Guest guest Posted October 20, 2010 Report Share Posted October 20, 2010 the problem with this is that they have to pay back premiums when they pick the Medicare B up after Transplant. This is harder to come up with than the monthly premiums. I see this quite often. >>> " Sara " 10/20/2010 1:52 PM >>> I have a kidney pre-tx patient who has Health Alliance primary and just recently signed up for Medicare secondary since he started dialysis in August. He is now asking if he can drop his Medicare and wait until day of transplant to take it since he's having a hard time affording the Medicare premiums right now. Can he do this? What are advantages/disadvantages? Thanks! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2010 Report Share Posted October 20, 2010 Just so I understand correctly…..you mean that if he were to drop Medicare now and pick up after transplant, he would have to pay Part B premiums from now until date of transplant since he was eligible? So, if he wasn’t transplanted until October 2011, he would have a year’s worth of premiums to come up with all at once, right? Sara Danner | Transplant Financial Coordinator | Memorial Medical Center | Springfield, IL Phone: | Fax: | E-mail: danner.sara@... CHOOSE GREAT. CHOOSE MEMORIAL. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Amellia Gay Sent: Wednesday, October 20, 2010 2:39 PM To: TxFinancialCoordinators Subject: Re: Dropping Medicare??? the problem with this is that they have to pay back premiums when they pick the Medicare B up after Transplant. This is harder to come up with than the monthly premiums. I see this quite often. >>> " Sara " 10/20/2010 1:52 PM >>> I have a kidney pre-tx patient who has Health Alliance primary and just recently signed up for Medicare secondary since he started dialysis in August. He is now asking if he can drop his Medicare and wait until day of transplant to take it since he's having a hard time affording the Medicare premiums right now. Can he do this? What are advantages/disadvantages? Thanks! This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2010 Report Share Posted October 20, 2010 The transplant is a qualifying event itself. Whitney Folsom, TFC ETMC Transplant Program 1100 E Lake St ste 340 Tyler, TX 75701 phone fax wlfolsom@... >>> " Danner, Sara " 10/20/2010 3:03 PM >>> Just so I understand correctly.....you mean that if he were to drop Medicare now and pick up after transplant, he would have to pay Part B premiums from now until date of transplant since he was eligible? So, if he wasn't transplanted until October 2011, he would have a year's worth of premiums to come up with all at once, right? Sara Danner | Transplant Financial Coordinator | Memorial Medical Center | Springfield, IL Phone: | Fax: | E-mail: danner.sara@... CHOOSE GREAT. CHOOSE MEMORIAL. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Amellia Gay Sent: Wednesday, October 20, 2010 2:39 PM To: TxFinancialCoordinators Subject: Re: Dropping Medicare??? the problem with this is that they have to pay back premiums when they pick the Medicare B up after Transplant. This is harder to come up with than the monthly premiums. I see this quite often. >>> " Sara " <danner.sara@...<mailto:danner.sara%40mhsil.com>> 10/20/2010 1:52 PM >>> I have a kidney pre-tx patient who has Health Alliance primary and just recently signed up for Medicare secondary since he started dialysis in August. He is now asking if he can drop his Medicare and wait until day of transplant to take it since he's having a hard time affording the Medicare premiums right now. Can he do this? What are advantages/disadvantages? Thanks! ________________________________ This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. =========================================================== This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you received this message in error, or are not the named recipient(s), please notify the sender and delete this e-mail from your computer. ETMC has implemented secure messaging for certain types of messages. For more information about our secure messaging system, go to: http://www.etmc.org/mail/ Thank you. =========================================================== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2010 Report Share Posted October 20, 2010 I understand that, but he is eligible now since he’s started dialysis. Sara Danner | Transplant Financial Coordinator | Memorial Medical Center | Springfield, IL Phone: | Fax: | E-mail: danner.sara@... CHOOSE GREAT. CHOOSE MEMORIAL. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Whitney Folsom Sent: Wednesday, October 20, 2010 3:40 PM To: 'TxFinancialCoordinators ' Subject: RE: Dropping Medicare??? The transplant is a qualifying event itself. Whitney Folsom, TFC ETMC Transplant Program 1100 E Lake St ste 340 Tyler, TX 75701 phone fax wlfolsom@... >>> " Danner, Sara " 10/20/2010 3:03 PM >>> Just so I understand correctly.....you mean that if he were to drop Medicare now and pick up after transplant, he would have to pay Part B premiums from now until date of transplant since he was eligible? So, if he wasn't transplanted until October 2011, he would have a year's worth of premiums to come up with all at once, right? Sara Danner | Transplant Financial Coordinator | Memorial Medical Center | Springfield, IL Phone: | Fax: | E-mail: danner.sara@... CHOOSE GREAT. CHOOSE MEMORIAL. