Organ transplants
covers doctor services for certain organ transplants.
covers these organ transplants under certain conditions at Medicare-certified facilities:
Part A also covers some stem cell transplants under certain conditions. Part B covers cornea transplants, under some conditions. Stem cell and cornea transplants aren't limited to Medicare-approved transplant centers.
Organ transplant coverage includes:
- Necessary tests, labs, and exams before surgery
- Transplant drugs also called immunosuppressive drugs (under certain conditions)
- Follow-up care
- Procurement of organs
You pay:
- 20% of the
Medicare-approved amount for your doctor's services, and the Part BDeductible [glossary] applies.
- Various amounts for organ transplant facility charges.
- Nothing for a living donor for a kidney transplant.
- Nothing for Medicare-certified laboratory tests.
Note
To find out how much your test, item, or service will cost, talk to your doctor or health care provider. The specific amount you’ll owe may depend on several things, like:
- Other insurance you may have
- How much your doctor charges
- Whether your doctor accepts assignment
- The type of facility
- Where you get your test, item, or service
Transplants must be performed in Medicare-approved facilities to qualify for organ transplant coverage. Stem cell and cornea transplants aren’t limited to Medicare-approved transplant centers.
Note
If you have a problem with the care that you’re getting for your transplant or with getting a referral for a transplant work-up, you have the right to file a complaint (grievance).