Social Work The final stage of chronic kidney disease requires life-saving treatments such as dialysis or transplantation. While a very small percentage of patients with kidney disease are able to receive a transplant, most people have to get hemodialysis treatments three times a week in a community-based facility.
Costs and insurance Kidney transplant costs and insurance information Mayo Clinic has dedicated transplant financial services representatives and social workers who can assist you with insurance and financial questions regarding your transplant.
Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people. In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals or may have additional requirements for certain medical care.
Many insurance companies require you to get preapproval authorization prior to transplant services. Insurance information Before your transplant, it's important that you work closely with your insurance company to understand your benefit plan.
You'll be responsible for any of your transplant and medical care costs not covered by your insurance company. You may want to ask your insurance company several questions regarding your transplant expenses, including: What is the specific coverage of my plan?
What are my deductibles, coinsurance, copayments, lifetime maximum amount and annual maximum amounts for both medical care and transplant services? Does my plan have a pre-existing or waiting period clause? If so, what is the time frame?
Can this be waived? Does my plan include pharmacy coverage? If so, will my plan cover my current medications and immunosuppressant medications? Does my plan require any special approvals for evaluation or transplant?
How long does the approval process take once submitted to insurance? Does my plan cover my transportation and lodging expenses during my transplant care? Does my current insurance require enrollment in Medicare when eligible? Does my insurance follow Medicare Coordination of Benefits guidelines?
How will my current coverage change after enrolling in Medicare? Will my plan become a supplemental or secondary plan?
If your plan is a Medicare supplement, ask questions including: Does my plan follow Medicare guidelines? Does my plan cover Medicare Part A and B deductible and coinsurance? Does my plan have a pre-existing or waiting period? Does my plan offer an option for Medicare Part D coverage?
Other expenses Please plan for other expenses that may occur related to your transplant, which may include follow-up medical appointments, long-term medications, caregiver expenses, travel, parking, lodging and other expenses.
For international patients Mayo Clinic has dedicated international patient account representatives who can assist you with questions regarding your costs and insurance. Read more about international financial services. Case managers Mayo Clinic financial staff will work closely with your case managers from your insurance company.
Your case manager, who is assigned to you, is available to answer questions and calls related to your insurance costs.
More information about billing and insurance: Mayo Clinic Health System Clinical trials Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease.The determination of transplant candidacy is often a complex and difficult process that requires considerable resources.
Transplant centers use a multidisciplinary approach involving the transplant surgeons and physicians, coordinators, social workers, financial counselors, nutritionists, psychologists, referring physicians, and the patients.
From the perspective of the patient receiving the kidney, the living-donor transplant process is similar to a traditional kidney transplant (where the kidney comes from a deceased donor.
If cleared to donate an organ, donors will be assigned an independent living-donor advocate to act on their.
Kidney transplantation is the best way to treat kidney failure or end-stage renal disease (ESRD). The benefits of a successful kidney transplant are many. Most people find . It usually includes social workers, child-life specialists, chaplains and transplant financial coordinators as well.
Where will the new kidney come from? Your child may be eligible for either a deceased-donor kidney transplant or a living-donor transplant. Members of the transplant team, such as the transplant center's social worker and financial coordinator (see below), can help you develop a financial plan and may be able to put you in touch with organizations that provide financial assistance to transplant recipients.
The post-transplant social worker follows recipients to provide ongoing emotional support, address financial issues that may arise, consult on the patient’s social support network, assists the patient with managing the responsibility of the transplant, and help with issues of returning to .