Your Medicare Coverage

Is your test, item, or service covered?

Kidney disease education

How often is it covered?

Medicare covers up to 6 sessions of kidney disease education to help you delay dialysis and prevent kidney disease complications when the service is given by a doctor, certain qualified non-doctor providers, or a rural provider. Your doctor must refer you for the service. 

Five topics you will learn about:

  1. How to manage health conditions like heart disease, diabetes, high blood pressure, and anemia
  2. How your kidneys work
  3. What you should and shouldn’t eat
  4. How your medications work
  5. Your treatment options if your kidneys get worse:
    • Hemodialysis
    • Peritoneal dialysis
    • Access options for hemodialysis and peritoneal dialysis
    • Kidney transplant  

Other topics you can also ask about:

  • How you feel
  • How to maintain your kidney function
  • Exercise
  • What your test results mean
  • Your family and social life
  • Work and finances
  • How kidney disease affects your mental health
  • Your right to refuse treatment

Who's eligible?

People with Medicare who have Stage IV chronic kidney disease that will require dialysis or a kidney transplant are covered. The doctor who manages your kidney disease must write a referral for these services.

Your costs in Original Medicare

You pay 20% of the Medicare-approved amount per session if you get the service from a doctor or other qualified health care provider.

Related resources

Return to search results