Planning for Indirect Transplant Expenses


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Patients and family members often find it helpful to summarize their current income and expenses and to budget for indirect expenses when planning for a bone marrow or cord blood transplant (also called a BMT). Indirect expenses include items and services needed for a transplant, but are not part of the medical procedure.

This free, confidential and flexible planning tool can help you:

  • Summarize your household's current monthly income and expenses
  • Provide a monthly estimate of potential expenses that may not be covered by your insurance
  • Highlight specific factors that may affect indirect expenses
  • List resources for financial planning advice and support

Before using this planning tool, you may find it helpful to collect the information listed in Transplant Information and Household Income and Expenses (PDF).

You can print a personalized report, similar to Figure 1. This report can be a helpful starting point for you to discuss your household financial needs with your transplant center staff, insurance provider or financial advisor.

Figure 1 Figure 1.

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After you have collected the amounts for your income and household expenses, it will take about 15 minutes to complete this planning tool.

Your report is displayed after entering information. You can print the report or use your Internet browser to save the report to your computer. Until you exit the tool, you can change the information as often as you like.

To talk with a case manager about your questions, contact the Office of Patient Advocacy at the National Marrow Donor Program:
E-mail: patientinfo@nmdp.org
Call toll free in the United States: 1 (888) 999-6743
Outside of the United States call: 1 (612) 627-8140

Interpreters are available.

Patient Information

Household size refers to the number of people living within the patient's home.

The patient's age and household size can help identify financial needs, such as health insurance, child-care, tuition and retirement. Age and household size may also be used to determine eligibility for specific programs and resources.

Age of patient
Household size


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Transplant Information

Many transplant patients are in the hospital for several weeks or months. The length of the hospital stay depends on the patient's treatment plan, the transplant center's procedures and the patient's recovery time after transplant.

Health care insurance often covers many transplant expenses; however, most patients also have indirect expenses that are not covered by their insurance. The transplant information will help transplant center staff and patient estimate specific indirect costs.

Location During Transplant

Transplant center:
Patient: Relocating or staying local (within 90 miles of home)
Caregiver: Relocating or staying local (within 90 miles of home)
Transplant Type
Transplant Preparation


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Primary Income Source

Often the primary income source is the patient or the patient's spouse. When the income is from another adult living in the household, such as a domestic partner or adult child, sometimes this income is included.

Enter a monthly amount for each item that applies. If this person will not be working during the transplant, this tool automatically notes the monthly take-home pay as a change in household income on the report.

Please do not use commas or dollar signs. The system will automatically round amounts to the nearest dollar.

Primary Income

Current monthly take-home pay (after taxes)
Will this person be working during the transplant process?
Short- or long-term disability income (from employer)
Social Security income (retirement or survivor, disability (SSDI), or Supplemental Security Income (SSI))
Private work insurance

Other Monthly Income

Alimony and child support
Rental property, retirement income, investments
Other (reverse mortgage)

Additional Resources

Emergency savings
Loan (home equity, IRA, life insurance)
Other (fundraising)


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Secondary Income Source

Sometimes the patient or the patient's spouse provides a secondary income. Or, another adult who contributes to the household (such as a domestic partner, adult child or parent) may also be included.

Enter a monthly amount for each item that applies. If this person will not be working during the transplant, this tool automatically notes the monthly take-home pay as a change in the household income on the report.

Secondary Income

Current monthly take-home pay (after taxes)
Will this person be working during the transplant process?
Short- or long-term disability income (from employer)
Social Security income (retirement or survivor, disability (SSDI), or Supplemental Security Income (SSI))
Private work insurance

Other Monthly Income

Alimony and child support
Rental property, retirement income, investments
Other (reverse mortgage)

Additional Resources

Emergency savings
Loan (home equity, IRA, life insurance)
Other (fundraising)

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Medical Expenses and Health Insurance

Estimate monthly amounts to the nearest dollar for all members of the patient's household.
Co-payments (visits and medication)
Current medical debt
Health insurance premium
Deducted from take-home pay
Billed separately
Other monthly medical expenses (wigs, sperm/egg storage, etc.) $


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Household Expenses

Enter a monthly amount for each item that applies to the patient's household.
Mortgage or rent
Home owner's or renter's insurance
Utilities (electricity, heating, telephone, household operation)
Car (loan, insurance, repairs, gasoline)
Credit card payment(s)
Food
Other (phone, internet, cable, pet care)


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Other Living Expenses

Enter a monthly amount for each item that applies to the patient's household.
Child-care
Alimony and child support
Education and enrichment classes (tuition, classes, activities)
Charitable contributions and tithing
Savings / Investments
(retirement, 401k, investment funds, vacation, college)
Other (entertainment, gifts)


