Diamond
Enthusiast
|
Click heremore information"In 1986, Congress directed Medicare to begin funding 80% of the cost of immunosuppressive drugs for one year following a kidney transplant under Medicare Part B. But as more recipients with functioning grafts exceeded the one-year post-transplant milestone, those on Medicare were without coverage due to the time limit on their immunosuppressive benefit. Congress was persuaded to phase in additional coverage to 36 months by 1995. The immunosuppressive medication coverage was extended further to 44 months in 2000, but only for those Medicare beneficiaries currently entitled to Medicare due to disability or age 65 or over. Kidney transplant recipients who were entitled to Medicare solely as the result of their ESRD were always limited to Medicare entitlement for only three years post transplant. Therefore, kidney transplant recipients not entitled to Medicare because of SSDI or who are not age 65 by the time their ESRD-Medicare terminates are limited to 36 months of medication coverage. " Hopefully your friend qualifies for this "Any age, Medicare: Transplant several years ago. If Medicare originally paid for the transplant and the recipient has continued to be Medicare eligible but lost the immunosuppressive drug benefit due to a previous time limit, then he or she would be eligible to have the benefit restored. " It seems very confusing... I would suggest you call your congress person if you can't figure out all the bureaucratic nonsense.
|
| |
|
AnswerPool.com 
