Kidney transplants (children)
Part A usually covers these transplant services:
- Inpatient services in an approved hospital
- Kidney registry fee
- Laboratory and other tests to evaluate your child’s medical condition and the condition of possible kidney donors
- The costs of finding the proper kidney for your child’s transplant surgery
- The full cost of care for your child’s kidney donor
- Blood (if a transfusion is needed)
Part B covers these transplant services:
- Doctors’ services for kidney transplant surgery
- Doctors’ services for the kidney donor during their hospital stay
- Blood (if a transfusion is needed)
Part B also covers immunosuppressive drugs (transplant drugs) if Medicare paid for the transplant. Your child must have Part A at the time of the covered transplant, and must have Part B at the time they get immunosuppressive drugs.
Your costs in Original Medicare
- Inpatient hospital services — Part A usually pays for these services after you pay a one-time yearly deductible.
- Doctor's services — Part B usually pays 80% of the Medicare-approved amount, after you pay the Part B yearly . You pay the remaining 20% .
- For Part B-covered dialysis services, your costs will vary based on your child’s age and dialysis type.
- If your child has other insurance, your costs may be different.
- In 2023, you’ll pay a monthly premium of $97.10* and a $226 deductible if you sign your child up for the immunosuppressive drug benefit. Once you’ve met the deductible, you’ll pay 20% of the Medicare-approved amount for their immunosuppressive drugs.
*You may pay a higher premium based on your income.
Things to know
Medicare will cover your child’s kidney transplant only if it’s done in a hospital that’s Medicare-certified to do kidney transplants.