The donor will be given a billing instruction letter at the start of the evaluation which gives directions to all of the providers along the way of his or her evaluation, surgery, hospital stay and follow-up as to how to bill the recipient's insurance.
Cincinnati Children's pays all providers at the time of service and is reimbursed by the recipient's insurance at the time of transplant. Accordingly, the potential donor's health insurance should not be billed for any kidney donation expense.
There is, though, no reimbursement to the donor for travel and lodging expenses, lost wages, child care or daily living expenses that may be incurred during the donation process. The living donor advocate can give the donor's information to apply to the National Living Donor Assistance Center. For donors who qualify, this may be a source for help with travel, lodging and meal expenses related to the evaluation and donation process.
The Live Donor Transplant
Once the donor has been approved, a transplant surgery date is scheduled for a time that works for both the donor and recipient.
Additional Tests / Appointments
The donor will need to have a preop physical exam done by his/her primary care physician within one week of the transplant surgery date to make sure that he/she is not sick at the time of surgery.
Also, a few days before the transplant, the donor and recipient will need to have a blood test done for a final crossmatch. This result must be negative, meaning that the recipient does not have antibodies that react against the donor.