COB Playbook

INCARCERATION

When a patient is incarcerated, they will not immediately lose Medicare. Medicare Part A will remain active, however, it will be suspended during incarceration. The patient can potentially lose Part B if premiums are not paid on time, and will have to re-enroll when patient is released from prison.

For billing purposes, DaVita will bill either the local jail or third party administrator who’s contracted with the jail, while the patient is incarcerated. Medicare will not pay for dialysis.

* From www.ssa.gov/pubs/EN-05-10133.pdf and mymedicarematters.org