RE: Medicare A&B primary / CIGNA PPO retirement plan secondary

[Guest guest]

Daryl

I believe CIGNA will not do a single case

agreement if they are the secondary payor. If the CIGNA plan is a PPO plan, his

out of networks should pay as secondary. You will need to look at how much is

the out of network deductible and out of network out of pocket to determine

what is the patient’s financial liability and compare it to the in

network benefits. We should always do what is best for the patients.

For post transplant care, if your

physicians and your hospital are CIGNA contracted provider, they should cover

as secondary at in network level.

I think CIGNA case management does not

follow patients when CIGNA is the secondary payor.

..

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.

Sent: Friday, February 03, 2012

9:26 AM

To: TxFinancialCoordinators

Subject:

Medicare A & B primary / CIGNA PPO retirement plan secondary

As I cannot

get an answer from CIGNA turning to my fellow TFCs – we have a gentleman

who has Medicare A & B and CIGNA PPO plan secondary (from his retirement

package). We are not a CIGNA LifeSource center – will CIGNA pay as

secondary?

Thanks

everyone!

Daryl

Battin

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Ms.

Daryl Battin, MSW/LICSW

Financial

Coordinator/Social Worker

Department

of Transplantation

Lahey

Clinic, 41 Mall Road,

Burlington MA

01805

Ph:

Page:

FAX:

Q Please consider the

environment before printing this email

See our

web page at http://www.lahey.org for a full directory of Lahey sites, staff,

services and career opportunities.

THIS

MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY

CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE

UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this

message for any purpose is strictly prohibited. If you have received this

communication in error, please delete the message and notify the sender so that

we may correct our records.

***********************************************************************This electronic transmission contains information from Methodist HealthSystem and should be considered confidential and privileged. Theinformation contained in the above messages is intended only for theuse of the individual(s) and entity(ies) named above. If you are not theintended recipient, be aware that any disclosure, copying, distribution,or use of this information is prohibited. If you receive this transmissionin error, please notify the sender immediately by return e-mail.Methodist Health System, its subsidiaries and affiliates hereby claim allapplicable privileges related to the transmission of this communication.