Guest guest Posted December 6, 2011 Report Share Posted December 6, 2011 , The commercial plan will not “coordinate” benefits but you certainly do want to have them keep part D in place as noted below until you can confirm that the commercial coverage is as good as or better than the part D. Also, be sure to look at the new commercial plan in regards to RX D coverage as there are some that will drop coverage for the person if they take part D coverage. Debbie Mast Database Administrator/Financial Manager Solid Organ Transplant/VAD Program Stanford Hospital and Clinics 750 Welch Road, Suite 220 Palo Alto, CA 94304 Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas, Intestinal Transplant Programs Trustee, TFCA Phone: Fax: www.donateLIFEcalifornia.org/stanfordmed From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of pequena1784 Sent: Tuesday, December 06, 2011 8:08 AM To: TxFinancialCoordinators Subject: Re: Part D and Rx coverage under a secondary insurance plan I think it depends on what the formulary looks like for the Commercial Rx's plan. I talked to our other financial coordinator and she suggested this patient continue to pay for the D until you can confirm the new insurance's coverage. If the coverage is as good or better on the commercial plan than the patient can drop the part D. Hope this helps. > > Hi everyone, > > I'm wondering if a secondary Rx insurance would coordinate benefits with a Medicare Part D plan? In other words, if a patient has Rx coverage under a commercial plan that is secondary to Medicare, would there be any benefit to paying for a Part D plan or should the patient just use the Rx benefit under the 2ndary plan? I am unable to compare the coverage since the patient will be switching to the new plan as of 1/1/2012 and I can't get the benefits yet. > > Thanks! > > M. Christiansen, BAS, RN > Transplant Financial Case Manager > DeVos Heart and Lung Transplant Program > 100 Michigan NE > MC 231 > Grand Rapids, MI 49503 > Phone: Pager: Fax: > lisa.christiansen@... > Quote Link to comment Share on other sites More sharing options...
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