yet another question.... back to the living donor issues....

[Guest guest]

Me again....

this time I'm going back to the living donor post-transplant follow-up care

issues....

My Medical Director has asked me to pose these questions to the group.

Here is a quote from his email:

Section 1881 (d) of the Act, states that " Notwithstanding any provision to

the contrary in Section 226, any individual who donates a kidney for

transplant surgery shall be entitled to benefits under Part A B of this

title with respect to such donation "

Accordingly, the donor is entitled to reasonable coverage of services

without regard to deductible, premium or coinsurance.

So... the question is, what exactly is covered in regards to the living

donor post transplant? Are well-care follow up visits covered? If so, for

how long? (UNOS is asking for 6 months and a year follow-ups now... who pays

for them? I hear they might ask for annual follow-ups...) Are donor

complications covered for an unlimited time? Here is a far-fetched question

that one of our nurses asked: What if a living donor develops problems 10

years down the road and it's determined it's due to organ donation? Do we

still bill the recipient's Medicare? Does is state anywhere in the Medicare

regs exactly what is covered for the living donor and for what time frame?

Thanks in advance for your feedback....

a

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