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

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Start Date for Medicare Coverage

Jim asks when his Medicare coverage would begin.

Marjorie explains that, generally when you first apply for Medicare and are on dialysis, your coverage begins in the fourth month of dialysis treatment. Your Medicare coverage may begin at a different time depending on your circumstances.

Your coverage will begin with the earliest of the following:

  • The third month after the month you begin a regular course of dialysis; OR
  • The first month you begin a regular course of dialysis if you participate in a self-dialysis training program, or you were previously entitled to Medicare based on ESRD; OR
  • The month you receive a kidney transplant; OR
  • The month you are admitted as an inpatient to a Medicare-approved facility for procedures preliminary to a kidney transplant if your transplant takes place that same month or in the 2 months that follow; OR
  • Two months before a kidney transplant if the inpatient procedures preliminary to the transplant took place more than 2 months prior to the transplant.
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Last Updated 11/02/2004