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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.

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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

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you have received this communication in error, please

contact the sender immediately and destroy the material in

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===========================================================

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disclosure under applicable law. If you are

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that the dissemination, distribution or copying

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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.

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Guest guest

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.

===========================================================

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