Florida 2-15 Life, Health and Variable Annuity AgentGeneral Knowledge of Health InsuranceHard
A client is 66 years old and has been diagnosed with end-stage renal disease (ESRD). They are currently receiving dialysis treatment. Which part of Medicare would primarily cover the costs associated with this dialysis treatment?
- AMedicare Part B
- BMedicare Part D
- CMedicare Part A
- DMedicare Part C
Show answer & explanationAnswer & explanation
Correct answer: A. Medicare Part B
Medicare Part B covers outpatient services, including doctor visits, medical supplies, and outpatient dialysis for end-stage renal disease (ESRD). While ESRD can qualify individuals for Medicare regardless of age, dialysis treatment itself falls under Part B services.
Why the other options are wrong
- B. Medicare Part D covers prescription drugs, not the dialysis treatment itself.
- C. Medicare Part A primarily covers inpatient hospital care, skilled nursing facility care, hospice care, and some home health care, not outpatient dialysis.
- D. Medicare Part C (Medicare Advantage) is an alternative to Original Medicare and would cover dialysis, but Part B is the primary Original Medicare component for this service.
Medicare Part B & ESRD
Medicare Part B covers outpatient medical services, including doctor visits, medical supplies, and outpatient dialysis treatments for individuals with End-Stage Renal Disease (ESRD).
- ESRD qualifies individuals for Medicare.
- Part B covers outpatient dialysis.
- Part B covers physician services and medical supplies related to ESRD.
Memory trick: ESRD Dialysis: Part B for the Blood-work and Beyond.