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@johnbishop

Hello @graphicedge, I would like to add my welcome to Connect along with @colleenyoung and others. I did find an interesting news article discussing hospital transfers which includes information on how to request a transfer and some tips to walk you through the process.
Here is an excerpt from the article below:
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To initiate a transfer, reach out to your hospital case manager or social worker, as these professionals "are committed to advocating for you and your needs," Graney says. "They're experts in the health care system and know how to navigate its many complexities."

And be sure to "explain your concerns calmly and plainly and know they're there to help you get what you need."

He adds that "most case managers will have experience supporting patients in tricky situations and will offer counsel and advice given the specifics of your case."

You should also contact your insurance company for details about any costs or fees you'll be expected to pick up in executing a hospital transfer. Graney recommends contacting a case manager at the insurance company to walk you through the particulars depending on your specific coverage plan. Transportation costs are often not covered, and these "can be quite expensive, especially when more advanced ambulance services are needed."

Some insurers also require proof of medical necessity or a physician's approval.

You'll also want to determine whether the facility you're transferring to is in your insurer's network. "Some insurance plans will cover out-of-network hospitals to a limited degree, and others may not do so at all," Graney explains. Make sure you understand your financial responsibilities before you take the plunge on a transfer.

You should also consider other, less tangible costs. "The biggest cost can be a cost to your health," Graney says. "Ensuring the accepting facility is ready to deliver the needed care is most important, so your care and recovery aren't negatively impacted by your transfer."
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Hospital Transfers: Where to Turn? | U.S. News: https://health.usnews.com/health-care/patient-advice/articles/where-do-you-turn-when-you-want-a-hospital-transfer

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Replies to "Hello @graphicedge, I would like to add my welcome to Connect along with @colleenyoung and others...."

This transfer will likely be permanent, so I have to figure this out. I have a phone call scheduled for next week to get things started. I will talk to my social worker and care coordinator at the Cleveland Clinic to get as much help as I can on this end.