Guest guest Posted January 2, 2001 Report Share Posted January 2, 2001 Happy New Year to all of you!!! It is wet and cold down here but lucky not to have snow. I hope you can share w/ me any info regarding the 2 questions below: 1. What is your policy for patients who are on a waitlist for a pancreas transplant(#1) who becomes incarcerated while being on a waitlist? Do you put them on hold or drop them from the list? (While in prison they lose their insurance) 2. We have a patient here who has an individual plan at the time he got listed for kidney transplant. He has no Mcare because he is not yet on dialysis. When he received his transplant, he applied for Mcare and Mcare benefits became effective the month of the transplant. Which one is the primary, the individual plan or Mcare? Thanks. Rea- University of Texas Medical Branch Galveston, Texas Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2001 Report Share Posted January 2, 2001 1. What is your policy for patients who are on a waitlist for a pancreastransplant(#1) who becomes incarcerated while being on a waitlist? Do youput them on hold or drop them from the list? (While in prison they losetheir insurance)[(Aguiar, )] Can't help you w/this one-I've only had post-tx pt's become "guests" of the state! :-) I can tell you that here in MA, the system that has custody of the pt is responsible for their medical charges incurred, which have always included the immunos, clinic visits, & any other services they require as part of their care. 2. We have a patient here who has an individual plan at the time he gotlisted for kidney transplant. He has no Mcare because he is not yet ondialysis. When he received his transplant, he applied for Mcare and Mcarebenefits became effective the month of the transplant. Which one is theprimary, the individual plan or Mcare? [(Aguiar, )] If by individual, you mean a plan he purchased himself, this would make Medicare prime from the date it becomes effective since he doesn't have any EGHP or LGHP coverage. J. Aguiar Beth Israel Deaconess, Boston Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2001 Report Share Posted January 2, 2001 Hey Rea - isn't it true that in Texas prisoners get the electric chair anyway - so why waste the pancreas? I hope you all take that in jest. Seriously, we have not had this situation occur. Like said, we have only had post tx patients in prison. I do know that you can't deny a prisoner healthcare, but if he/she has no coverage, then you wouldn't have him/her listed anyway, right? I'm sure it would depend upon how long the patient will be incarcerated (?) and will insurance benefits be re-instated? Sorry, no real experience here. s LDS Hospital Salt Lake City, Utah >>> rcarrera@... 01/02/01 02:15PM >>> Happy New Year to all of you!!! It is wet and cold down here but lucky not to have snow. I hope you can share w/ me any info regarding the 2 questions below: 1. What is your policy for patients who are on a waitlist for a pancreas transplant(#1) who becomes incarcerated while being on a waitlist? Do you put them on hold or drop them from the list? (While in prison they lose their insurance) 2. We have a patient here who has an individual plan at the time he got listed for kidney transplant. He has no Mcare because he is not yet on dialysis. When he received his transplant, he applied for Mcare and Mcare benefits became effective the month of the transplant. Which one is the primary, the individual plan or Mcare? Thanks. Rea- University of Texas Medical Branch Galveston, Texas Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 3, 2001 Report Share Posted January 3, 2001 , we do not transplant patients who are in prison but when they get out of jail, their medical problem is the same. This patient got listed while working and had insurance. When he got into the jail system , he lost his insurance. Sure the inmates are provided for a health care but not transplant. Also, the patient will be released soon. and , thank you for your response. Rea Quote Link to comment Share on other sites More sharing options...
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