Medicare coverage
Does Medicare Cover Organ Transplants?
Yes. Medicare covers different parts of the care you need for an organ transplant.
Yes: Parts A and B
Source: Medicare.gov, Organ transplants, checked October 23, 2026.
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Coverage at a glance
- Covered?
- Yes
- Which part
- Parts A and B
- Part B deductible 2026
- $283 a year (CMS). Part B premium $202.90 a month.
- Part A deductible 2026
- $1,736 per benefit period (CMS)
- Medicare.gov page
- Organ transplants
Description
An organ transplant is a surgical procedure that replaces a damaged organ with a healthy one from a donor.
From Medicare.gov, checked October 23, 2026.
Coverage details
Medicare Part A (Hospital Insurance) covers necessary tests, labs, and exams, and generally also covers:
- Services for heart, lung, kidney, pancreas, intestine, and liver transplants.
- The costs of finding the proper organ for your transplant surgery.
Medicare Part B (Medical Insurance) covers:
- Doctors’ services associated with heart, lung, kidney, pancreas, intestine, and liver transplants.
- Immunosuppressive drugs to prevent organ rejection in certain circumstances.
If you’re thinking about joining a Medicare Advantage Plan and are on a transplant waiting list or think you need a transplant, check with the plan before you join to make sure your doctors, other health care providers, and hospitals are in the plan’s network. Also, check the plan’s coverage rules for prior authorization.
From Medicare.gov, checked October 23, 2026.
Costs
For your transplant and related services, you pay:
- 20% of the Medicare-approved amount for Part B services after you meet the Part B deductible.
- Nothing for the services provided to the living donor for a kidney transplant.
- Nothing for Medicare-certified laboratory tests.
Medicare doesn’t pay for transportation to a transplant facility.
From Medicare.gov, checked October 23, 2026.
Facility
You must get an organ transplant in a Medicare-approved facility.
From Medicare.gov, checked October 23, 2026.
National Coverage Determinations
- NCD 260.1: Adult Liver Transplantation
Version 3, effective June 21, 2012
- NCD 260.9: Heart Transplants
Version 3, effective May 1, 2008
- NCD 260.5: Intestinal and Multi-Visceral Transplantation
Version 2, effective May 11, 2006
An NCD is the national rule CMS writes for when Medicare pays for an item or service. Local coverage determinations (LCDs) from each Medicare contractor can add detail. Read the NCD text on the CMS site.
Related pages
- Does Medicare Cover Dialysis?
Only in certain cases
- Does Medicare Cover Kidney Transplants?
Yes
- Does Medicare Cover Pancreas Transplants?
Yes
- Does Medicare Cover Kidney Disease Education?
Yes
- Does Medicare Cover Dental Care?
Only in certain cases
- Does Medicare Cover Hearing Aids?
No
- Medicare Part B deductible 2027
- Part D out-of-pocket max 2027
- Dual eligible: Medicare and Medicaid together
- 2027 Medicare plans by county
- Everything Medicare covers, A to Z
Questions
Does Medicare Cover Organ Transplants?
Yes. Medicare covers different parts of the care you need for an organ transplant.
Which part of Medicare covers Organ Transplants?
Medicare.gov lists Organ transplants under Parts A and B.
Is there a national coverage determination for Organ Transplants?
Yes. CMS NCD 260.1, Adult Liver Transplantation, version 3, effective 2012-06-21.
Does a Medicare Advantage plan cover Organ Transplants?
Medicare Advantage plans must cover what Original Medicare covers and some offer extra benefits. Check the plan's Evidence of Coverage. Rivvi does not recommend plans.
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Does Medicare Cover Organ Transplants?
Yes. Medicare covers different parts of the care you need for an organ transplant.
Checked against Medicare.gov 2026-10-23. Source: Rivvi