Other transplants
Under certain conditions, Medicare covers transplants that aren’t organ transplants
Description
Other organ transplants could include:
- Cornea transplants
- Stem cell transplants (including bone marrow transplants)
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.
Coverage details
Under certain conditions, Medicare covers transplants that aren’t organ transplants:
- Both Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) may cover stem cell transplants (including bone marrow transplants), and the necessary tests, labs, and exams associated with the transplant.
- Part B may also cover cornea transplants.
Costs
For your transplant and related services, you pay:
- 20% of the Medicare-approved amoun t for Part B services after you meet the Part B deductible .
- Nothing for Medicare-certified laboratory tests.
Ask your doctor or healthcare provider how much your test, item, or service will cost.
Your doctor may recommend services that Medicare does not cover or offers too frequently. This could end up in additional costs for you. Make sure to ask your doctor about the reasons for these recommendations and what Medicare will actually cover.
Specific amounts you could owe depend on:
Other insurance you may have
How much your doctor charges
If your doctor accepts assignment
The type of facility
Where you get your test, item, or service