Your child will need
, and possibly
to get the full benefits available to them.
Part A covers dialysis treatments when your child is in the hospital. Part B helps pay for these dialysis services:
- Outpatient dialysis treatments & doctors' services (in a Medicare-certified dialysis facility or your home)
- Home dialysis training
- Home dialysis equipment and supplies
- Certain home support services
- Most drugs for home and outpatient dialysis (like an erythropoiesis-stimulating agent to treat anemia)
- Other services and supplies that are part of dialysis (like laboratory tests)
- Dialysis when you travel and use a Medicare-certified facility
Important: Find out if your child is eligible for Medicare.
- Inpatient hospital services — Generally, Part A pays for these services. You pay a .
- Doctor's services — Generally, Part B pays 80% of the Medicare-approved amount, after you pay the Part B yearly deductible. You pay the remaining 20% . This is in addition to the Part B monthly .
- Dialysis services — The amount you pay may vary based on your child's age and the type of dialysis they need. The rates Medicare pays to dialysis facilities are adjusted based on your child’s age and the type of dialysis they get. These adjustments allow for the special care needs of children. Your 20% coinsurance will be based on these special rates.
- Prescription drugs — To get Medicare drug coverage for your child, your child must have Part A or Part B, and you must enroll your child in a Medicare drug plan during an enrollment period. This would cover immunosuppressive and oral only drugs, but only if Part B doesn’t cover them. If your child joins a Medicare Advantage Plan with drug coverage, they'll get their drug coverage through their Medicare Advantage Plan, and can't enroll in a separate drug plan.
In most cases, Medicare doesn’t pay for transportation to dialysis facilities.
|If your child has ESRD, they can enroll in a Medicare Advantage Plan during Open Enrollment (October 15 – December 7, 2020) for coverage starting January 1, 2021. If your child is in a Medicare Advantage Plan, what you pay may be different. Learn more about Medicare Advantage Plans if your child has ESRD.|