Organ transplants
Medicare Part A (Hospital Insurance) covers:
- Necessary tests, labs, and exams
Generally, Part A also covers:
- Services for heart, lung, kidney, pancreas, intestine, and liver transplants
- The costs of finding the proper organ for your transplant surgery
Medicare Part B (Medical Insurance) covers:
- Doctors’ services associated with heart, lung, kidney, pancreas, intestine, and liver transplants
- Immunosuppressive (transplant) drugs in certain circumstances.
Your costs in Original Medicare
For your transplant and related services, you pay:
- 20% of the Medicare-approved amount for Part B services after you meet the Part B deductible .
- Nothing for the services provided to the donor for a kidney transplant.
- Nothing for Medicare-certified laboratory tests.
Things to know
- You must get an organ transplant in a Medicare-approved facility.
- 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.
- Medicare doesn’t pay for transportation to a transplant facility.