When Does Medicare Become Primary With ESRD?

Medicare becomes primary for ESRD patients after a 30-month coordination period. During the first 30 months, your employer group health plan (if you have one) pays first and Medicare is secondary.

Frequently Asked Questions

What is the 30-month coordination period?
It's the first 30 months of Medicare ESRD eligibility during which your employer plan pays primary and Medicare pays secondary.
What if I don't have employer coverage?
If you don't have employer group health coverage, Medicare pays as your primary coverage from the start of your ESRD eligibility.
Does this apply to kidney transplant patients?
Yes. The coordination period applies to ESRD from either dialysis or kidney transplant. Medicare covers immunosuppressive drugs under certain conditions.