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Relocation Expenses

When the patient or caregiver move to a location near the transplant center for several months, indirect costs such as lodging, food and local transportation need to be considered. Indicate the items that apply to the patient, caregiver or both.
Child-care
Number of children
Lodging
Lodging Type
Food
Laundry
Travel (roundtrip between home and the hospital; additional visits home)
Transportation and parking (to and from the hospital and visits home)
Pet boarding
Additional monthly expenses $


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Local Living Expenses

When the transplant center is near the patient's or caregiver's home, you still need to look at these items. Your current expenses may change or you may have new expenses. Indicate the items that apply to the patient, caregiver or both.
Child-care
Number of children
Food
Transportation and parking
Pet boarding
Additional monthly expenses $


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After Transplant and Returning Home Expenses

To prepare for the patient's return home, the transplant center staff will give suggestions such as:
  • Clean the house thoroughly to prevent infections
  • Consider adjustments to improve the patient's mobility. For example, a ramp may be needed for a wheel chair. Or, the patient's sleeping arrangements may need to be moved to the main floor.

Sometimes new clothing is needed because of a significant change in weight. Sometimes extra soft clothing may be needed if the patient's skin becomes sensitive.

To plan for these indirect costs, indicate the items that may apply to this patient's needs.

Child-care
Number of children
Cleaning
Travel (transplant center and office visits)
Pet boarding
Clothing
Other (different food needs, insurance premiums when patient is not employed)


A Summary of Your Income, Current Expenses and Future Indirect Expenses


Summary Report

Total Monthly Income (including other resources) Current Household Monthly Expenses Potential Indirect Monthly Expenses
$0.00 $0.00 $0.00
Change in Primary Income: The person(s) currently providing a monthly income of $0.00 will not contribute to the household income during the transplant process.

Change in Secondary Income: The person(s) currently providing a monthly income of $0.00 will not contribute to the household income during the transplant process.

Viewing a summary of income and expenses can be overwhelming. We want you to know that people and resources are available to help you prepare for potential indirect costs and to help you manage your current household expenses. This financial summary is a useful first step in developing a financial plan for transplant. We encourage you to review the following information with people familiar with transplant and/or your financial situation, including:

  • Family and caregivers
  • A professional financial advisor
  • A case manager at the NMDP Office of Patient Advocacy
  • Your transplant center team

Your Transplant Center: -
Contact Information: -
To talk with a case manager about your questions, contact the Office of Patient Advocacy at the National Marrow Donor Program:
E-mail: patientinfo@nmdp.org
Call toll free in the United States: 1 (888) 999-6743
Outside of the United States call: 1 (612) 627-8140

Interpreters are available.

In the following sections of this report, you will find more items we have prepared to help you understand, discuss and plan your finances related to transplant.


Additional Resources



Itemized Report

Monthly Household Income
Income Sources Primary Monthly Income Secondary Monthly Income
Current take-home pay (after taxes)
Short- or long-term disability income (employer)
Social Security income (retirement or survivor, disability (SSDI), or Supplemental Security Income (SSI))
Private work insurance
Other Monthly Income
Alimony and child support
Rental property, retirement income, investments
Other

Monthly Income Sub-total

0.00

0.00

Additional Resources
Emergency Savings
Loan
Other

Other Resources Sub-total

0.00


Lost monthly wages during transplant process: $0.00

0.00


Lost monthly wages during transplant process: $0.00

Other Resources

Total Monthly Income


Current Household Expenses
Medical Expenses and Health Insurance
Co-payments (visits and medication)
Current medical debt
Health insurance premium
Other
Household Expenses
Mortgage or rent
Dwelling insurance
Utilities
Car (loan, insurance, repairs, gasoline)
Credit card payment(s)
Food
Other
Other Living Expenses
Child-care
Alimony and child support
Education and enrichment classes
Charitable contributions and tithing
Savings / Investments
Other
Your Household's Current Monthly Expenses 0.00


Your Potential Indirect Expenses
Relocation Expenses
Child-care
Number of children
Cost of child-care
Lodging
Food
Laundry
Travel (to hospital, return home, visits home)
Transportation and parking
Pet boarding
Additional monthly expenses
Local Living Expenses
Child-care
Number of children
Cost of child-care ????
Food
Transportation and parking
Pet boarding
Additional monthly expenses
After Transplant and Returning Home Expenses
Child-care
Cleaning
Travel (transplant center and office visits)
Pet boarding
Clothing
Other
Your Potential Indirect Monthly Expenses 0.00







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Page last updated: July 2007

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