What are the special rules for people with End-Stage Renal Disease (ESRD)?
If you have ESRD (permanent kidney failure requiring dialysis or a kidney transplant) and you are in the Original Medicare Plan
, you can join a Medicare Prescription Drug Plan
. You generally can’t join a Medicare Advantage Plan
. However, if you are already in a Medicare Advantage Plan, you can stay in it or join another plan offered by the same company in the same state that includes Medicare drug coverage. Also, if you are a member of a health plan (like through a former employer or union) offered by the same company that offers one or more Medicare Advantage Plans, you may be able to join a Medicare Advantage Plan offered by that company. If you’ve had a successful kidney transplant, you may be able to join a Medicare Advantage Plan.
You may also be able to join a Medicare Advantage Plan called a Medicare Special Needs Plan for people with ESRD if one is available in your area.
www.medicare.gov on the web for more information about ESRD
and Medicare Advantage Plans. Under "Search Tools," select "Find a Medicare Publication" to view the booklet "Medicare Coverage of Kidney Dialysis and Kidney Transplant Services." You can also call 1-800-MEDICARE (1-800-633-4227) for more information. TTY users should call 1-877-486-2048.