Guest guest Posted October 10, 2008 Report Share Posted October 10, 2008 Wouldn’t it be f he has already met his dedt/out of pocket for this year then his Aetna would pay 100% of the bill since they are prime? Lori Davies Financial Coordinator Porter Adventist Hospital Transplant Services Denver, Colorado Work Fax From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hackney, Amy K Sent: Friday, October 10, 2008 10:10 AM To: TxFinancialCoordinators Subject: HELP I need help with the following scenario: Pt. is 69 and is currently going thru evaluation for a liver transplant. Pt. is working full-time and has Aetna. His benefits are the following: Calendar Deductible: $250 MOOP: $1,000 Admission Co-pay: $500 per admit Lifetime Max: $1 million During my initial evaluation I found out Pt. also has Medicare Part A. What will he be responsible for? This year he has met his ded. & co-ins. I know Part A is for hospitalization, so does Part A pick-up at all? Help!!! Amy Hackney, MBA Business/ Financial Coordinator The Liver Institute @ Methodist Dallas phone fax *********************************************************************** This electronic transmission contains information from Methodist Health System and should be considered confidential and privileged. The information contained in the above messages is intended only for the use of the individual(s) and entity(ies) named above. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of this information is prohibited. If you receive this transmission in error, please notify the sender immediately by return e-mail. Methodist Health System, its subsidiaries and affiliates hereby claim all applicable privileges related to the transmission of this communication. ***************************************************************************** This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it. ***************************************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 10, 2008 Report Share Posted October 10, 2008 Hi Amy, Lori is correct, however there would be several questions I would ask this patient, mostly due to his age. How much longer will he be working since he is 69 y.o. That is the key here. If he stops working right now, will Aetna stay in place as a medigap policy? If that is the case then he would definitely need part B because Medicare would switch to primary I think there is a rule with a person who reaches 70, even if he is still working, that Medicare becomes prime? Anyone aware of that? In the above scenarios, I agree with in encouraging him to apply for part B. That way he has all his ducts in a row in time for transplant. My opinion. Pat Hogan Transplant Financial Coordinator Lahey Clinic 41 Mall Rd. Burlington, MA 01805 phone fax -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Davies, LoriSent: Friday, October 10, 2008 12:35 PMTo: TxFinancialCoordinators Subject: RE: HELP Wouldn’t it be f he has already met his dedt/out of pocket for this year then his Aetna would pay 100% of the bill since they are prime? Lori DaviesFinancial CoordinatorPorter Adventist HospitalTransplant ServicesDenver, ColoradoWork Fax From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hackney, Amy KSent: Friday, October 10, 2008 10:10 AMTo: TxFinancialCoordinators Subject: HELP I need help with the following scenario: Pt. is 69 and is currently going thru evaluation for a liver transplant. Pt. is working full-time and has Aetna. His benefits are the following: Calendar Deductible: $250 MOOP: $1,000 Admission Co-pay: $500 per admit Lifetime Max: $1 million During my initial evaluation I found out Pt. also has Medicare Part A. What will he be responsible for? This year he has met his ded. & co-ins. I know Part A is for hospitalization, so does Part A pick-up at all? Help!!! Amy Hackney, MBA Business/ Financial Coordinator The Liver Institute @ Methodist Dallas phone fax ***********************************************************************This electronic transmission contains information from Methodist Health System and should be considered confidential and privileged. The information contained in the above messages is intended only for the use of the individual(s) and entity(ies) named above. