[Guest guest]

,

I am running into a lot of Medicare Advantage plans that are only covering 80% on immunosuppressive meds, and many have co-pays on office visits and other services...so it is not always an advantage to switch to a MA plan. I've found that it is usually to the patient's advantage to have regular Medicare and a Medigap.

Tyler

Transplant Financial Coord

Sacred Heart Med Ctr

Spokane, WA

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of SiosonSent: Monday, February 25, 2008 2:48 PMTo: TxFinancialCoordinators Subject: Re: Medicare only

Here at NY Presbyterian-Columbia, for as long as pt has the means to pay the 20% of the immunos and part D coverage gap, we can proceed with the transplant. As long as it's presented to each patient the potential out-of-pocket cost. SW and FC will screen each recipient to determine if the patient has the means.If questionable, we require savings statement. After a year they can enroll in the Medicare Advantage plans to minimize out-of-pocket costs.Hope this helped. wrote:

I am curious, what are other centers doing about patients with Medicare only. (A,B,D)Do you require a specific amount in a savings account for post tx care and prescriptions or do you think Medicare only patients are okay to transplant?Thanks- McCardellTransplant Financial CoordinatorUniversity of Utah Hospital Office Fax--------------------

This electronic message is intended to be for the use only of the named recipient, and may contain information that is confidential or privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or use of the contents of this message is strictly prohibited. If you have received this message in error or are not the named recipient, please notify us immediately by contacting the sender at the electronic mail address noted above, and delete and destroy all copies of this message. Thank you.