Part A usually covers these transplant services:
- Inpatient services in a Medicare-certified hospital
- Kidney registry fee
- Laboratory and other tests to evaluate your child’s medical condition and the condition of potential kidney donors
- The costs of finding the proper kidney for your child’s transplant surgery (if there's no kidney donor)
- The full cost of care for your child’s kidney donor (including care before, during, and after the surgery)
- Any additional hospital care for your child's donor, in case of problems due to the surgery
- Blood (if a transfusion is needed)
Part B helps pay for these transplant services:
- Doctors’ services for kidney transplant surgery (including care before, during, and after the surgery)
- Doctors’ services for your child's kidney donor during their hospital stay
- Blood (if a transfusion is needed)
Part B also covers immunosuppressive 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.
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.