COB Playbook

Words of Wisdom from COB Experts Throughout our Neighborhoods

Hemodialysis / Nocturnal Hemo – 3-month wait for Medicare entitlement PD/Home Hemo/Self Care – 3-month waiting period waived

The CMS 2728 form must indicate training started within the first 3 months of the RCDB / FDODE start date

Modality

Initial Medicare Entitlement Due to:

First reason patient would be entitled to Medicare if they had applied timely

ESRD

30-month COB

Patient has an EGHP

Patient covered by EGHP & policy holder must be currently employed & group must have 20 or more employees at the time patient is entitled for Medicare due to ESRD Patient covered by EGHP & policy holder must be currently employed & group must have 100 or more employees at the time patient is entitled for Medicare due to ESRD

If Medicare entitlement due to Age and ESRD occur in the same month, ESRD takes precedence

Age

If Medicare entitlement due to Disability & ESRD

Disability

occur in the same month, ESRD takes precedence

If patient was initially entitled to Medicare due to Disability, and turns 65 before ESRD entitlement, initial entitlement becomes Age