Aged, Blind, Disabled (ABD): End Stage Renal Disease (ESRD) Medicare

End Stage Renal Disease (ESRD), also called kidney failure, is the last stage of chronic kidney disease. With ESRD, the kidneys have stopped working well enough for the person to survive without dialysis or a kidney transplant.

A person with ESRD may be eligible for Medicare Parts A and B to cover treatments and a transplant.  Medicare coverage will end 12 months after the month dialysis treatments stop or 36 months after the month of the kidney transplant.  The Social Security claim number will end in a “T” if it is Medicare for ESRD.  ESRD Medicare can cover all ages.

Someone with a claim number ending in “T” may not have a disability decision from SSA and will not have an ABD categorical relationship.  This means we can’t certify a medical benefit. Someone who doesn’t have categorical relationship but has Medicare can be eligible for SLMB or QI-1 to pay the Part B premium. Since the applicant doesn’t categorically relate to ABD, the only income deduction that can be used is the $20 general income deduction. The applicant must meet all factors of eligibility, such as residence and citizenship.

Eligibility ends when the ESRD Medicare benefits end.

Refer to Medicare’s FAQ page regarding ESRD.

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