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what will Medicare pay?

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Good Morning All,

I have a patient that is not yet on dialysis so he only has a group health plan as coverage. My question is: We are considered out of network with his plan so obviously he will have a greater out of pocket expense than in network. When he gets his Medicare after transplant will they pay the left over amount or will they pay less since he chose to go out of network and have a greater out of pocket expense? Thanks in advance for any input !! :)

Dana Trujillo

Sanford Transplant

Sioux Falls, SD

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