APPROVE OR NOT APPROVE

[Guest guest]

Good morning! Here’s my situation:

Patient has Medicare A,B,and D primary, BCBSKC Medigap secondary, and Kansas Medicaid tertiary. He is getting his premium for Medicare supplement paid for by NKF (which will end once transplanted). He has a large spend down with KS Medicaid so he will

probably not be able to us. He has very limited income (like $800/mth) Basically, once he is transplanted he will only have Medicare and the expense of 20% of meds, donut hole, and physician charges. What would you do in this situation? Would you approve

him for transplant?

Missy Trammell-

Transplant Financial Coordinator

Research Medical Center

6400 Prospect, Ste 328

Kansas City, MO 64132

phone

fax

melisa.trammell@...

[Guest guest]

Your patient has the option to continue his BCBSKC by paying the premiums

himself. This is where I encourage fund raising.

I would approve him if he will do the fund raising to a 3 month medication

amount, with the understanding this is an ongoing issue until he gets commercial

insurance.

Amellia Gay

& White

Temple, TX

>>> 3/31/2010 8:58 AM >>>

Good morning! Here's my situation:

Patient has Medicare A,B,and D primary, BCBSKC Medigap secondary, and Kansas

Medicaid tertiary. He is getting his premium for Medicare supplement paid for

by NKF (which will end once transplanted). He has a large spend down with KS

Medicaid so he will probably not be able to us. He has very limited income

(like $800/mth) Basically, once he is transplanted he will only have Medicare

and the expense of 20% of meds, donut hole, and physician charges. What would

you do in this situation? Would you approve him for transplant?

Missy Trammell*

Transplant Financial Coordinator

Research Medical Center

6400 Prospect, Ste 328

Kansas City, MO 64132

phone

fax

melisa.trammell@...