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of this information is prohibited. If you receive this transmission in error, please notify the sender immediately by return e-mail. Methodist Health System, its subsidiaries and affiliates hereby claim all applicable privileges related to the transmission of this communication. ***************************************************************************** This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it. ***************************************************************************** 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 10, 2008 Report Share Posted October 10, 2008 Amy, Part A will pick up hospital deduct/copay/coinsurance balances AFTER the $1024 deductible… So no matter what, the patient will always be responsible for the Medicare part A deductible. Meredith Gray Liver Transplant Financial Coordinator University of Rochester Strong Memorial Hospital 601 Elmwood Avenue Box 602 Rochester, NY 14642 (fax) (pager) This message contains information which may be confidential and privileged. Unless you are the addressee (or authorized to receive for the addressee), you may not use, copy or disclose to anyone the message or any information contained in the message (including attachments). If you have received the message in error, please advise sender by reply email and delete the message. Thank you! From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Samoray Sent: Friday, October 10, 2008 12:28 PM To: TxFinancialCoordinators Subject: Re: HELP Amy, I would encourage this man to sign up for Medicare part B this next Jan, Feb, or March, so that he can have Part B as of July '09. Even if he protests: " I'm still working, I don't need it.. " He should have that ready to go. Even in his current situation, even if he weren't in need of a possible liver txp...having Part B would have covered his MOOP. Samoray >>> " Hackney, Amy K " <AmyHackneyMHD (DOT) Com> 10/10/2008 12:10 PM >>> I need help with the following scenario: Pt. is 69 and is currently going thru evaluation for a liver transplant. Pt. is working full-time and has Aetna. His benefits are the following: Calendar Deductible: $250 MOOP: $1,000 Admission Co-pay: $500 per admit Lifetime Max: $1 million During my initial evaluation I found out Pt. also has Medicare Part A. What will he be responsible for? This year he has met his ded. & co-ins. I know Part A is for hospitalization, so does Part A pick-up at all? Help!!! Amy Hackney, MBA Business/ Financial Coordinator The Liver Institute @ Methodist Dallas phone fax *********************************************************************** This electronic transmission contains information from Methodist Health System and should be considered confidential and privileged. The information contained in the above messages is intended only for the use of the individual(s) and entity(ies) named above. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of this information is prohibited. If you receive this transmission in error, please notify the sender immediately by return e-mail. Methodist Health System, its subsidiaries and affiliates hereby claim all applicable privileges related to the transmission of this communication. ********************************************************** Electronic Mail is not secure, may not be read every day, and should not be used for urgent or sensitive issues Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 A lawyer will take a third of it to help her. She needs to just spend it on reasonable purchases and keep all receipts to show how it was spent, if not she will be kicked off Medicaid every month she has excess funds. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Patti Montemayor Sent: Thursday, December 04, 2008 10:36 AM To: TxFinancialCoordinators Subject: HELP i have this gal who is a kidney panc transplant on Medicare and Medicaid due to diabetes disabilities. Her finance was killed in an oil rig accident this summer and she just received a check for $80,000 because of his death. She has to spend this money in one month or it is counted as income......don't quite understand it. Any recommendations as how to protect her monies and continue the Medicare/Medicaid. Should she get a protected Medical account and put the monies in there. Any suggestions will help. She is in the process of contacting a lawyer to see what her options are. Patti Montemayor, RN CCTC Transplant Coordinator and White Hospital 2401 S. 31st Street Temple, TX 76508 254/724-8448 FAX 254/724-8772 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 thanks >>> " , Stoops " 12/4/2008 9:38 AM >>> A lawyer will take a third of it to help her. She needs to just spend it on reasonable purchases and keep all receipts to show how it was spent, if not she will be kicked off Medicaid every month she has excess funds. ________________________________ From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Patti Montemayor Sent: Thursday, December 04, 2008 10:36 AM To: TxFinancialCoordinators Subject: HELP i have this gal who is a kidney panc transplant on Medicare and Medicaid due to diabetes disabilities. Her finance was killed in an oil rig accident this summer and she just received a check for $80,000 because of his death. She has to spend this money in one month or it is counted as income......don't quite understand it. Any recommendations as