Kidney transplants (children)
Medicare Part A (Hospital Insurance)
and
Medicare Part B (Medical Insurance)
cover different items and services related to children’s (pediatric) kidney transplants.
Part A usually covers these transplant services:
- Inpatient services in an approved hospital
- Kidney registry fee
- Laboratory and other tests to evaluate your child’s medical condition and the condition of possible kidney donors
- The costs of finding the proper kidney for your child’s transplant surgery
- The full cost of care for your child’s kidney donor
- Blood (if a transfusion is needed)
Part B covers these transplant services:
- Doctors’ services for kidney transplant surgery
- Doctors’ services for the kidney donor during their hospital stay
- Blood (if a transfusion is needed)
If Medicare paid for the transplant, Part B also covers immunosuppressive drugs (transplant drugs) in certain circumstances.
Your costs in Original Medicare
- Inpatient hospital services — Part A usually pays for these services after you pay a deductible.
- Doctor's services — Part B usually pays 80% of the Medicare-approved amount, after you pay the Part B yearly deductible . You pay the remaining 20% coinsurance .
- If your child has other insurance, your costs may be different.
Things to know
Medicare will cover your child’s kidney transplant only if it’s done in a hospital that’s Medicare-certified to do kidney transplants.