RE: Re: Medicare secondary to BC

[Guest guest]

That is correct, You would need a pretty

compelling argument, but we have done oon case agreements.

Wanda Cabrera

Operations & Finance Manager

Newark Beth Israel

Medical Center

Heart Failure and Transplant Program

201

Lyons Avenue, Suite L4

Newark, NJ 07112

Tel : Fax:

email: wcabrera@...

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of ericbelen7

Sent: Tuesday, January 24, 2012

2:05 PM

To: TxFinancialCoordinators

Subject:

Re: Medicare secondary to BC

That would be an exception. But there would need to be

a pretty good reason why the commercial insurance would bother going through an

LOA when they have their own in-network providers

>

> What about single case agreements that are done OON??

>

> Dorinda S. Frye, Auth Rep

> Hema/Onc, Infusion, BMT

> Akron

Children's Hospital

> One Perkins Square

> Akron, OH 44308

> office

> fax

>

> From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Whitney Folsom

> Sent: Tuesday, January 24, 2012 1:51 PM

> To: TxFinancialCoordinators

> Subject: Re: Medicare secondary to BC

>

>

>

> If medicare is secondary they will not pick up the difference and perhaps

not anything if a patient purposely goes out of network with their primary

insurance policy

>

> Whitney Folsom, TFC

> ETMC Transplant Program

> 1100 E Lake St ste 340

> Tyler, TX 75701

> phone

> fax

> wlfolsom@...<mailto:wlfolsom%40etmc.org>

>

> >>> ericbelen7

<ericbelen7@...<mailto:ericbelen7%40yahoo.com>> 1/24/2012 12:38 PM

>>>

> Patient has no OON benefits with his BC. If he chooses to pursue a

not-contracted facility, will Medicare coverhis transplant or not?

>

> I know for Medicaid, if a patient purposely did not use his primary

benefits, Medicaid will not cover. Is it the same for Medicare?

>

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