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Amellia Gay Sent: Wednesday, October 20, 2010 2:39 PM To: TxFinancialCoordinators Subject: Re: Dropping Medicare??? the problem with this is that they have to pay back premiums when they pick the Medicare B up after Transplant. This is harder to come up with than the monthly premiums. I see this quite often. >>> " Sara " <danner.sara@...<mailto:danner.sara%40mhsil.com>> 10/20/2010 1:52 PM >>> I have a kidney pre-tx patient who has Health Alliance primary and just recently signed up for Medicare secondary since he started dialysis in August. He is now asking if he can drop his Medicare and wait until day of transplant to take it since he's having a hard time affording the Medicare premiums right now. Can he do this? What are advantages/disadvantages? Thanks! ________________________________ This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. =========================================================== This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you received this message in error, or are not the named recipient(s), please notify the sender and delete this e-mail from your computer. ETMC has implemented secure messaging for certain types of messages. For more information about our secure messaging system, go to: http://www.etmc.org/mail/ Thank you. =========================================================== This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2010 Report Share Posted October 21, 2010 Transplant is a window of opportunity for reapplying for his Medicare Part B without " B Penalty " premium back payments. His B will be effective from the first day of the month he receives his transplant. There are benefits to having B, i.e. Medicare discounts on bills, having B as the clean up man for his private insurance and most of all, B is the insurance for a living donor should they have complications following transplant donation. In our center, Urology is the gatekeeper for Living Donors and the Urologist writes a letter and indicates if their issue is related to donation and if it is the recipient's B becomes the donor's insurance (pays surgeon and anesthesiologist) and we the center cover room and board, if surgery is required. This covers the donor until they are " healed " whatever that means. If your patient can pull it off he is better off keeping his B active as it is to his benefit for copayments and charges not covered by his medical policy. He also gets the Medicare discount which could mean a write off of balances left after two insurances pay. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Amellia Gay Sent: Wednesday, October 20, 2010 3:39 PM To: TxFinancialCoordinators Subject: Re: Dropping Medicare??? the problem with this is that they have to pay back premiums when they pick the Medicare B up after Transplant. This is harder to come up with than the monthly premiums. I see this quite often. >>> " Sara " 10/20/2010 1:52 PM >>> I have a kidney pre-tx patient who has Health Alliance primary and just recently signed up for Medicare secondary since he started dialysis in August. He is now asking if he can drop his Medicare and wait until day of transplant to take it since he's having a hard time affording the Medicare premiums right now. Can he do this? What are advantages/disadvantages? Thanks! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2010 Report Share Posted October 21, 2010 Beverly, That is the best explanation I have ever been given. Thanks for all of your help Whitney Folsom, TFC ETMC Transplant Program 1100 E Lake St ste 340 Tyler, TX 75701 phone fax wlfolsom@... >>> " BEVERLY A LARSON " 10/21/2010 6:49 AM >>> Transplant is a window of opportunity for reapplying for his Medicare Part B without " B Penalty " premium back payments. His B will be effective from the first day of the month he receives his transplant. There are benefits to having B, i.e. Medicare discounts on bills, having B as the clean up man for his private insurance and most of all, B is the insurance for a living donor should they have complications following transplant donation. In our center, Urology is the gatekeeper for Living Donors and the Urologist writes a letter and indicates if their issue is related to donation and if it is the recipient's B becomes the donor's insurance (pays surgeon and anesthesiologist) and we the center cover room and board, if surgery is required. This covers the donor until they are " healed " whatever that means. If your patient can pull it off he is better off keeping his B active as it is to his benefit for copayments and charges not covered by his medical policy. He also gets the Medicare discount which could mean a write off of balances left after two insurances pay. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Amellia Gay Sent: Wednesday, October 20, 2010 3:39 PM To: TxFinancialCoordinators Subject: Re: Dropping Medicare??? the problem with this is that they have to pay back premiums when they pick the Medicare B up after Transplant. This is harder to come up with than the monthly premiums. I see this quite often. >>> " Sara " <danner.sara@...