Pancreas transplants

Medicare covers pancreas transplants under certain conditions. If you have 

End-Stage Renal Disease (Esrd)

 and need a pancreas transplant, Medicare covers the transplant if one of these applies:

  • It's done at the same time you get a kidney transplant.
  • It's done after a kidney transplant.

In some cases Medicare may also cover a pancreas transplant even if you don't need a kidney transplant.

 

Medicare Part B (Medical Insurance)

 will pay for your transplant drugs (also called immunosuppressive drugs) with no time limit if either of these apply:

  • You were already eligible for Medicare because of age or disability before you got your transplant.
  • You became eligible for Medicare because of age or disability after getting a transplant.

Part B will only pay for your transplant drug therapy for 36 months after the month of your kidney transplant if both of these apply:

  • You're only eligible for Medicare because of permanent kidney failure.
  • You have your pancreas transplant after a kidney transplant.

This is because your Medicare coverage will end 36 months after a successful kidney transplant if you only have Medicare because of permanent kidney failure.

Your costs in Original Medicare

You pay:

  • 20% of the Medicare-Approved Amount for doctors' services.
  • Various amounts for transplant facility charges.
  • Nothing for Medicare-approved 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
  • If your doctor accepts assignment
  • The type of facility
  • Where you get your test, item, or service