Is Home Dialysis Covered By Medicare?

Is Home Dialysis Covered By Medicare?

No. Medicare does not cover home dialysis services including equipment, supplies, and other related services.

Medicare only covers the dialysis treatment itself when it is given in a doctor's office, a hospital, or a clinic.

Medicare Part B covers kidney transplant surgery and the medical care that is needed after the surgery.

Part D covers outpatient prescription drugs when they are used to treat kidney failure.

What is Medicare Advantage?

Medicare Advantage is a program that allows you to get your Medicare hospital, doctor, and prescription drug coverage from a single private insurance company. Medicare Advantage plans are run by private companies. Medicare pays private companies a monthly amount for each person who signs up for the plan.

Medicare Advantage plans must give you all the same benefits as Original Medicare for the services they provide. Medicare Advantage plans must cover all the services that Original Medicare covers, including doctor's office visits, emergency room visits, and hospital stays.

Medicare Advantage plans must also cover all the prescription drugs that Medicare Part D covers. Plans may also offer additional benefits like vision or dental coverage. And, Medicare Advantage plans can give you extra benefits that Original Medicare does not, like hearing aids, wheelchairs, or help paying your health insurance premium.

Medicare Advantage plans may have extra costs for you. For example, you will have a monthly premium that is higher than the Part B premium. You may also have to pay a deductible for doctor's office visits or hospital stays if you use networks of healthcare providers that most people in Medicare Advantage plans use.

Many Medicare Advantage plans do not cover prescription drugs when you are not at home. So, if you want a Medicare Advantage plan that covers prescription drugs when you are out of the home (for example, when you are in a nursing home), you will have to pay an extra premium for this coverage.

There are also Extra Help programs that can help you pay for a Medicare Advantage plan.

For more information, visit Medicare.gov.

What is Part D?

Medicare Part D is a prescription drug plan offered by private insurance companies under the Medicare program.

The drug plan is available if you have Original Medicare or Medicare Advantage. But, if you have Original Medicare, you must also have Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) in order to get the prescription drug plan.

If you have Medicare Advantage, you do not need Medicare Part A or Part B to get a prescription drug plan. If you have Medicare Advantage, your plan may cover all Part D drugs, or you may have to pay a premium to get coverage for all your Part D drugs.

What Is the Medicare Part D Coverage Gap?

The Medicare Part D coverage gap is the amount of money you may have to pay out-of-pocket when you are receiving prescription drug coverage through the Part D program.

Part D has a coverage gap because the plan insurance companies pay only a certain amount for the drugs that Part D beneficiaries use. This amount is often much lower than the cost of the drugs. For example, the insurance company may pay less than half of the cost of the drugs you use.

In order to get the cost of your drugs covered by a Medicare Part D plan, you can get help paying for your drugs through the Extra Help program.

You must get Extra Help to get your drugs paid for during the coverage gap.

What Is Medicare Part B Premium?

The Part B premium is the amount of money that you pay each month to get Part B coverage.

The cost of the Part B premium changes every year. In 2018, the Part B premium is $134 per month, but it may be higher depending on your income.

If you have a low income, you may be eligible for Extra Help to pay your Part B premium. You must apply to be considered for Extra Help.

For more information on the Part B premium, visit Medicare.gov.

What Is the Medicare Part B Deductible?

The Part B deductible is the amount of medical costs that you have to pay out of your own pocket before Medicare begins to pay its share of the bills.

The amount of the Part B deductible changes every year. In 2018, the Part B deductible is $183 per year, but it may be higher depending on your income.

If you have a low income, you may be eligible for Extra Help to pay your Part B deductible. You must apply to be considered for Extra Help.

For more information on your Part B deductible, visit Medicare.gov.

What Is Medicare Part B Coverage Gap?

The Medicare Part B coverage gap is the amount of money you may have to pay out-of-pocket when you are receiving drug coverage through the Part B program.

Part B has a coverage gap because the plan insurance companies pay only a certain amount for the drugs that Medicare beneficiaries use. This amount is often much lower than the cost of the drugs. For example, the insurance company may pay less than half of the cost of the drugs you use.

In order to get the cost of your drugs covered by Medicare Part B, you can get help paying for your drugs through the Extra Help program.

What Is Medicare Part D?

The drug plan is available if you have Original Medicare or a Medicare Advantage plan. But, if you have Original Medicare, you must also have Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) in order to get the prescription drug plan.

If you have Medicare Advantage, you do not need Medicare Part A or Part B to get a prescription drug plan.

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