FW: Medicaid VA as proof of pior coverage for Pre-existing

[Guest guest]

Sorry, I meant " Can Medicaid be considered as an insurance

and act as proof of creditable coverage " ?

Thanks.

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Farid,

Fahmy

Sent: Tuesday, October 21, 2008 3:13 PM

To: TxFinancialCoordinators

Subject: Medicaid VA as proof of pior coverage

for Pre-existing

Hi,

Could

prior coverage through Medicaid prevent patient from obtaining Tx coverage

(Pre-existing)?

Thanks,

Fahmy

CONFIDENTIAL:

The information contained in this communication, including its attachments may

contain confidential information and is intended only for the individual (s) or

entity (ies) to whom it is addressed . The information contained in this

communication may also be protected by legal privilege , federal law or other

applicable law. If you are not the intended recipient of this communication ,

you are hereby notified that any distribution, dissemination or duplication of

this communication is strictly prohibited. If you have received this

communication in error please immediately delete and destroy all copies of this

message and please immediately notify us of the error by separate communication

.. Thank you.

[Guest guest]

Absolutely. I was

able to get a patient into Healthy

NY plan w/ no preex wtg period because

she had Medicaid. We just had to provide evidence of coverage in the form of a

letter from DSS that showed she was covered by Medcaid from whatever date to

whatever date.

Portability is

Portability—it shouldn’t matter who the payer is so long as it is credible

coverage & not some discount “insurance”.

The only one I have

had trouble with proving as prior “credible” coverage is the VA.

Apparently being covered by the VA for all your medical care doesn’t count—doesn’t

make sense either—but then again, a lot of things don’t make sense

in “insurance land”

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 Farid, Fahmy

Sent: Tuesday, October 21, 2008

3:20 PM

To:

TxFinancialCoordinators

Subject:

FW: Medicaid VA as proof of pior coverage for

Pre-existing

Sorry, I meant " Can Medicaid be considered as an

insurance and act as proof of creditable coverage " ?

Thanks.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Farid, Fahmy

Sent: Tuesday, October 21, 2008

3:13 PM

To: TxFinancialCoordinators

Subject:

Medicaid VA

as proof of pior coverage for Pre-existing

Hi,

Could prior

coverage through Medicaid prevent patient from obtaining Tx coverage

(Pre-existing)?

Thanks,

Fahmy

CONFIDENTIAL:

The information contained in this communication, including its attachments may

contain confidential information and is intended only for the individual (s) or

entity (ies) to whom it is addressed . The information contained in this

communication may also be protected by legal privilege , federal law or other

applicable law. If you are not the intended recipient of this communication ,

you are hereby notified that any distribution, dissemination or duplication of

this communication is strictly prohibited. If you have received this

communication in error please immediately delete and destroy all copies of this

message and please immediately notify us of the error by separate communication

Thank you.

[Guest guest]

As long as it is GROUP coverage, the

portability applies. Medicaid & Medicare & VA are “group”

coverage.

Sher Stirling-Burgin, BS, RN-BC, CCM

Transplant Financial Coordinator

Liver/ Intestine/Multivisceral Programs

Clarian Transplant

550 N. University Blvd., Rm 4601

Indpls., IN 46202-5202

Desk

FAX

sstirlingburgin@...

" Helping People Embrace New

Life. "

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Gray, Meredith M

Sent: Tuesday, October 21, 2008

3:24 PM

To: TxFinancialCoordinators

Subject: RE:

FW: Medicaid

VA as proof of pior coverage for

Pre-existing

Absolutely. I was able to get a patient into Healthy NY

plan w/ no preex wtg period because she had Medicaid. We just had to

provide evidence of coverage in the form of a letter from DSS that showed she

was covered by Medcaid from whatever date to whatever date.

Portability is Portability—it shouldn’t

matter who the payer is so long as it is credible coverage & not some

discount “insurance”.

The only one I have had trouble with proving as prior

“credible” coverage is the VA. Apparently being covered by

the VA for all your medical care doesn’t count—doesn’t make

sense either—but then again, a lot of things don’t make sense in

“insurance land”

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 Farid, Fahmy

Sent: Tuesday, October 21, 2008

3:20 PM

To: TxFinancialCoordinators

Subject:

FW: Medicaid

VA as proof of

pior coverage for Pre-existing

Sorry, I meant " Can Medicaid be considered as an

insurance and act as proof of creditable coverage " ?

