Children's Hospital Boston 300 Longwood Avenue
Boston, MA 02115
(617) 355-6000
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Clinical Services (Pediatric Transplant Center):
Financial Considerations
Image Going through the transplantation process requires detailed financial planning; knowing ahead of time what to expect is an essential part of the process. The majority of insurance companies require prior notification for all transplant services. Some of these charges to expect include the evaluation process, surgery, hospital stay, follow up care and medications.

Contacting your insurance company ahead of time is one of the most important things you can do in preparation for transplantation. The insurance company will help you understand your individual coverage and benefits based around the transplant. You will be responsible for all copays and deductibles after charges have been processed. Assistance is available for families who cannot afford these excess costs.

The Pediatric Transplant Center's dedicated Financial Coordinator will work with your insurance company to obtain prior authorization for transplantation and will appeal any denials if turned down for the procedure. The Financial Coordinator can also assist you in identifying additional financial resources needed during the process. Assistance is available if you have no insurance or limited benefits for transplantation, as well as assisting you with out of pocket expenses, denied services or general financial questions.

CALL THE FINANCIAL COORDINATOR BEFORE YOUR EVALUATION IF YOU:
    • have any questions regarding your insurance
    • do not have insurance
    • do not have benefits for transplantation
    • are denied coverage for a transplant
    • would like to discuss other financial assistance options
Medicare Coverage
Patients undergoing kidney transplantation are automatically eligible for Medicare coverage. For patients who already have private insurance, Medicare becomes primary coverage 30 months post transplant. Applying for Medicare when this time draws near can help alleviate future financial strain and add assistance.

Part A (Hospital Coverage) This covers the inpatient admission costs.

Part B (Outpatient Care) This covers 80% of charges that include out patient clinic visits.

Medicaid Coverage
Medicaid is another option for families with limited or no resources. Though Medicaid coverage is based on family household income, this is still an option for families over the income guidelines for transplant coverage. It will be essential to contact your local welfare office to see what type of Medicaid category you may fall under.
Social Security Insurance (SSI)
SSI, if eligible, can pick up out of pocket costs after Medicare payment; we can assist you in the application process and determining your eligibility. The social security information line can be reached at 1-800-772-1213 or online at www.socialsecurity.gov
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X The information on this website should not be taken as medical advice,
which can only be given to you by your personal health care professional.
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