RE: more medicare....how to rank

[Guest guest]

That is the correct order, and if he is elig for part B Medicare at the

time of the transplant they will cover 80% of the immuno's.

>>> MZiomek@... 03/26/04 09:51AM >>>

Hi everyone,

Happy Friday!

Question regarding Medicare and COBRA....I have a tx patient who has

access to a

COBRA plan, Medicare and a state Medicaid. The COBRA ends the end of

the month,

and I need to know how to rank the insurers in the billing system...is

it COBRA,

Medicare and Medicaid? I know that Medicare won't pay for the immunos

unless

they pay for the tx, but does that mean the tx itself, or the tx

admission? Can

someone clarify the ranking for me?

Thanks!

Ziomek

Transplant Financial Coordinator

Admitting and Registration

Mass General Hospital

55 Fruit Street

Boston MA 02114

phone

#32961 pager

fax

mziomek@...

[Guest guest]

Remember, pt has to be Entitled to at least Part A at time of

transplant. And needs to be Entitled to Part B when they want/need the

drug benefit. Just being eligible for Medicare confers no benefits.

Pt. has to have done the paperwork and be Entitled.

Re: more medicare....how to rank

That is the correct order, and if he is elig for part B Medicare at the

time of the transplant they will cover 80% of the immuno's.

>>> MZiomek@... 03/26/04 09:51AM >>>

Hi everyone,

Happy Friday!

Question regarding Medicare and COBRA....I have a tx patient who has

access to a

COBRA plan, Medicare and a state Medicaid. The COBRA ends the end of

the month,

and I need to know how to rank the insurers in the billing system...is

it COBRA,

Medicare and Medicaid? I know that Medicare won't pay for the immunos

unless

they pay for the tx, but does that mean the tx itself, or the tx

admission? Can

someone clarify the ranking for me?

Thanks!

Ziomek

Transplant Financial Coordinator

Admitting and Registration

Mass General Hospital

55 Fruit Street

Boston MA 02114

phone

#32961 pager

fax

mziomek@...

[Guest guest]

Patient has both Part A & B right now, has been effective since 2/04.

-----Original Message-----From: Forsthoffer, Fred Sent: Friday, March 26, 2004 12:43 PMTo: TxFinancialCoordinators Subject: RE: more medicare....how to rankRemember, pt has to be Entitled to at least Part A at time oftransplant. And needs to be Entitled to Part B when they want/need thedrug benefit. Just being eligible for Medicare confers no benefits.Pt. has to have done the paperwork and be Entitled. -----Original Message-----From: Joyce Royal Sent: Friday, March 26, 2004 10:29 AMTo: TxFinancialCoordinators Subject: Re: more medicare....how to rankThat is the correct order, and if he is elig for part B Medicare at thetime of the transplant they will cover 80% of the immuno's.>>> MZiomek@... 03/26/04 09:51AM >>>Hi everyone,Happy Friday!Question regarding Medicare and COBRA....I have a tx patient who hasaccess to aCOBRA plan, Medicare and a state Medicaid. The COBRA ends the end ofthe month,and I need to know how to rank the insurers in the billing system...isit COBRA,Medicare and Medicaid? I know that Medicare won't pay for the immunosunlessthey pay for the tx, but does that mean the tx itself, or the txadmission? Cansomeone clarify the ranking for me?Thanks! Ziomek Transplant Financial Coordinator Admitting and Registration Mass General Hospital 55 Fruit Street Boston MA 02114 phone #32961 pager fax mziomek@...

[Guest guest]

If patient has COBRA b4 Mcare is active, COBRA may terminate. Have pt

check their summary plan description. If Mcare active B4 COBRA they

should be ok.

Re: more medicare....how to rank

That is the correct order, and if he is elig for part B Medicare at the

time of the transplant they will cover 80% of the immuno's.

>>> MZiomek@... 03/26/04 09:51AM >>>

Hi everyone,

Happy Friday!

Question regarding Medicare and COBRA....I have a tx patient who has

access to a COBRA plan, Medicare and a state Medicaid. The COBRA ends

the end of the month, and I need to know how to rank the insurers in the

billing system...is it COBRA, Medicare and Medicaid? I know that

Medicare won't pay for the immunos unless they pay for the tx, but does

that mean the tx itself, or the tx admission? Can someone clarify the

ranking for me? Thanks!

Ziomek

Transplant Financial Coordinator

Admitting and Registration

Mass General Hospital

55 Fruit Street

Boston MA 02114

phone

#32961 pager

fax

mziomek@...

[Guest guest]

ranking is correct; however, how is the patient affording the COBRA payment and

is entitled to medicaid also?

>>> Sherri.Sbalbi@... 03/26/04 12:46PM >>>

If patient has COBRA b4 Mcare is active, COBRA may terminate. Have pt

check their summary plan description. If Mcare active B4 COBRA they

should be ok.

Re: more medicare....how to rank

That is the correct order, and if he is elig for part B Medicare at the

time of the transplant they will cover 80% of the immuno's.

>>> MZiomek@... 03/26/04 09:51AM >>>

Hi everyone,

Happy Friday!

Question regarding Medicare and COBRA....I have a tx patient who has

access to a COBRA plan, Medicare and a state Medicaid. The COBRA ends

the end of the month, and I need to know how to rank the insurers in the

billing system...is it COBRA, Medicare and Medicaid? I know that

Medicare won't pay for the immunos unless they pay for the tx, but does

that mean the tx itself, or the tx admission? Can someone clarify the

ranking for me? Thanks!

Ziomek

Transplant Financial Coordinator

Admitting and Registration

Mass General Hospital

55 Fruit Street

Boston MA 02114

phone

#32961 pager

fax

mziomek@...