Kidney transplants (children)
Part A 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
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
- Immunosuppressive drugs (generally for a limited time after your child leaves the hospital following a transplant)
- Blood
Important: Find out if your child is eligible for Medicare.
Your costs in Original Medicare
- Inpatient hospital services — Generally, Part A pays for these services. You pay a deductible.
- Doctor's services — Generally, Part B pays 80% of the Medicare-approved amount, after you pay the Part B yearly . You pay the remaining 20% . This is in addition to the Part B monthly .
- 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.
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Starting January 2021, if your child has ESRD, you can choose either Original Medicare or a Medicare Advantage Plan when deciding how to get Medicare coverage. 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. |
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.