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Thanks Amelia!!

Nury Galeano

Team Leader, Financial Counselors/Coordinators

TGMG

TGH office

TGMG office

cell

fax

ngaleano@...

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Amellia Gay

Sent: Tuesday, June 05, 2012 11:25 AM

To: TxFinancialCoordinators

Subject: Re: [1 Attachment]

I have a portion of my financial agreement that states

" Patient is aware that non-immunosuppressant drugs and supply costs will be their responsibility if no prescription plan is in place "

I have attached my Financial Agreement.

Amellia Gay

and White Memorial

Temple,

TX

>>> " Galeano, Nury " 6/5/2012 9:28 AM >>>

Hello group! does anyone have a transplant medication contract to share? I need this for patients to

sign so that they

know that the transplant center is not responsible for providing medications after transplant if they

run into a financial

problem.

Please email it to me as soon as possible.

Thank you!!

Nury Galeano

Team Leader, Financial Counselors/Coordinators

TGMG

TGH office

TGMG office

cell

fax

ngaleano@...

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Thank you, Nury!

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...

>>> " Galeano, Nury " 6/5/2012 10:38 AM >>>

Here it is for everyone in case it helps your program. :)

Nury Galeano

Team Leader, Financial Counselors/Coordinators

TGMG

TGH office

TGMG office

cell

fax

ngaleano@...

________________________________

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Whitney Folsom

Sent: Tuesday, June 05, 2012 11:28 AM

To: TxFinancialCoordinators

Subject: RE:

The letter you created, it states that the patient is responsible for the cost

of their immunos and that they can afford it? Can you share?

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

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

>>> " Galeano, Nury " <ngaleano@...<mailto:ngaleano%40tgh.org>> 6/5/2012 10:20

AM >>>

We do the same thing here. But, I have patients with limited coverage or high

out of pocket. A lot of them do fundraising or rely

on family and friends to assist. I would like to have them sign a medication

contract to acknowledge it is their responsibility

to make sure they can afford their medications after transplant.

I just drafted a letter and it was approved by the program Administrator.

Thanks and have a great day!

Nury Galeano

Team Leader, Financial Counselors/Coordinators

TGMG

TGH office

TGMG office

cell

fax

ngaleano@...<mailto:ngaleano%40tgh.org>

________________________________

From:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

[mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%4\

0yahoogroups.com>] On Behalf Of Dodson

Sent: Tuesday, June 05, 2012 11:06 AM

To:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

Subject: RE:

I obtained a list of primary discharge medications for the patient from the

physicians and social worker; I verify guestimated co-pays and review with

patient during evaluation.

Thanks!

Dodson

Financial Coordinator, Blood and Marrow Program

West Penn Allegheny Health System

4800 Friendship Ave Ste 2303 NT

Pittsburgh, PA 15224

Phone:

Fax:

mdodson@...<mailto:mdodson%40wpahs.org>

TFCA Trustee

[Description: http://www.marrow.org/images/email/nmdp_sig.png][Description: Be

The Match]

Be the one to save a life. Be The Match. Join

now<http://marrow-sys/JOIN/Join_Now/join_now.html>

From:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

[mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%4\

0yahoogroups.com>] On Behalf Of Galeano, Nury

Sent: Tuesday, June 05, 2012 11:01 AM

To:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

Subject: RE:

Thanks!

Nury Galeano

Team Leader, Financial Counselors/Coordinators

TGMG

TGH office

TGMG office

cell

fax

ngaleano@...<mailto:ngaleano%40tgh.org>

________________________________

From:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

[mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%4\

0yahoogroups.com>] On Behalf Of Branham, Michele

Sent: Tuesday, June 05, 2012 10:51 AM

To:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

Subject: RE:

We don't have a contract. However, we do review the medication list and discuss

patients financial responsibility.

Michele Branham,

Sr. Transplant Financial Coordinator

Spiritual Ambassador

[Description: TX Institute B & W1]

- Phone; - Fax

Luke 1:46-47 " My soul Glorifies the Lord and my Spirit rejoices in God my

Savior. "

From:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

[mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%4\

0yahoogroups.com>] On Behalf Of Galeano, Nury

Sent: Tuesday, June 05, 2012 10:29 AM

To:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

Subject:

[Description:

cid:image002.jpg@...<mailto:image002.jpg%4001CD430A.8D5ED9F0>]

Hello group! does anyone have a transplant medication contract to share? I need

this for patients to sign so that they

know that the transplant center is not responsible for providing medications

after transplant if they run into a financial

problem.

Please email it to me as soon as possible.

Thank you!!

Nury Galeano

Team Leader, Financial Counselors/Coordinators

TGMG

TGH office

TGMG office

cell

fax

ngaleano@...<mailto:ngaleano%40tgh.org>

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

**********************************************************************

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

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.

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

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

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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Guest guest

our welcome!

>

> Thank you, Nury!

