Re: pancres tx/post lrrt -Reply

[Guest guest]

> My understanding is that if the pt has Medicare, they will cover

Pancreas Transplants as long as they are simultaneous or post

Medicare covered kidney transplants. However if the patient no longer

has Medicare coverage, then they will not cover and the private ins

will be responsible.

> W. McFall

> SFMC Honolulu

[Aguiar, ] Nor will Medicare cover pancreas BEFORE a

kidney tx (which we do here). Unfortunately, many case mgrs don't

realize this & I have just finished fighting w/what, under normal

circumstances, would have been the secondary payor trying to make her

understand that they would have to approve & pay for this particular

type of transplant. (I won, needless to say). Medicare also didn't

issue any requirements for tx ctrs to obtain Medicare certification

to perform pancreas tx's, something else case mgrs don't always

realize (that was yesterday's fight-won that one, too). The only

requirement is that centers performing pancreas txs be members of the

OPTN, which is UNOS currently.

J. Aguiar

Beth Israel Deaconess, Boston

[Guest guest]

THANK YOU,THANK YOU !I'll let you know if I need to get my boxing gloves

on!........Ann

>From: LAguiar@...

>Reply-To: TxFinancialCoordinators

>To: TxFinancialCoordinators

>Subject: Re: pancres tx/post lrrt -Reply

>Date: Tue, 26 Jun 2001 11:17:01 -0000

>

>

> > My understanding is that if the pt has Medicare, they will cover

>Pancreas Transplants as long as they are simultaneous or post

>Medicare covered kidney transplants. However if the patient no longer

>has Medicare coverage, then they will not cover and the private ins

>will be responsible.

> > W. McFall

> > SFMC Honolulu

>

> [Aguiar, ] Nor will Medicare cover pancreas BEFORE a

>kidney tx (which we do here). Unfortunately, many case mgrs don't

>realize this & I have just finished fighting w/what, under normal

>circumstances, would have been the secondary payor trying to make her

>understand that they would have to approve & pay for this particular

>type of transplant. (I won, needless to say). Medicare also didn't

>issue any requirements for tx ctrs to obtain Medicare certification

>to perform pancreas tx's, something else case mgrs don't always

>realize (that was yesterday's fight-won that one, too). The only

>requirement is that centers performing pancreas txs be members of the

>OPTN, which is UNOS currently.

>

> J. Aguiar

>Beth Israel Deaconess, Boston

>

>

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