Guest guest Posted August 13, 2008 Report Share Posted August 13, 2008 >Hi TFC's re: Part B what months are considered the window of opportunity ? Tx,Louis >>Part B Medical - covers medications (immuno-suppressive drugs >>only), outpatient services, >>physician services, living related donor for a living related transplant. >>Part A Hospital - is contingent on having worked under and paid >>enough quarters into Social Security. >> >>Note: Medicare pays for immuno-suppressive drugs for people with >>Medicare under following conditions: >>* The Kidney transplant must conducted in a Medicare - certified facility; >>* The transplant must be paid for either by Medicare or private >>insurance that paid as primary payer to >> your Medicare Part A coverage. >>* You must administer the immuno-suppressive drugs yourself; >>* The medication is medically necessary to prevent or treat >>rejection of the transplant organ. >> >>Medicare will not pay for immuno-suppressive drugs for people with >>end-stage renal decease who >>enrolled in Medicare after they received a kidney transplant. >> >>Patients can take Medicare Part A and elect not to take Part B if >>they have adequate coverage. >>This applies to patients that are planning on getting a transplant >>and have adequate insurance for drugs etc. >>They have a window of opportunity at the time of transplant to >>apply for Part B without the 10% penalty. >>Patients have 90 days to apply without the penalty. They need to >>take the 2728 form to Social Security >>when they apply for the Part B after transplant. >> >>If you have good employer insurance (GHP) and you do not need >>Medicare to supplement your coverage, >>you can delay enrollment in Medicare and avoid paying monthly >>Medicare Part B premium, currently $78.20. >>To do so without incurring a premium penalty charge when you enroll >>later, you have to turn down both >>Parts A and B just before your 30 month coordination period ends to >>avoid having any gap in coverage >>and paying a premium penalty. If you wait to enroll in Medicare >>until after your 30 month coordination period, >>you will not be entitled to a special enrollment period. >>Note that people who did not enroll in Medicare Part B when they >>were first eligible and now cannot afford >>to enroll because of the 10 percent yearly premium penalty can >>still apply for Medicare Savings Programs. >>Once enrolled in a Medicare Savings Program, they will not have to >>pay the Part B premium or late >>enrollment penalties. >> >>Social Security Hotline . >> >>The bottom line is....The Patient will have to make a good >>judgement call, but we're here to assist. >> >>Hope this helps, Louis. > Quote Link to comment Share on other sites More sharing options...
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