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I have a situation where a patient has a living donor but the living

donor is not quit ready to be able to give their organ. The recipients

insurance is changing at the beginning of the year to an insurance that

we do not have a contract with. He does have Medicare as his secondary

insurance. My question is with his prime insurance having out of network

benefits will Medicare pick those out of pocket expenses up? The claim

wouldn't be denied by the prime insurance which is Aetna but applied to

his out of network benefits. So just wondering if Medicare would pick

that balance up? If not then he is going to have to transfer his time

and case to another facility.

Thank you for your help

Lori Davies

Financial Coordinator

Porter Adventist Hospital

Transplant Services

Denver, Colorado

Work

Fax

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