Assisting Your Patient Through the Transplant Process. Why Does a Patient Choose Transplant. Avoid dialysis Improve quality of life Continuation of life goals Work Family Hobbies/interests/travel Fewer diet restrictions Live longer Doctor or staff tells them to do it
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Improve quality of life
Continuation of life goals
Fewer diet restrictions
Doctor or staff tells them to do it
They have a living donor
O >1771 days (approx. 5 years)
A >1144 days
B >2003 days (approx. 5 years)
AB >732 days
Assess the whole picture
Assessment of resources
Plan to meet need
Adherence to medical recommendations
Mental Health/Psychiatric Issues
Depression; Substance abuse
Kidney Health Care
Apply even if it’s only for travel
AKF can no longer pay for Medicare supplement after transplant.
Usually patient cannot pay and supplement ends.
KHC will pay 20% for anti-rejection meds not covered by Medicare Part B if patient does not have Medicare supplement.
If patient loses EGHP, KHC will cover 4 meds with EGHP termination notice.
When transplant patients need meds, they need them quickly to avoid transplant rejection!
Choose the most cost effective Medicare supplement possible
If there is any chance of patient paying this cost post transplant, it needs to be the lowest cost possible
Educate yourself on changes to the supplement plans. Several will no longer cover full 20% co-insurance.
Assess for Medicaid/QMB/SLMB/QI-1
Educate the patient re AKF and post transplant guidelines
For your knowledge and background
These meds remain covered under Medicare Part B for most people rather than Part D.
swelling of feet, hands, abdomen, or face
unwanted hair growth
changes in fat and sugar metabolism
high blood pressure
tingling hands and feet
increased risk of infection
increased risk of cancer
the hospital stay and surgery (Medicare deductible, $1100)
additional hospital stays for complications (Medicare deductible, $1100 per 60 day admission)
follow-up care and testing
anti-rejection and other drugs, which can easily exceed $10K per year;
fees for surgeons, physicians, radiologist, and anesthesiologist
insurance deductibles, out of pocket expenses and co-payments (Medicare and/or Employer Group Health Plan)
Should be covered under a patient’s Medicare Part D plan. Include these if you are helping a pre-transplant patient determine the best Part D plan.
A transplant does not mean the end to seeing doctors, going to clinic, taking lots of pills, staying on a diet, etc.
Social Security Review usually occurs within 12-18 months after transplant.
If patient was disabled solely on ESRD, they will no longer be considered disabled as early as 12 months following transplant.
LTD will also end unless there is an ongoing disability.
Help the patient to begin thinking of rehabilitation early
(800) 642-8399; www.transplantfund.org
(800) 366-2682; www.cota.org