Health Insurance Exchange

Health insurance exchanges were established by the Patient Protection and Affordable Care Act of 2010. DPC strives to ensure the plans offered in the marketplace provide equal coverage and sufficient continuity of care for ESRD patients in need of insurance coverage. Private health plans under the Affordable Care Act have out-of-pocket maximums, which can lead to lower costs to the patient than traditional fee-for-service Medicare. It is also important these patients are able to maintain this coverage as their primary insurer if it is best for their health needs.  Patients who choose a private insurance plan have the right to keep their plan for 30 months before making the decision to enroll in Medicare. DPC has been at the forefront of confronting those insurance providers looking to “push” ESRD patients into enrolling in Medicare. It is critical for ESRD patients to have equal opportunities to enroll in private insurance plans and maintain enrollment in those plans to maintain access to care they need to survive.

Fact Sheets:


Medicare vs. Exchange Plans for new patients under 65
Private Health Insurance Coverage: An Important Option for Dialysis Patients

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Related Issues:

Medigap Coverage


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Our Work:

October 29, 2014, HHS Responds to DPC's Concerns About Essential Health Benefits

September 24, 2014, Response Memo: FAQ's Regarding Medicare and the Health Insurance Marketplace

September 22, 2014, DPC Signs on to Coalition Letter Encouraging Essential Health Benefits Review

January 06, 2014, Comment Letter: DPC Encourages the Coverage of Renal Dialysis in Exchange Plans

November 26, 2014, Comment Letter: DPC Encourages Oregon to Eliminate 24-Month Waiting Period for Transplant Coverage

February 21, 2013, Comment Letter: DPC Comments on Children’s Health Insurance Programs in State Health Exchanges

July 05, 2012, Comment Letter: DPC Advocates for Dialysis Related EHB Data Collection

March 13, 2012, Press Release: DPC Applauds New Medicare as Secondary Payer Program

December 21, 2012, Comment Letter: DPC Pushes for Closer Analysis of ACA and Kidney Care Essential Benefit Classifications

January 31, 2012, Comment Letter: DPC Comments on Essential Health Benefits Bulletin

January 30, 2012, Comment Letter: Congressman Dicks Requests a Meeting with CBO on ESRD Coverage in Exchanges

December 12, 2011, Op-Ed: DPC Says Resolution of Legal Battle Provides Opportunity to Get Reform Right

October 31, 2011, Comment Letter: DPC Advocates for Premium Tax Credits and Cost-Sharing Subsidies Parity

September 28, 2011, Comment Letter: DPC Comments on Health Care Tax Credits and Subsidies

August 31, 2011, Comment Letter: DPC fights for Dialysis and Kidney Transplant Inclusion as Essential Benefits

July 18, 2011, Comment Letter: DPC Offers views on Rate Increase Disclosure and review with regard to State and Federal Regulation of Law Consumer

May 31, 2011, Press Release: Dialysis Patient Citizens Urges CMS to Consider the Needs of Kidney Disease Patients When Building Framework for Insurance Exchanges

May 26, 2011, Comment Letter: DPC Urges CMS to Consider the Needs of Kidney Disease Patients When Building Framework for Insurance Exchanges

Dialysis Patient Citizens
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