how to protect her monies and continue the Medicare/Medicaid. Should she get a protected Medical account and put the monies in there. Any suggestions will help. She is in the process of contacting a lawyer to see what her options are. Patti Montemayor, RN CCTC Transplant Coordinator and White Hospital 2401 S. 31st Street Temple, TX 76508 254/724-8448 FAX 254/724-8772 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 She needs to speak w/someone who can advise her on how to protect that $$ & not have it subject to asset inclusion. She may need to establish some kind of trust, that she is the beneficiary of, in order to maintain her eligiblity for Medicaid & not have to forfeit the money or just blow it in one month. She should consult w/someone familiar w/estate planning, for example, or even the state's office of elder affairs may have someone who can assist & advise her w/o charging too much. Also, have her contact the life ins company, assuming she hasn't cashed the check yet, & see if they can delay payment until she has something set up & then re-issue the funds directly into the trust, for example, then it won't be coming to 'her' directly & subject to being counted. J. Aguiar Mayo Clinic Arizona From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Patti MontemayorSent: Thursday, December 04, 2008 8:36 AMTo: TxFinancialCoordinators Subject: HELP i have this gal who is a kidney panc transplant on Medicare and Medicaid due to diabetes disabilities. Her finance was killed in an oil rig accident this summer and she just received a check for $80,000 because of his death.She has to spend this money in one month or it is counted as income......don't quite understand it. Any recommendations as how to protect her monies and continue the Medicare/Medicaid. Should she get a protected Medical account and put the monies in there. Any suggestions will help. She is in the process of contacting a lawyer to see what her options are.Patti Montemayor, RN CCTCTransplant Coordinator and White Hospital2401 S. 31st StreetTemple, TX 76508254/724-8448FAX 254/724-8772 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 Good advice !! UNMC " Aguiar, J. " Sent by: TxFinancialCoordinators 12/04/2008 09:49 AM Please respond to TxFinancialCoordinators To <TxFinancialCoordinators > cc Subject RE: HELP She needs to speak w/someone who can advise her on how to protect that $$ & not have it subject to asset inclusion. She may need to establish some kind of trust, that she is the beneficiary of, in order to maintain her eligiblity for Medicaid & not have to forfeit the money or just blow it in one month. She should consult w/someone familiar w/estate planning, for example, or even the state's office of elder affairs may have someone who can assist & advise her w/o charging too much. Also, have her contact the life ins company, assuming she hasn't cashed the check yet, & see if they can delay payment until she has something set up & then re-issue the funds directly into the trust, for example, then it won't be coming to 'her' directly & subject to being counted. J. Aguiar Mayo Clinic Arizona From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Patti Montemayor Sent: Thursday, December 04, 2008 8:36 AM To: TxFinancialCoordinators Subject: HELP i have this gal who is a kidney panc transplant on Medicare and Medicaid due to diabetes disabilities. Her finance was killed in an oil rig accident this summer and she just received a check for $80,000 because of his death. She has to spend this money in one month or it is counted as income......don't quite understand it. Any recommendations as how to protect her monies and continue the Medicare/Medicaid. Should she get a protected Medical account and put the monies in there. Any suggestions will help. She is in the process of contacting a lawyer to see what her options are. Patti Montemayor, RN CCTC Transplant Coordinator and White Hospital 2401 S. 31st Street Temple, TX 76508 254/724-8448 FAX 254/724-8772 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 Something additional that comes to mind, is that she can set up her own Organ Transplant Assistance Fund with all, or some of the funds by capturing a tax I.D. number and a 501 3 © status. She could set up guidelines in the 501 application that will allow her to use the funds for travel, meals and lodging to transplant center, assist with utility bills, rent etc while away for her transplant etc ... just a thought " Aguiar, J. " Sent by: TxFinancialCoordinators 12/04/2008 09:49 AM Please respond to TxFinancialCoordinators To <TxFinancialCoordinators > cc Subject RE: HELP She needs to speak w/someone who can advise her on how to protect that $$ & not have it subject to asset inclusion. She may need to establish some kind of trust, that she is the beneficiary