Kidney transplants (children)
Medicare Coverage Information
Overview
Medicare provides comprehensive coverage for kidney transplants in children, helping families manage critical medical procedures. Coverage includes the transplant surgery, related hospital stays, and necessary follow-up care.
- Medicare covers kidney transplants for eligible children
- Transplant must be performed at Medicare-approved facilities
- Includes surgical procedure, hospital stay, and post-transplant medications
- Requires documented medical necessity from healthcare providers
- Covers both living and deceased donor kidney transplants
- Children with end-stage renal disease (ESRD)
- Enrolled in Medicare Part A and Part B
- Referred by qualified healthcare professionals
- Meet specific medical documentation requirements
- Part A covers hospital stays related to transplant
- Part B covers doctor services and outpatient care
- Beneficiaries may be responsible for 20% of Medicare-approved costs
- Annual deductibles and copayments may apply
- Must meet specific medical criteria for transplant eligibility
- Transplant must be deemed medically necessary
- Limited to Medicare-approved transplant centers
- Ongoing immunosuppressive medication coverage has time restrictions
- Consult with pediatric nephrologist about transplant options
- Verify Medicare coverage with local Medicare administrative contractor
- Obtain comprehensive medical evaluation and documentation
- Contact Medicare at 1-800-MEDICARE for specific coverage details
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicarekidney transplantpediatric transplantchildren's kidney surgeryMedicare pediatric coverage
Related Coverage Topics
Questions About Kidney transplants (children)?
Our experts can help you understand your Medicare coverage for kidney transplants (children). Get personalized guidance on costs, eligibility, and next steps.