ESRD eligibility requirements

To qualify for Medicare under the renal provision, a person must have end-stage renal disease (ESRD) and either be entitled to a monthly insurance benefit under Title II of the Act (or an annuity under the Railroad Retirement Act), be fully or currently insured under Social Security (railroad work may count), or be the spouse or dependent child of a person who meets at least one of the two last requirements. There is no minimum age for eligibility under the renal disease provision. An Application for Health Insurance Benefits under Medicare for Individuals with Chronic Renal Disease, Form CMS-43 (effective October 1, 1978) must be filed.

ESRD services

Type of care or service furnished to an end-stage renal disease (ESRD) patient. Such types of care are transplantation; dialysis; outpatient dialysis; staff-assisted dialysis; home dialysis; and self-dialysis and home dialysis training.