- Necessary tests, labs, and exams
Under certain conditions, Part A also covers:
- Services for heart, lung, kidney, pancreas, intestine, and liver organ transplants
- Immunosuppressive (transplant) drugs, follow-up care, and procurement of organs
- Stem cell transplants
- Doctors’ services associated with heart, lung, kidney, pancreas, intestine, and liver organ transplants
Under certain conditions, Part B also covers:
- Bone marrow and cornea transplants
- Cornea transplants
Part B also covers immunosuppressive drugs (transplant drugs) if Medicare paid for the transplant. You must have Part A at the time of the covered transplant, and you must have Part B at the time you get immunosuppressive drugs.
- 20% of the deductible . for your doctor's services after you meet the Part B
- Various costs for transplant facility charges.
- Nothing to the living donor for a kidney transplant.
- Nothing for Medicare-certified laboratory tests.
- You must get an organ transplant in a Medicare-approved facility. Stem cell and cornea transplants aren’t limited to Medicare-approved transplant centers.
- Medicare may cover transplant surgery as a hospital inpatient service under Part A.
- If you’re thinking about joining a Medicare Advantage Plan and are on a transplant waiting list or think you need a transplant, check with the plan before you join to make sure your doctors, other health care providers, and hospitals are in the plan’s network. Also, check the plan’s coverage rules for prior authorization.