Needing a blood transfusion can happen to anyone if you have a car accident or other injury, surgery, bleeding, and disease. With so many emergency and non-emergency reasons for a blood transfusion, most people don’t think about what they would cost and is it covered at all by Medicare. We have the answers for you.
Does Medicare cover Blood Transfusions?
Yes and no. I know that seems confusing, but the first 3 pints of blood of a blood transfusion are not covered AT ALL by Medicare (unless they are donated). So if non-donated blood it is administered in a hospital you would have to pay for your 1st three pints AND if administered outside of a hospital setting you would pay for the 1st 3 pints PLUS your Part B deductible, copays, and coinsurance for fees for handling and processing the blood
Does Medigap Cover Blood Transfusions?
All Medigap plans cover the costs of the first three pints of blood, which can add up with an average cost of $300 per pint, and all plans cover all or part of your copays and coinsurance, but only Medigap C and F will cover your Part B deductible.
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Does Medicare Advantage Cover Blood Transfusions?
While Medicare Advantage must cover everything that Medicare covers, it can vary in how it covers it. Many plans, like Original Medicare, require you to pay for the first three pints of blood, however, there maybe a plan that will cover it.
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For further questions call one of our licensed agents at 800-930-7956.