Your Medicare Coverage

Is my test, item, or service covered?

Transplants (adults)

How often is it covered?

Medicare Part B (Medical Insurance) covers doctor services for certain organ transplants.

Medicare Part A (Hospital Insurance) 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

Who's eligible?

All people with Medicare Part A and/or Part B are covered.

Your costs in Original Medicare

You pay 20% of the Medicare-approved amount for the doctor's services, and the Part B deductible applies.

You pay various amounts for transplant facility charges. You pay nothing for a living donor for a kidney transplant.

You pay 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

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