of, in order to maintain her eligiblity for Medicaid & not have to forfeit the money or just blow it in one month. She should consult w/someone familiar w/estate planning, for example, or even the state's office of elder affairs may have someone who can assist & advise her w/o charging too much. Also, have her contact the life ins company, assuming she hasn't cashed the check yet, & see if they can delay payment until she has something set up & then re-issue the funds directly into the trust, for example, then it won't be coming to 'her' directly & subject to being counted. J. Aguiar Mayo Clinic Arizona From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Patti Montemayor Sent: Thursday, December 04, 2008 8:36 AM To: TxFinancialCoordinators Subject: HELP i have this gal who is a kidney panc transplant on Medicare and Medicaid due to diabetes disabilities. Her finance was killed in an oil rig accident this summer and she just received a check for $80,000 because of his death. She has to spend this money in one month or it is counted as income......don't quite understand it. Any recommendations as how to protect her monies and continue the Medicare/Medicaid. Should she get a protected Medical account and put the monies in there. Any suggestions will help. She is in the process of contacting a lawyer to see what her options are. Patti Montemayor, RN CCTC Transplant Coordinator and White Hospital 2401 S. 31st Street Temple, TX 76508 254/724-8448 FAX 254/724-8772 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 awesome, thanks for the info, all.... >>> S Chaney 12/4/2008 10:04 AM >>> Something additional that comes to mind, is that she can set up her own Organ Transplant Assistance Fund with all, or some of the funds by capturing a tax I.D. number and a 501 3 © status. She could set up guidelines in the 501 application that will allow her to use the funds for travel, meals and lodging to transplant center, assist with utility bills, rent etc while away for her transplant etc ... just a thought " Aguiar, J. " Sent by: TxFinancialCoordinators 12/04/2008 09:49 AM Please respond to TxFinancialCoordinators To <TxFinancialCoordinators > cc Subject RE: HELP She needs to speak w/someone who can advise her on how to protect that $$ & not have it subject to asset inclusion. She may need to establish some kind of trust, that she is the beneficiary of, in order to maintain her eligiblity for Medicaid & not have to forfeit the money or just blow it in one month. She should consult w/someone familiar w/estate planning, for example, or even the state's office of elder affairs may have someone who can assist & advise her w/o charging too much. Also, have her contact the life ins company, assuming she hasn't cashed the check yet, & see if they can delay payment until she has something set up & then re-issue the funds directly into the trust, for example, then it won't be coming to 'her' directly & subject to being counted. J. Aguiar Mayo Clinic Arizona From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Patti Montemayor Sent: Thursday, December 04, 2008 8:36 AM To: TxFinancialCoordinators Subject: HELP i have this gal who is a kidney panc transplant on Medicare and Medicaid due to diabetes disabilities. Her finance was killed in an oil rig accident this summer and she just received a check for $80,000 because of his death. She has to spend this money in one month or it is counted as income......don't quite understand it. Any recommendations as how to protect her monies and continue the Medicare/Medicaid. Should she get a protected Medical account and put the monies in there. Any suggestions will help. She is in the process of contacting a lawyer to see what her options are. Patti Montemayor, RN CCTC Transplant Coordinator and White Hospital 2401 S. 31st Street Temple, TX 76508 254/724-8448 FAX 254/724-8772 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2008 Report Share Posted December 4, 2008 I would urge your patient to contact us at National Transplant Assistance Fund, a 501©3 that allows patients to raise funds in a way where it is not income for Medicaid purposes. This is an easy way to raise funds without having to set up of find a separate 501c3. We provide that status. See contact information below and ask for one of our patient services representatives. Lynne Coughlin Samson, Esq. Executive Director National Transplant Assistance Fund & Catastrophic Injury Program 150 N. Radnor Chester Rd. F-120 Radnor, PA 19087 1- www.transplantfund.org NTAF helps families mobilize their communities to raise money for uninsured medical expenses related to transplantation and catastrophic injury. