Medicare prohibits any potential enrollees diagnosed with End Stage Renal Disease (ESRD) from joining Mercy MedicareADVANTAGE unless the potential enrollee is currently an MHP commercial plan member. If a current Mercy MedicareADVANTAGE member develops ESRD, becomes enrolled in hospice or is institutionalized, the member cannot be automatically disenrolled from the plan.
In addition to reporting the presence of ESRD, attending physicians must notify MHP when members elect hospice, become institutionalized or are discharged from an institution.
The completed form must be forwarded to:
Mercy MedicareADVANTAGE Member Services Department
14528 S. Outer Forty Road, Suite 300
Chesterfield, MO 63017-5743
FAX 314-214-2463
The ”Medicare Reporting Form” can also be used to notify Mercy MedicareADVANTAGE of the expiration of a covered member.
Copies of the form can be obtained either through Mercy MedicareADVANTAGE HMO Member Services 314-214-8040 or 800-280-1602, Mercy MedicareADVANTAGE PPO Member Services 314-810-8300 or 800-919-6459, or Provider Relations at 314-214-8137 or 800-596-4315.