Pancreas transplants
Medicare covers pancreas transplants under certain conditions. If you have
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 rare cases Medicare may cover a pancreas transplant even if you don't need a kidney transplant.
will only pay for your transplant drug therapy for 36 months after the month of the kidney transplant if both of these apply:
- You're entitled to Medicare only because of permanent kidney failure.
- You have the pancreas transplant after the kidney transplant.
This is because your Medicare coverage will end 36 months after a successful kidney transplant if you only have Medicare due to permanent kidney failure.
You pay:
- 20% of the
Medicare-approved amount for doctors' services. - Various amounts for transplant facility charges. You pay nothing for a living donor for a kidney transplant.
- 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
- Whether your doctor accepts assignment
- The type of facility
- Where you get your test, item, or service
Note
If you have a problem with the care that you’re getting for your transplant or with getting a referral for a transplant work-up, you have the right to file a complaint (grievance).