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Module 6, Lesson B: Medicare for People With End-Stage Renal Disease

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Enrollment Considerations for GHP Participants

If you are enrolled in a GHP, you will need to decide whether to apply for Medicare immediately or delay filing an application. You should evaluate all the facts before making your decision.

If you apply for Medicare while you are still covered by a GHP:

  • Medicare will be the secondary payer for the first 30 months that you are eligible for Medicare based on ESRD. This is called the coordination period.
  • Medicare Part A and Part B could help pay for your GHP's yearly deductible and coinsurance.
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If you delay filing for Medicare until after the 30-month coordination period and you receive a kidney transplant prior to your entitlement to Medicare, Medicare will not cover the cost of the immunosuppressive drug therapy when you do apply.
If you file for Medicare Part A but decline Part B, you will not have to pay the Part B premium. However:
  • You may only be able to enroll in Part B during a General Enrollment Period that takes place every year from January 1 through March 31
  • If you enroll during a General Enrollment Period, your Part B coverage will not begin until July 1 of the year you enroll
  • If you receive a kidney transplant prior to your entitlement to Part B, Medicare will not cover the cost of the immunosuppressive drug therapy
  • You may have to pay a premium surcharge if you do not take Part B during the Open Enrollment Period.

Select immunosuppressive drug therapy for a definition of this term.

Select Coordination Period for more information about the 30-month coordination period.

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Last Updated 11/02/2004