<mailto:danner.sara%40mhsil.com>> 10/20/2010 1:52 PM >>> I have a kidney pre-tx patient who has Health Alliance primary and just recently signed up for Medicare secondary since he started dialysis in August. He is now asking if he can drop his Medicare and wait until day of transplant to take it since he's having a hard time affording the Medicare premiums right now. Can he do this? What are advantages/disadvantages? Thanks! =========================================================== This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you received this message in error, or are not the named recipient(s), please notify the sender and delete this e-mail from your computer. ETMC has implemented secure messaging for certain types of messages. For more information about our secure messaging system, go to: http://www.etmc.org/mail/ Thank you. =========================================================== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2010 Report Share Posted October 21, 2010 Thank you for your response Beverly. But for now, if the patient insists on dropping Medicare until transplant, he is okay to do that? Sara Danner | Transplant Financial Coordinator | Memorial Medical Center | Springfield, IL Phone: | Fax: | E-mail: danner.sara@... CHOOSE GREAT. CHOOSE MEMORIAL. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of BEVERLY A LARSON Sent: Thursday, October 21, 2010 6:49 AM To: TxFinancialCoordinators Subject: RE: Dropping Medicare??? Transplant is a window of opportunity for reapplying for his Medicare Part B without " B Penalty " premium back payments. His B will be effective from the first day of the month he receives his transplant. There are benefits to having B, i.e. Medicare discounts on bills, having B as the clean up man for his private insurance and most of all, B is the insurance for a living donor should they have complications following transplant donation. In our center, Urology is the gatekeeper for Living Donors and the Urologist writes a letter and indicates if their issue is related to donation and if it is the recipient's B becomes the donor's insurance (pays surgeon and anesthesiologist) and we the center cover room and board, if surgery is required. This covers the donor until they are " healed " whatever that means. If your patient can pull it off he is better off keeping his B active as it is to his benefit for copayments and charges not covered by his medical policy. He also gets the Medicare discount which could mean a write off of balances left after two insurances pay. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Amellia Gay Sent: Wednesday, October 20, 2010 3:39 PM To: TxFinancialCoordinators Subject: Re: Dropping Medicare??? the problem with this is that they have to pay back premiums when they pick the Medicare B up after Transplant. This is harder to come up with than the monthly premiums. I see this quite often. >>> " Sara " 10/20/2010 1:52 PM >>> I have a kidney pre-tx patient who has Health Alliance primary and just recently signed up for Medicare secondary since he started dialysis in August. He is now asking if he can drop his Medicare and wait until day of transplant to take it since he's having a hard time affording the Medicare premiums right now. Can he do this? What are advantages/disadvantages? Thanks! This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2010 Report Share Posted October 21, 2010 Yes, he will only be dropping B as that has a premium. The a will stay. Bev From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Danner, Sara Sent: Thursday, October 21, 2010 12:16 PM To: 'TxFinancialCoordinators ' Subject: RE: Dropping Medicare??? Thank you for your response Beverly. But for now, if the patient insists on dropping Medicare until transplant, he is okay to do that? Sara Danner | Transplant Financial Coordinator | Memorial Medical Center | Springfield, IL Phone: | Fax: | E-mail: danner.sara@... CHOOSE GREAT. CHOOSE MEMORIAL. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of BEVERLY A LARSON Sent: Thursday, October 21, 2010 6:49 AM To: TxFinancialCoordinators Subject: RE: Dropping Medicare??? Transplant is a window of opportunity for reapplying for his Medicare Part B without " B Penalty " premium back payments. His B will be effective from the first day of the month he receives his transplant. There are benefits to having B, i.e. Medicare discounts on bills, having B as the clean up man for his private insurance and most of all, B is the insurance for a living donor should they have complications following transplant donation. In our center, Urology is the gatekeeper for Living Donors and the Urologist writes a letter and indicates if their issue is related to donation and if it is the recipient's B becomes the donor's insurance (pays surgeon and anesthesiologist) and we the center cover room and board, if surgery is required. This covers the donor until they are " healed " whatever that means. If your patient can pull it off he is better off keeping his B active as it is to his benefit for copayments and charges not covered by his medical policy. He also gets the Medicare discount which could mean a write off of balances left after two insurances pay. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Amellia Gay Sent: Wednesday, October 20, 2010 3:39 PM To: TxFinancialCoordinators Subject: Re: Dropping Medicare??? the problem with this is that they have to pay back premiums when they pick the Medicare B up after Transplant. This is harder to come up with than the monthly premiums. I see this quite often. >>> " Sara " 10/20/2010 1:52 PM >>> I have a kidney pre-tx patient who has Health Alliance primary and just recently signed up for Medicare secondary since he started dialysis in August. He is now asking if he can drop his Medicare and wait until day of transplant to take it since he's having a hard time affording the Medicare premiums right now. Can he do this? What are advantages/disadvantages? Thanks! This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Quote Link to comment Share on other sites More sharing options...
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