Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 You are correct. ESRD trumps the regular rules of Medicare Whitney Folsom, TFC ETMC Transplant Program 1100 E Lake St ste 340 Tyler, TX 75701 phone fax wlfolsom@... >>> " Fetzer, " 3/28/2012 4:07 PM >>> Hello everyone, We have a patient who is post kidney transplant and she is having trouble getting her prescriptions because of Medicare COB. She has had Medicare due to disability since 1995, was on dialysis since 10/2009 and had her tx in 11/2011. She is telling me Medicare became primary as of 1/1/2012 because her husband who is the subscriber on the LGHP policy retired as of 1/6/12. Doesn't her ESRD entitlement trump the disability which would mean that she is still in the 30-month COB and Medicare would still be secondary? Any help would be GREATLY appreciated! Thanks so much! Fetzer | Financial Coordinator | Transplant Center Q7-303a 9500 Euclid Ave | Cleveland, OH 44195 | /Fax 216/636-9239 =================================== Please consider the environment before printing this e-mail Cleveland Clinic is ranked one of the top hospitals in America by U.S.News & World Report (2010). Visit us online at http://www.clevelandclinic.org for a complete listing of our services, staff and locations. Confidentiality Note: This message is intended for use only by the individual or entity to which it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you. =========================================================== This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you received this message in error, or are not the named recipient(s), please notify the sender and delete this e-mail from your computer. ETMC has implemented secure messaging for certain types of messages. For more information about our secure messaging system, go to: http://www.etmc.org/mail/ Thank you. =========================================================== Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Thank you! Just wanted to make sure before I start fighting this battle! From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Whitney FolsomSent: Thursday, March 29, 2012 8:47 AMTo: TxFinancialCoordinators Subject: Re: Medicare problem You are correct. ESRD trumps the regular rules of MedicareWhitney Folsom, TFCETMC Transplant Program1100 E Lake St ste 340Tyler, TX 75701 phone faxwlfolsom@...>>> "Fetzer, " 3/28/2012 4:07 PM >>>Hello everyone,We have a patient who is post kidney transplant and she is havingtrouble getting her prescriptions because of Medicare COB. She has hadMedicare due to disability since 1995, was on dialysis since 10/2009 andhad her tx in 11/2011. She is telling me Medicare became primary as of1/1/2012 because her husband who is the subscriber on the LGHP policyretired as of 1/6/12. Doesn't her ESRD entitlement trump the disabilitywhich would mean that she is still in the 30-month COB and Medicarewould still be secondary? Any help would be GREATLY appreciated! Thanks so much! Fetzer | Financial Coordinator | Transplant CenterQ7-303a9500 Euclid Ave | Cleveland, OH 44195 | /Fax216/636-9239===================================Please consider the environment before printing this e-mailCleveland Clinic is ranked one of the top hospitalsin America by U.S.News & World Report (2010). Visit us online at http://www.clevelandclinic.org fora complete listing of our services, staff andlocations.Confidentiality Note: This message is intended for useonly by the individual or entity to which it is addressedand may contain information that is privileged,confidential, and exempt from disclosure under applicablelaw. If the reader of this message is not the intendedrecipient or the employee or agent responsible fordelivering the message to the intended recipient, you arehereby notified that any dissemination, distribution orcopying of this communication is strictly prohibited. Ifyou have received this communication in error, pleasecontact the sender immediately and destroy the material inits entirety, whether electronic or hard copy. Thank you.===========================================================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.=========================================================== =================================== Please consider the environment before printing this e-mail Cleveland Clinic is ranked one of the top hospitals in America by U.S.News World Report (2010). Visit us online at http://www.clevelandclinic.org for a complete listing of our services, staff and locations. Confidentiality Note: This message is intended for use only by the individual or entity to which it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 No Problem, I totally understand. Whitney Folsom, TFC ETMC Transplant Program 1100 E Lake St ste 340 Tyler, TX 75701 phone fax wlfolsom@... >>> " Fetzer, " 3/29/2012 10:27 AM >>> Thank you! Just wanted to make sure before I start fighting this battle! ________________________________ From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Whitney Folsom Sent: Thursday, March 29, 2012 8:47 AM To: TxFinancialCoordinators Subject: Re: Medicare problem You are correct. ESRD trumps the regular rules of Medicare Whitney Folsom, TFC ETMC Transplant Program 1100 E Lake St ste 340 Tyler, TX 75701 phone fax wlfolsom@... <mailto:wlfolsom%40etmc.org> >>> " Fetzer, " <fetzerv@... <mailto:fetzerv%40ccf.org> > 3/28/2012 4:07 PM >>> Hello everyone, We have a patient who is post kidney transplant and she is having trouble getting her prescriptions because of Medicare COB. She has had Medicare due to disability since 1995, was on dialysis since 10/2009 and had her tx in 11/2011. She is telling me Medicare became primary as of 1/1/2012 because her husband who is the subscriber on the LGHP policy retired as of 1/6/12. Doesn't her ESRD entitlement trump the disability which would mean that she is still in the 30-month COB and Medicare would still be secondary? Any help would be GREATLY appreciated! Thanks so much! Fetzer | Financial Coordinator | Transplant Center Q7-303a 9500 Euclid Ave | Cleveland, OH 44195 | /Fax 216/636-9239 =================================== Please consider the environment before printing this e-mail Cleveland Clinic is ranked one of the top hospitals in America by U.S.News & World Report (2010). Visit us online at http://www.clevelandclinic.org for a complete listing of our services, staff and locations. Confidentiality Note: This message is intended for use only by the individual or entity to which it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you. =========================================================== This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you received this message in error, or are not the named recipient(s), please notify the sender and delete this e-mail from your computer. ETMC has implemented secure messaging for certain types of messages. For more information about our secure messaging system, go to: http://www.etmc.org/mail/ Thank you. =========================================================== =================================== Please consider the environment before printing this e-mail Cleveland Clinic is ranked one of the top hospitals in America by U.S.News & World Report (2010). Visit us online at http://www.clevelandclinic.org for a complete listing of our services, staff and locations. Confidentiality Note: This message is intended for use only by the individual or entity to which it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you. =========================================================== This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you received this message in error, or are not the named recipient(s), please notify the sender and delete this e-mail from your computer. ETMC has implemented secure messaging for certain types of messages. For more information about our secure messaging system, go to: http://www.etmc.org/mail/ Thank you. =========================================================== Quote Link to comment Share on other sites More sharing options...
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