If you have End-Stage Renal Disease (ESRD) and your condition improves, your Medicare coverage may end.
It will end if:
- You no longer need dialysis. Your Medicare coverage will end 12 months after the month in which you had your last dialysis treatment.
- You had a successful kidney transplant. A transplant is considered successful if it lasts for 36 months without rejection. If you have a successful transplant, your Medicare coverage will end 36 months after you had the transplant.
Your Medicare coverage will continue if within the 12 months of stopping dialysis, you start getting dialysis again or have a kidney transplant. It will also continue if you have had a kidney transplant and start getting dialysis or have another kidney transplant within 36 months of having a transplant.
If your Medicare coverage due to ESRD ends and then you qualify for Medicare coverage again, you can start receiving Medicare without a waiting period. In this case, your coverage will either resume the first of the month that you start dialysis again or the first of the month you have a kidney transplant. If your coverage starts again, and you also have coverage through an employer group health plan, you will have another 30-month coordination period, where your employer group health plan will pay first.
Note: If you delay enrollment in Medicare Part B until after you receive a kidney transplant, Medicare Part B will not pay for immunosuppressive drugs taken to prevent rejection of the transplanted kidney. You may get coverage of these drugs by enrolling in a Medicare private drug plan (Part D).
If you have Medicare due to age or disability, your Medicare coverage will not end.