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October 27, 2020
Medicare covers dialysis and most treatments that involve end stage renal disease (ESRD) or kidney failure.
The eligibility requirements for Medicare are different if your eligibility is based on ESRD.
If you’re eligible for Medicare based on ESRD but miss your initial enrollment period, you may be eligible for retroactive coverage of up to 12 months, once you’ve enrolled.
If you enroll in Medicare based on ESRD and you’re currently on dialysis, your Medicare coverage usually begins on the 1st day of your dialysis treatment’s 4th month. Coverage can start the 1st month if:
If you’re admitted to a Medicare-certified hospital for a kidney transplant and the transplant takes place that month or in the next 2 months, Medicare can begin that month.
Medicare coverage can begin 2 months before your transplant if the transplant is delayed more than 2 months after being admitted to the hospital.
If you’re only eligible for Medicare due to permanent kidney failure, your coverage will stop:
Medicare coverage will resume if:
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