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of S Chaney Sent: Thursday, December 04, 2008 11:04 AM To: TxFinancialCoordinators Subject: RE: HELP Something additional that comes to mind, is that she can set up her own Organ Transplant Assistance Fund with all, or some of the funds by capturing a tax I.D. number and a 501 3 © status. She could set up guidelines in the 501 application that will allow her to use the funds for travel, meals and lodging to transplant center, assist with utility bills, rent etc while away for her transplant etc ... just a thought " Aguiar, J. " <Aguiar.Mayo (DOT) Edu> Sent by: TxFinancialCoordinators 12/04/2008 09:49 AM Please respond to TxFinancialCoordinators To <TxFinancialCoordinators > cc Subject RE: HELP She needs to speak w/someone who can advise her on how to protect that $$ & not have it subject to asset inclusion. She may need to establish some kind of trust, that she is the beneficiary of, in order to maintain her eligiblity for Medicaid & not have to forfeit the money or just blow it in one month. She should consult w/someone familiar w/estate planning, for example, or even the state's office of elder affairs may have someone who can assist & advise her w/o charging too much. Also, have her contact the life ins company, assuming she hasn't cashed the check yet, & see if they can delay payment until she has something set up & then re-issue the funds directly into the trust, for example, then it won't be coming to 'her' directly & subject to being counted. J. Aguiar Mayo Clinic Arizona From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Patti Montemayor Sent: Thursday, December 04, 2008 8:36 AM To: TxFinancialCoordinators Subject: HELP i have this gal who is a kidney panc transplant on Medicare and Medicaid due to diabetes disabilities. Her finance was killed in an oil rig accident this summer and she just received a check for $80,000 because of his death. She has to spend this money in one month or it is counted as income......don't quite understand it. Any recommendations as how to protect her monies and continue the Medicare/Medicaid. Should she get a protected Medical account and put the monies in there. Any suggestions will help. She is in the process of contacting a lawyer to see what her options are. Patti Montemayor, RN CCTC Transplant Coordinator and White Hospital 2401 S. 31st Street Temple, TX 76508 254/724-8448 FAX 254/724-8772 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 6, 2009 Report Share Posted November 6, 2009 Donna, I know it is frustrating, but you have to be patient and go through the testing. If your GP treats you for the wrong thing it could just make things worse. Do anything you can to relax. A bottle of wine, bubble bath, a good book..... Give the system a chance to work. Big hugs. Madeline http://health.groups.yahoo.com/group/Lungs_on_Vacation/ To: asthma Sent: Friday, November 6, 2009 3:50:53 PMSubject: help Hello everyone, I'm so sorry I have not posted anything for such a longtime well feels like a long time, a lot of things have been happening here, had appointment for my scan which I am really not looking forward to I'm starting to think that maybe their is something more serious going on as the pain my my belly is getting must worst and on the move now its now on the belly button and down to the left hand side.Been to both GP and A & E and both are really getting on my nervous to be honest they both say that they cannot do anthing because off other medical background stuff GRR,Any advice on what to dois welcomed. Donna m r Griffiths New Windows 7: Find the right PC for you. Learn more. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2009 Report Share Posted November 7, 2009 Thank you all for information Donna m r Griffiths To: asthma From: ncicheryl@...Date: Fri, 6 Nov 2009 15:21:36 -0800Subject: Re: help I am sorry to hear this Donna. Sending good vibes for them to figure out what it is and fix it. Hugs. Cheryl Burton ncicheryl From: Donna M R Griffiths <mariedonna1991live (DOT) co.uk>To: asthma Sent: Fri, November 6, 2009 2:50:53 PMSubject: help Hello everyone, I'm so sorry I have not posted anything for such a longtime well feels like a long time, a lot of things have been happening here, had appointment for my scan which I am really not looking forward to I'm starting to think that maybe their is something more serious going on as the pain my my belly is getting must worst and on the move now its now on the belly button and down to the left hand side.Been to both GP and A & E and both are really getting on my nervous to be honest they both say that they cannot do anthing because off other medical background stuff GRR,Any advice on what to dois welcomed. Donna m r Griffiths New Windows 7: Find the right PC for you. Learn more. New Windows 7: Find the right PC for you. Learn more. Quote Link to comment Share on other sites More sharing options...
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