Insurance

The Transplant Program at Stony Brook Medicine accepts the following insurance:

  • Medicare Part A and B - with a Medicare Supplement
  • Straight Medicaid
  • Medicaid HMOs
    • Health First
    • Fidelis
    • Emblem HIP / Health Care Partners (HCP)
    • United Community Plan
  • Empire BlueCross BlueShield (NO Marketplace plans)
  • Local 1199
  • Emblem HIP/HCP/GHI/Essential Plan/ (NO Emblem GHI Medicare)
  • Oxford (Freedom or Liberty)
  • United Healthcare/Compass Select Care Plan
  • Magnacare

NOTE: Your insurance may not cover kidney transplant, even if Stony Brook Hospital takes your insurance plan.

The following insurances require benefit investigation:

  • Cigna
  • Affinity Health Plans
  • Managed Medicare's

The insurances listed above are accepted by Stony Brook Medicine's Transplant Program with out-of-network benefits only. If you do not see your insurance listed above, please contact our Financial Coordinator at (631) 444-7406

In the event that you receive a bill for your pre-transplant evaluation visit, please contact our Financial Coordinator at the number above.

If you have Medicare, you must have a supplemental plan! See below for more details:

  • Medicare covers only 80% of transplantation costs
  • Medicare Part B covers only 80% of the immunosuppressant medications. You will be responsible to pay 20% of all costs
  • We are not able to transplant you with Medicare coverage alone. You must have a secondary insurance or a supplemental plan in order to be transplanted. Transplant costs can be very expensive without the proper coverage.

Medicaid Coverage
If you have Medicaid coverage that is paid by your dialysis center, or your health insurance premium is covered by the Health Insurance Premium Program (HIPP), once you receive a kidney transplant, the payments will become your responsibility. The transplant center cannot cover the premiums. If this is the case, please contact one of our Social Workers. If you are unsure if this applies to you, please contact your dialysis center Social Worker.