>

> Whitney Folsom, TFC

> ETMC Transplant Program

> 1100 E Lake St ste 340

> Tyler, TX 75701

> phone

> fax

> wlfolsom@...

>

> >>> " Galeano, Nury " 6/5/2012 10:38 AM >>>

> Here it is for everyone in case it helps your program. :)

>

>

>

>

> Nury Galeano

>

> Team Leader, Financial Counselors/Coordinators

>

> TGMG

>

> TGH office

>

> TGMG office

>

> cell

>

> fax

>

> ngaleano@...

>

> ________________________________

> From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Whitney Folsom

> Sent: Tuesday, June 05, 2012 11:28 AM

> To: TxFinancialCoordinators

> Subject: RE:

>

>

>

> The letter you created, it states that the patient is responsible for the cost

of their immunos and that they can afford it? Can you share?

>

> Whitney Folsom, TFC

> ETMC Transplant Program

> 1100 E Lake St ste 340

> Tyler, TX 75701

> phone

> fax

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

>

> >>> " Galeano, Nury " <ngaleano@...<mailto:ngaleano%40tgh.org>> 6/5/2012 10:20

AM >>>

> We do the same thing here. But, I have patients with limited coverage or high

out of pocket. A lot of them do fundraising or rely

> on family and friends to assist. I would like to have them sign a medication

contract to acknowledge it is their responsibility

> to make sure they can afford their medications after transplant.

> I just drafted a letter and it was approved by the program Administrator.

>

> Thanks and have a great day!

>

> Nury Galeano

>

> Team Leader, Financial Counselors/Coordinators

>

> TGMG

>

> TGH office

>

> TGMG office

>

> cell

>

> fax

>

> ngaleano@...<mailto:ngaleano%40tgh.org>

>

> ________________________________

> From:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

[mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%4\

0yahoogroups.com>] On Behalf Of Dodson

> Sent: Tuesday, June 05, 2012 11:06 AM

> To:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

> Subject: RE:

>

> I obtained a list of primary discharge medications for the patient from the

physicians and social worker; I verify guestimated co-pays and review with

patient during evaluation.

>

> Thanks!

> Dodson

> Financial Coordinator, Blood and Marrow Program

> West Penn Allegheny Health System

> 4800 Friendship Ave Ste 2303 NT

> Pittsburgh, PA 15224

> Phone:

> Fax:

> mdodson@...<mailto:mdodson%40wpahs.org>

> TFCA Trustee

> [Description: http://www.marrow.org/images/email/nmdp_sig.png][Description: Be

The Match]

> Be the one to save a life. Be The Match. Join

now<http://marrow-sys/JOIN/Join_Now/join_now.html>

>

> From:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

[mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%4\

0yahoogroups.com>] On Behalf Of Galeano, Nury

> Sent: Tuesday, June 05, 2012 11:01 AM

> To:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

> Subject: RE:

>

> Thanks!

>

> Nury Galeano

>

> Team Leader, Financial Counselors/Coordinators

>

> TGMG

>

> TGH office

>

> TGMG office

>

> cell

>

> fax

>

> ngaleano@...<mailto:ngaleano%40tgh.org>

>

> ________________________________

> From:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

[mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%4\

0yahoogroups.com>] On Behalf Of Branham, Michele

> Sent: Tuesday, June 05, 2012 10:51 AM

> To:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

> Subject: RE:

>

> We don't have a contract. However, we do review the medication list and

discuss patients financial responsibility.

>

> Michele Branham,

> Sr. Transplant Financial Coordinator

> Spiritual Ambassador

> [Description: TX Institute B & W1]

>

> - Phone; - Fax

> Luke 1:46-47 " My soul Glorifies the Lord and my Spirit rejoices in God my

Savior. "

>

> From:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

[mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%4\

0yahoogroups.com>] On Behalf Of Galeano, Nury

> Sent: Tuesday, June 05, 2012 10:29 AM

> To:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

> Subject:

>

> [Description: cid:image002.jpg@...<mailto:image002.jpg%4001CD430A.8D5ED9F0>]

> Hello group! does anyone have a transplant medication contract to share? I

need this for patients to sign so that they

> know that the transplant center is not responsible for providing medications

after transplant if they run into a financial

> problem.

> Please email it to me as soon as possible.

>

> Thank you!!

>

> Nury Galeano

>

> Team Leader, Financial Counselors/Coordinators

>

> TGMG

>

> TGH office

>

> TGMG office

>

> cell

>

> fax

>

> ngaleano@...<mailto:ngaleano%40tgh.org>

>

> **********************************************************************

>

> This email and any files transmitted with it are confidential and

>

> intended solely for the use of the individual or entity to whom they

>

> are addressed. If you have received this email in error please notify

>

> the West Penn Allegheny Health System Help Desk at 412 330-4357.

>

> **********************************************************************

>

> ===========================================================

> 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.

> ===========================================================

>

>

> ===========================================================

> 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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