Hi, I’m Angela James at the Centers for Medicare & Medicaid Services. I’ve got some important information to share with you about Medicare coverage for people with End-Stage Renal Disease, also known as ESRD. ESRD is permanent kidney failure requiring dialysis or a kidney transplant. Learning that you have permanent kidney failure isn’t easy, but you can still take control of your life – and Medicare can help. If you have ESRD and already have Medicare because you’re 65 or older, or because you’re under 65 and disabled, Medicare will start paying for your dialysis treatments right away. If you’re under 65 and only eligible for Medicare because of ESRD, your Medicare coverage will usually start on the first day of the fourth month of your dialysis treatments. So you might be wondering what happens if you need a kidney transplant. Medicare covers kidney transplants done in a hospital that Medicare approves for kidney transplants. Medicare will also cover the full cost of finding the proper kidney for your transplant surgery, and the full cost of care for your kidney donor. To get the most comprehensive coverage for your kidney dialysis and kidney transplant services, you’ll need Medicare Part A (Hospital Insurance), Medicare Part B (Medical Insurance), and possibly Medicare Part D (Prescription Drug Coverage). Now, some people get their Medicare through a Medicare health plan (like an HMO or PPO) and there are very specific rules for how those kinds of plans work with ESRD coverage. To learn more about Medicare coverage of ESRD, and how to get help with some of the health care costs that Medicare doesn’t pay, visit Medicare.gov.