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Hi All,

I am hoping to get some

feedback regarding who should be paying as primary in the following situation:

·

Patient is 65 and actively employed full time with a EGHP

·

Patient has not signed up for Medicare based on age

·

Patient is not on dialysis

·

Patient will receive a live donor transplant which will be his

ESRD entitling event

His health plan has told

me that as soon as he elects Medicare, they will become secondary to Medicare.

My thoughts are that if he signs up because of his ESRD entitlement while still

actively working, the 30 month cob period still applies.

Thanks in advance!

Maddox

Transplant Financial Coordinator

Via Christi Hospital

Transplant Institute

929 N St Francis, Suite M157

Wichita KS 67214

PH

FX

shannon.maddox@...

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  • 4 months later...
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If Medicare was not primary already under disability rules then the Renal COB applies. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Whitney FolsomSent: Thursday, June 07, 2012 7:33 AMTo: TxFinancialCoordinators Subject: COB QUESTION If a patient had medicare for a disability starting 9-1-05 and then developed ESRD and went on dialysis 2-15-10, did her COB period in Feb of '10? She has Cigna EHGP and both Cigna and Medicare are saying that they are primary. All input appreciatedThanksWWhitney Folsom, TFCETMC Transplant Program1100 E Lake St ste 340Tyler, TX 75701 phone faxwlfolsom@...===========================================================This message is confidential, intended onlyfor the named recipient(s) and may containinformation that is privileged or exempt fromdisclosure under applicable law. If you arenot the intended recipient(s), you are notifiedthat the dissemination, distribution or copyingof this message is strictly prohibited. If youreceived this message in error, or are not thenamed recipient(s), please notify the senderand delete this e-mail from your computer.ETMC has implemented secure messaging forcertain types of messages. For more informationabout our secure messaging system, go to: http://www.etmc.org/mail/Thank you.===========================================================

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If Medicare was not primary already under disability rules then the Renal COB applies. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Whitney FolsomSent: Thursday, June 07, 2012 7:33 AMTo: TxFinancialCoordinators Subject: COB QUESTION If a patient had medicare for a disability starting 9-1-05 and then developed ESRD and went on dialysis 2-15-10, did her COB period in Feb of '10? She has Cigna EHGP and both Cigna and Medicare are saying that they are primary. All input appreciatedThanksWWhitney Folsom, TFCETMC Transplant Program1100 E Lake St ste 340Tyler, TX 75701 phone faxwlfolsom@...===========================================================This message is confidential, intended onlyfor the named recipient(s) and may containinformation that is privileged or exempt fromdisclosure under applicable law. If you arenot the intended recipient(s), you are notifiedthat the dissemination, distribution or copyingof this message is strictly prohibited. If youreceived this message in error, or are not thenamed recipient(s), please notify the senderand delete this e-mail from your computer.ETMC has implemented secure messaging forcertain types of messages. For more informationabout our secure messaging system, go to: http://www.etmc.org/mail/Thank you.===========================================================

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