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They do not coordinate with any other policy

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...

>>> " Phyllis Lang " 2/14/2011 10:46 AM >>>

No

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Ayabarreno

Sent: Monday, February 14, 2011 11:34 AM

To: TxFinancialCoordinators

Subject: Medicare Advantage

Importance: Low

Can a patient have a Medicare Advantage plan and a Medigap policy?

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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.

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certain types of messages. For more information

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Not sure why anyone would want to do

that. It defeats the purpose of an Advantage plan

M Hogan

Transplant

Financial Coordinator

Lahey

Clinic

41 Mall Rd

Burlington, MA 01805

Phone:

Fax:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L.

Sent: Monday, February 14, 2011

11:49 AM

To: TxFinancialCoordinators

Subject: RE:

Medicare Advantage

It depends on the Medicare Advantage

plan if they will allow a supplement or Medi-gap plan.

Vazquez

Kidney Transplant Financial Coordinator

Providence Sacred Heart

Medical Center

Kidney Transplant Program

105 W Eighth

Ave Suite 1000

Spokane, WA 99204

Tel: /

Fax:

samantha.vazquez@...

This electronic transmission and any documents

accompanying this electronic transmission may contain information that is

confidential and/or legally privileged. The information is intended only for

the use of the individual or entity named above. If you are not the intended

recipient, you are hereby notified that any disclosure, copying, distribution

or the taking of any action in reliance on or regarding the contents of this

electronically transmitted information is strictly prohibited. If you have

received this e-mail in error, please notify the sender and delete this message

immediately.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Ayabarreno

Sent: Monday, February 14, 2011

8:34 AM

To: TxFinancialCoordinators

Subject:

Medicare Advantage

Importance: Low

Can a

patient have a Medicare Advantage plan and a Medigap policy?

This message is intended for the sole use

of the addressee, and may contain information that is privileged, confidential

and exempt from disclosure under applicable law. If you are not the addressee

you are hereby notified that you may not use, copy, disclose, or distribute to

anyone the message or any information contained in the message. If you have

received this message in error, please immediately advise the sender by reply

email and delete this message.

See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities.

THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.

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Unfortunately, some of these patients with these Advantage plans are paying 20% of their immunos and they also have high deductibles and out of pockets. >>> "Hogan, M. Liver Transplant" 2/14/2011 11:50 AM >>> Not sure why anyone would want to do that. It defeats the purpose of an Advantage plan M HoganTransplant Financial CoordinatorLahey Clinic 41 Mall RdBurlington, MA 01805Phone: Fax: From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L.Sent: Monday, February 14, 2011 11:49 AMTo: TxFinancialCoordinators Subject: RE: Medicare Advantage It depends on the Medicare Advantage plan if they will allow a supplement or Medi-gap plan. Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program 105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax: samantha.vazquez@... This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of AyabarrenoSent: Monday, February 14, 2011 8:34 AMTo: TxFinancialCoordinators Subject: Medicare AdvantageImportance: Low Can a patient have a Medicare Advantage plan and a Medigap policy? This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities.THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.

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We have not found an upside to advantage plans as far as kidney transplant is

concerned.

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...

>>> " Ayabarreno " 2/14/2011 11:00 AM >>>

Unfortunately, some of these patients with these Advantage plans are paying 20%

of their immunos and they also have high deductibles and out of pockets.

>>> " Hogan, M. Liver Transplant "

2/14/2011 11:50 AM >>>

Not sure why anyone would want to do that. It defeats the purpose of an

Advantage plan

M Hogan

Transplant Financial Coordinator

Lahey Clinic

41 Mall Rd

Burlington, MA 01805

Phone:

Fax:

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Vazquez,

L.

Sent: Monday, February 14, 2011 11:49 AM

To: TxFinancialCoordinators

Subject: RE: Medicare Advantage

It depends on the Medicare Advantage plan if they will allow a supplement or

Medi-gap plan.

Vazquez

Kidney Transplant Financial Coordinator

Providence Sacred Heart Medical Center

Kidney Transplant Program

105 W Eighth Ave Suite 1000

Spokane, WA 99204

Tel: /

Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic

transmission may contain information that is confidential and/or legally

privileged. The information is intended only for the use of the individual or

entity named above. If you are not the intended recipient, you are hereby

notified that any disclosure, copying, distribution or the taking of any action

in reliance on or regarding the contents of this electronically transmitted

information is strictly prohibited. If you have received this e-mail in error,

please notify the sender and delete this message immediately.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Ayabarreno

Sent: Monday, February 14, 2011 8:34 AM

To: TxFinancialCoordinators

Subject: Medicare Advantage

Importance: Low

Can a patient have a Medicare Advantage plan and a Medigap policy?

This message is intended for the sole use of the addressee, and may contain

information that is privileged, confidential and exempt from disclosure under

applicable law. If you are not the addressee you are hereby notified that you

may not use, copy, disclose, or distribute to anyone the message or any

information contained in the message. If you have received this message in

error, please immediately advise the sender by reply email and delete this

message.

See our web page at http://www.lahey.org for a full directory of Lahey sites,

staff, services and career opportunities.

THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT

MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM

DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use

of this message for any purpose is strictly prohibited. If you have received

this communication in error, please delete the message and notify the sender so

that we may correct our records.

===========================================================

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.

===========================================================

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In Medicare publications, it states that an insurance company CANNOT sell a person a Medigap plan when they have a Medicare Advantage plan. If they have one, the insurance companies will not coordinate benefits and the pt is paying for nothing. The only slight advantage to the MA plan would be if the patient has a low out of pocket cost. The Medicare B coinsurances for immunos would apply under this and once its met, the immunos would be covered at 100%.

Leah Knowles

CMC

Subject: RE: Medicare AdvantageTo: TxFinancialCoordinators Date: Monday, February 14, 2011, 12:02 PM

We have not found an upside to advantage plans as far as kidney transplant is concerned.Whitney Folsom, TFCETMC Transplant Program1100 E Lake St ste 340Tyler, TX 75701 phone faxwlfolsom@...>>> " Ayabarreno" 2/14/2011 11:00 AM >>>Unfortunately, some of these patients with these Advantage plans are paying 20% of their immunos and they also have high deductibles and out of pockets. >>> "Hogan, M. Liver Transplant" 2/14/2011 11:50 AM >>>Not sure why anyone would want to do that. It defeats the purpose of an Advantage plan M HoganTransplant Financial CoordinatorLahey Clinic 41 Mall RdBurlington, MA 01805Phone: Fax: From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L.Sent: Monday, February 14, 2011 11:49 AMTo: TxFinancialCoordinators Subject: RE: Medicare AdvantageIt depends on the Medicare Advantage plan if they will allow a supplement or Medi-gap plan. Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program 105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax: samantha.vazquez@... This electronic transmission and any documents accompanying this electronic transmission may contain

information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of AyabarrenoSent: Monday, February 14, 2011 8:34 AMTo: TxFinancialCoordinators Subject: Medicare AdvantageImportance: LowCan a patient have a Medicare Advantage plan and a Medigap policy? This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please

immediately advise the sender by reply email and delete this message.See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities.THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.===========================================================This message is confidential, intended onlyfor the named recipient(s) and may containinformation that is privileged or exempt fromdisclosure under applicable law. If you arenot the intended

recipient(s), you are notifiedthat the dissemination, distribution or copyingof this message is strictly prohibited. If youreceived this message in error, or are not thenamed recipient(s), please notify the senderand delete this e-mail from your computer.ETMC has implemented secure messaging forcertain types of messages. For more informationabout our secure messaging system, go to: http://www.etmc.org/mail/Thank you.===========================================================

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