Individual plan/esrd Medicare

[Guest guest]

Hi fellow TFC's,

I have a patient with an indivdual commercial retirement plan, not yet on

dialysis, who is going to be scheduled for a living non related kidney donation

soon. He does not have ESRD Medicare yet, but he is eligible.

The way I'm thinking this will play out is that he will need to use his out of

network benefits here at the time of transplant from his commercial insurance,

but once ESRD Medicare is in place, the indivual commercial plan may request $

back since Medicare will be prime.

Apprecaite your experience with this scenario.

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