covers these transplant services:
- Inpatient services in an approved hospital
- Kidney registry fee
- Laboratory and other tests needed to evaluate your medical condition, and the conditions of your potential kidney donors
- The costs of finding the proper kidney for your transplant surgery
- The full cost of care for your kidney donor
- Blood (if an transfusion is needed)
helps pay for these transplant services:
- Doctors’ services for kidney transplant surgery
- Doctors’ services for your kidney donor during his or her hospital stay
- Transplant drugs, also called immunosuppressive drugs (generally for a limited time after you leave the hospital following a transplant)
- Blood (if a transfusion is needed)
If you’re only eligible for Medicare because of End-Stage Renal Disease (ESRD) (you’re not 65 or older, or have a disability), Part B will only cover your transplant drugs if both of these conditions are met:
- You already had Medicare Part A at the time of your transplant.
- Your transplant surgery was performed at a Medicare-approved facility.
Part B will only cover your transplant drugs after you’re enrolled in Part B. There won’t be retroactive coverage.
Medicare will continue to pay for your transplant drugs with no time limit if one of these conditions applies:
- You were already eligible for Medicare because of age or disability before you got ESRD.
- You became eligible for Medicare because of age or disability after getting a transplant that was paid for by Medicare, or paid for by private insurance that paid primary to your Medicare Part A coverage, in a Medicare-certified facility.
If you’re only eligible for Medicare because of ESRD, your Medicare coverage will end 36 months after the month of the transplant.
- Hospital services
- Doctors’ services
- You pay nothing for Medicare-approved laboratory tests.
- Medicare Part A and Medicare Part B help pay for blood transfusions and blood processing.
- Kidney donor:
- Medicare will pay the full cost of care for your kidney donor. You don’t have to pay a , , or other costs for your donor’s hospital stay.
- Your kidney donor doesn’t have to pay a deductible, coinsurance, or any other costs for their hospital stay.
Important: There’s a limit on the amount your doctor can charge you, even if your doctor doesn’t accept
If you’re in a
, your costs may be different. Call your plan to get information about your costs.
These services are covered if they’re done by the Medicare-certified hospital where you’ll get your kidney transplant or another hospital that participates in Medicare.