Thanks.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Farid, Fahmy

Sent: Tuesday, October 21, 2008

3:13 PM

To: TxFinancialCoordinators

Subject:

Medicaid VA as proof of pior coverage for

Pre-existing

Hi,

Could prior

coverage through Medicaid prevent patient from obtaining Tx coverage

(Pre-existing)?

Thanks,

Fahmy

CONFIDENTIAL:

The information contained in this communication, including its attachments may

contain confidential information and is intended only for the individual (s) or

entity (ies) to whom it is addressed . The information contained in this

communication may also be protected by legal privilege , federal law or other

applicable law. If you are not the intended recipient of this communication ,

you are hereby notified that any distribution, dissemination or duplication of

this communication is strictly prohibited. If you have received this

communication in error please immediately delete and destroy all copies of this

message and please immediately notify us of the error by separate communication

Thank you.

[Guest guest]

Thanks to all for your answers!Fahmy From:TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Stirling-Burgin,SherrySent: Tuesday, October 21, 2008 3:35 PMTo: TxFinancialCoordinators Subject: RE: FW: Medicaid VA as proof of piorcoverage for Pre-existing As long asit is GROUP coverage, the portability applies. Medicaid & Medicare & VAare “group” coverage. SherStirling-Burgin, BS, RN-BC, CCMTransplantFinancial CoordinatorLiver/Intestine/Multivisceral ProgramsClarianTransplant550 N.University Blvd., Rm 4601Indpls., IN46202-5202 DeskFAXsstirlingburgin@... " Helping People Embrace New Life.. " From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Gray,Meredith MSent: Tuesday, October 21, 2008 3:24 PMTo: TxFinancialCoordinators Subject: RE: FW: Medicaid VA as proof of piorcoverage for Pre-existing Absolutely. I was ableto get a patient into Healthy NY plan w/ no preex wtg period because she hadMedicaid. We just had to provide evidence of coverage in the form of aletter from DSS that showed she was covered by Medcaid from whatever date towhatever date. Portability is Portability—itshouldn’t matter who the payer is so long as it is credible coverage & notsome discount “insurance”. The only one I have hadtrouble with proving as prior “credible” coverage is the VA. Apparentlybeing covered by the VA for all your medical care doesn’t count—doesn’t makesense either—but then again, a lot of things don’t make sense in “insuranceland” Meredith GrayLiver TransplantFinancial CoordinatorUniversity of RochesterStrong Memorial Hospital601 Elmwood AvenueBox 602Rochester, NY 14642 (fax) (pager) This messagecontains information which may be confidential and privileged. Unless you arethe addressee (or authorized to receive for the addressee), you may not use,copy or disclose to anyone the message or any information contained in themessage (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 Farid,FahmySent: Tuesday, October 21, 2008 3:20 PMTo: TxFinancialCoordinators Subject: FW: Medicaid VA as proof of piorcoverage for Pre-existing Sorry, I meant " Can Medicaidbe considered as an insurance and act as proof of creditable coverage " ?Thanks.From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Farid,FahmySent: Tuesday, October 21, 2008 3:13 PMTo: TxFinancialCoordinators Subject: Medicaid VA as proof of pior coveragefor Pre-existing Hi, Couldprior coverage through Medicaid prevent patient from obtaining Tx coverage(Pre-existing)? Thanks,FahmyCONFIDENTIAL: The information contained inthis communication, including its attachments may contain confidentialinformation and is intended only for the individual (s) or entity (ies) to whomit is addressed . The information contained in this communication may also beprotected by legal privilege , federal law or other applicable law. If you arenot the intended recipient of this communication , you are hereby notified thatany distribution, dissemination or duplication of this communication isstrictly prohibited. If you have received this communication in error pleaseimmediately delete and destroy all copies of this message and pleaseimmediately notify us of the error by separate communication Thank you. CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies) to whom it is addressed . The information contained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution, dissemination or duplication of this communication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication . Thank you.