2021 Archdiocese of Atlanta Meritain Group Plan Doc - Manual / Resource - Page 63
Pre-transplant candidacy screening. Pre-transplant candidacy screening includes Human Leukocyte Antigen
(HLA) typing/compatibility testing of prospective organ donors that are immediate family members.
Transplant event. A transplant event includes inpatient and outpatient services for all covered transplantrelated health services and supplies provided to you and a donor during the one or more surgical procedures
or medical therapies for a transplant; prescription drugs provided during your inpatient stay or outpatient visits,
including bio-medical and immunosuppressant drugs; physical, speech or occupational therapy provided
during your inpatient stay or outpatient visits; cadaveric and live donor procurement.
Follow-up care. Follow-up care includes all covered transplant expenses; home health care services; home
infusion services and transplant-related outpatient services rendered within 180 days from the date of the
One Transplant Occurrence
The following are considered one transplant occurrence:
Simultaneous Pancreas Kidney (SPK).
Bone marrow/stem cell transplant.
(10) Multiple organs replaced during one transplant surgery.
(11) Tandem transplants (stem cell).
(12) Sequential transplants.
(13) Re-transplant of same organ type within 180 days of first transplant.
(14) Any other single organ transplant, unless otherwise excluded under the Medical Plan.
More Than One Transplant Occurrence
The following are considered more than one transplant occurrence:
Autologous blood/bone marrow transplant followed by allogeneic blood/bone marrow transplant (when not
part of a tandem transplant).
Allogeneic blood/bone marrow transplant followed by an autologous blood/bone marrow transplant (when
not part of a tandem transplant).
Re-transplant after 180 days of the first transplant.
Pancreas transplant following a kidney transplant.
A transplant necessitated by an additional organ failure during the original transplant surgery/process.
More than one transplant when not performed as part of a planned tandem or sequential transplant (i.e. a
liver transplant with subsequent heart transplant).