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If I Cannot Enroll In An Hmo With A Medicare Contract, How Are Costs For Esrd Treatments Covered? |
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Answer» As a U.S. citizen, you are eligible for traditional Medicare coverage, no matter what your age, on the BASIS of ESRD. The Medicare ESRD PROGRAM pays for 80% of the treatment costs for dialysis PATIENTS, and 100% of the costs of a kidney TRANSPLANT. (It continues to pay a percentage of the post-transplant treatment costs, for a limited period of time.) If you are also covered by an employer group health plan, that plan may pay 80% of your treatment costs while Medicare may, initially; cover a part of the remaining costs. Then, after a period of time, Medicare begins to pay 80% and the WORK insurance becomes the secondary payer. As a U.S. citizen, you are eligible for traditional Medicare coverage, no matter what your age, on the basis of ESRD. The Medicare ESRD Program pays for 80% of the treatment costs for dialysis patients, and 100% of the costs of a kidney transplant. (It continues to pay a percentage of the post-transplant treatment costs, for a limited period of time.) If you are also covered by an employer group health plan, that plan may pay 80% of your treatment costs while Medicare may, initially; cover a part of the remaining costs. Then, after a period of time, Medicare begins to pay 80% and the work insurance becomes the secondary payer. |
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