RE: Donor complications....again!

[Guest guest]

Hi,

If the recipient does not have Part B, then

physician services for the donor will not be covered by Medicare nor will any

other service that would normally be Part B with the exception of Hospital in

or outpatient services. We believe that the responsibility is that of the

recipient and none of the billing should go to the donor.

Thanks,

Bill

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Luz

Sent: Wednesday, March 14, 2007

12:54 PM

To: TxFinancialCoordinators

Subject: Re:

Donor complications....again!

If the recipient don't have Part B, nothing related to

the donor will be

covered. Remember all the donor testing and the IP physicians visits

are covered by the Part B, w/o coverage no payment. Recipeint choose

not to pay for the Part B, that's the reason he don't have it, and if he

choose to Medicare will not pay anything. Now, if he want to have

coverage for the Part B, he will have to call SSA before March 30,07 to

enroll into Part B, but this one will not be in effect till July 1/07.

If the transplantation is done, Medicare will not come back retro to pay

for it, recipient should be responsible for all the expenses, since

his/her group insurance did not covered.

>>> Sherri.SbalbiBHS (DOT) Org

03/14 11:32 AM >>>

Hi all....

Sorry to beat a dead horse but....

We have a recipient w/Mcare A only & group health insurance. Why pt

doesn't have part b is a whole other issue we have been trying to

resolve for the past year. The living donor has been having

complications on and off for about a year. I understand that Medicare

A

bill pay for donor complications related to inpatient services, but

what

about part B services? Part B providers (anesthesia, radiology, etc)

have been contacting us stating the EGHP will not pay for his

compliations.

Any advice would be greatly appreciated.

Sherri Sbalbi

Financial Counselor

Transplant Services

Baystate Medical Center

300 Birnie Avenue

- Suite 301

Springfield, MA 01107

fax

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