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WakeMed Sends the Correct Blank Medicare Forms on the 8th of January
Wednesday, January 8, 2014
WakeMed Sends the Correct Blank Medicare Forms on the 8th of January
January 08, 2014

From: CONNIE WITHAM
Wed 1/8/2014 4:34 PM
To: PATREKA WORTHAM; Fred Lempe
Cc: STACIE ILKHANIZADEH
RE: Medicare Lifetime Reserve Day letter MR# 1948092


Good afternoon,
Please find the two letters related to Lifetime Reserve Days.

The first letter is the Do Not Use (Lifetime Reserve Days) letter which is a form letter which requires only the  date and the signature of the patient/patient representative. This is the form that you will need to sign if  after consideration you decide not to use the lifetime reserve days.

The second letter is the form letter regarding use of Lifetime Reserve Days with Medicaid as Secondary to  Medicare. If you elect to use the lifetime reserve days, Stacie will complete the form and you then you sign  this form.

Please let us know which form you would like to sign. Both have been presented to you for your consideration.




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